- CVS Health (Augusta, ME)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
- Highmark Health (Augusta, ME)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Intensive Case Manager Augusta , Maine , United States | Community & Social Services | Full-time Apply by: June 30, 2025 Apply with Linkedin Apply Department of ... require travel throughout Kennebec County. Core Responsibilities: The community-based Intensive Case Manager (s) will demonstrate expertise in working with both… more
- Spurwink Services (Lewiston, ME)
- …provider, Clinical Team Leader, Nurse, Substance Use Disorder Counselor, Case Manager , Vocational Rehabilitation Provider, and Peer Partner. + Identify ... Lewiston, ME, USA | Clinical | 22.00-27.00 per hour | Full Time...a collaborative, engaging, and driven Assertive Community Treatment (ACT) case manager who has their MHRT-C or… more
- Assistance Plus (Gardiner, ME)
- Adult Case Manager Job Details Job Location Gardiner - Gardiner, ME Education Level High School Salary Range $22.00 - $25.00 Hourly Description General ... Description of Responsibilities: The Adult Case Manager (ACM) provides services that focus...that focus on the specific needs of adults with behavioral health diagnoses and decreased ability to function independently… more
- Spurwink Services (Lewiston, ME)
- …Lewiston/Auburn area. We are looking for a collaborative, engaging, and driven care coordinator ( case manager ) who has their MHRT/C or is MHRT/C eligible. This ... team-based approach to care, by working in collaboration with Clinical Team Leader, Peer Partner, Nurse Care Manager... Clinical Team Leader, Peer Partner, Nurse Care Manager , and Psychiatric and Medical Consultants. + Maintain regular… more
- Humana (Augusta, ME)
- …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
- CVS Health (Augusta, ME)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- Highmark Health (Augusta, ME)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …the incumbent functions within mental health as a general mental health therapist and case manager . The incumbent has less than one year of post-MSW experience ... At the GS-11 level the incumbent independently provides psychosocial and case management services to meet biological, psychological, social and environmental needs.… more
- Highmark Health (Augusta, ME)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more