- Humana (Augusta, ME)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- Sharecare (Augusta, ME)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- CVS Health (Augusta, ME)
- …day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key ... and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other… more
- CVS Health (Augusta, ME)
- …compassionate. And 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) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ... experience for the member. + Meticulous documentation of care management activity in the member's electronic… more
- Highmark Health (Augusta, ME)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- MaineGeneral Health (Augusta, ME)
- Job Summary: MaineGeneral Health is seeking a dedicated and proactive Registered Nurse (RN) Care Manager to join our team at Maine Dartmouth Family Practice and ... high-quality, value-based care . Job Description: Position: RN Care Manager Location: Thayer Center for Health,...1 year of RN experience is preferred. + Previous Care Management experience preferred. + Excellent teamwork,… more
- Guardian Life (Augusta, ME)
- …is a full tme, remote-based position. **Position Summary** Guardian's Annuity New Business CARE team seeks a dynamic and knowledgeable individual to join our team as ... an **Annuity Relationship Manager ** . We are looking for someone with exceptional...internal and external partners. As a member of our CARE Team, you are part of a dynamic group… more
- Centene Corporation (Augusta, ME)
- …Preferred** **RN Compact License/Multi-State License a Plus** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects ... medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support… more
- Intermountain Health (Augusta, ME)
- **Job Description:** The Manager of Project Management provides leadership to a team of project managers and ensures projects and initiatives are implemented ... role promotes best practices and works to deliver project management value to the organization by providing leadership with...within a reasonable commuting distance to an Intermountain Health care site are preferred. Currently, we are not hiring… more
- Lumen (Augusta, ME)
- …eco-systems to understand and implement sold solutions. + Provide critical date management and escalation support to meet committed delivery objectives. + Validate ... stressful working environment. + Ability to learn and adhere to customer care policies, processes, and principles + Ability to maintain a proficient understanding… more
- CVS Health (Augusta, ME)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... communication across teams, and supporting the Product Owner in product backlog management and prioritization. + Develops strategy to monitor and measure the team's… more
- CVS Health (Augusta, ME)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... lower-level managers. Additional responsibilities include: + Collaborate across Quality Management to ensure operational and department performance requirements are… more
- Cardinal Health (Augusta, ME)
- **What IT Program & Project Management contributes to Cardinal Health** IT Program & Project Management is responsible for playing a key/critical role in ... realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. Transformation enables… more
- Public Consulting Group (Augusta, ME)
- …working experience in case management , including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...their progress and to ensure satisfaction * Document all care activity via case management software system… more
- Walgreens (Topsham, ME)
- …of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management ... + Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for… more
- CVS Health (Augusta, ME)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- CVS Health (Augusta, ME)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- Sweetser (Brunswick, ME)
- …within the Certified Community Behavioral Health Center (CCBHC) by providing outreach, case management , and information about the health care system in general ... Targeted Case Manager - Adult (Brunswick) Job Code:12768 Location:Brunswick 04011...and at care transition points between health care agencies (ie emergency department/inpatient unit to community services).… more
- MaineGeneral Health (Augusta, ME)
- …Job Description: The Role: Case Manager (MHRT/C) - Behavioral Health The Case Manager monitors and manages patient care to promote continuity of care , ... Opportunity: MaineGeneral Health is currently seeking an exceptional Case Manager to join our team. MaineGeneral is a leading...to join our team. MaineGeneral is a leading health care system that is proud of the culture of… more
- CenterWell (Augusta, ME)
- …to join our dynamic Pharmacy Business Development team as a Senior Product Manager , Research and Discovery. As a **Senior Product Manager ** (Pharmacy Business ... opportunities, and execute our proven product discovery playbook. The **Senior Product Manager ** will play a central role in the inception and development of… more