• Clinical Reviewer , Nurse

    Evolent (Augusta, ME)
    …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
    Evolent (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Fraud & Waste Investigation…

    Humana (Augusta, ME)
    …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
    Humana (11/04/25)
    - Save Job - Related Jobs - Block Source
  • Advanced Practice Nurse - (Certified…

    Veterans Affairs, Veterans Health Administration (Togus, ME)
    …preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
    - Save Job - Related Jobs - Block Source
  • NICU Care Manager, Telephonic Nurse

    Humana (Augusta, ME)
    …needs and by providing guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission. You ... us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates...+ Bilingual is a plus - preferably Spanish + Clinical claim review experience **Additional Information** +… more
    Humana (11/06/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Supervisor, Access and Patient…

    Cardinal Health (Augusta, ME)
    …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
    Cardinal Health (10/29/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Consultant, MI - I

    Fujifilm (Augusta, ME)
    **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
    Fujifilm (10/01/25)
    - Save Job - Related Jobs - Block Source
  • Patient Care Technician - PCT

    Fresenius Medical Center (Gardiner, ME)
    …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
    Fresenius Medical Center (10/24/25)
    - Save Job - Related Jobs - Block Source
  • Medical Assistant Musculoskeletal Team

    Intermountain Health (Augusta, ME)
    …or registrations: Registered Medical Assistant (RMA) of AMT, National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA) or ... that invests in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain… more
    Intermountain Health (11/05/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Clinician- Behavioral…

    CVS Health (Augusta, ME)
    …and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions ... it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit… more
    CVS Health (11/01/25)
    - Save Job - Related Jobs - Block Source
  • Physician - Primary Care (Assistant Service Chief)

    Veterans Affairs, Veterans Health Administration (Togus, ME)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact VHA EDRP Program Support ###@va.gov, for ... care patients. The Assistant Primary Care Service Line Manager will have Clinical and Administrative Responsibilities for the CBOC's. All physicians comply with… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Pulmonary Disease Physician (Regular Ft)

    Veterans Affairs, Veterans Health Administration (Togus, ME)
    …VHA Education Loan Repayment Services program office after EDRP application review . Former EDRP participants are ineligible to apply. Responsibilities In conjunction ... with the surgical or medical attending physician and other consultants, the Pulmonologist/Intensivist (hereafter PI) directs the care of all patients in the… more
    Veterans Affairs, Veterans Health Administration (11/04/25)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Home Coor II - Belfast Schools

    Northern Light Health (Belfast, ME)
    …improve mental health, and in conjunction with the primary care provider, improve medical health to adults with serious and persistent mental illness and children ... providers in support of client's treatment plan, including, but not limited to BHH Nurse Care Managers and Peer Support staff, in a regular and professional manner +… more
    Northern Light Health (09/24/25)
    - Save Job - Related Jobs - Block Source