- Humana (Augusta, ME)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Augusta, ME)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Augusta, ME)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Highmark Health (Augusta, ME)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- Highmark Health (Augusta, ME)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sumitomo Pharma (Augusta, ME)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- Trustmark (Augusta, ME)
- …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
- SitusAMC (Augusta, ME)
- …global but act local - come join our team! Job Profile Summary As the Sr Director of the Innovation team you will be at the forefront of developing cutting edge ... of industry and/or relevant experience, typically with 2+ years in a Senior Director level role or external equivalent. + Experience with the most current… more
- Verint Systems, Inc. (Augusta, ME)
- …covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's ... meetings with immigration counsel to review latest legal updates, trends and case highlights/movement. + Effectively manage a team of two senior benefits analysts… more
- Central Maine Medical Center (Lewiston, ME)
- …when available. Incorporates standard work into daily routine. *Meets regularly with the Medical Director , Clinical Coordinators, and/or Case Managers to ... office furnishings according to standards supporting IP and Materials management policy. + Interacts daily with medical ...a regular and ongoing basis. + Partners with the medical and program director to maximize practice… more
- Central Maine Medical Center (Lewiston, ME)
- …staff in regards to conflict resolution, resources, and patient care management .9. Maintains suitable equipment and supply inventories, in collaboration with manager ... with assigned RN, and recovery of customer dissatisfaction. Cooperates with Case Manager's activities with insurance company, based on information received.16.… more
- Central Maine Medical Center (Lewiston, ME)
- …conditions, openness to taking on a wide range of patients, diagnostic and case formulation skills, willingness to learn about medical conditions that interface ... schedule template and productivity standards, collaborating with office staff on management of patient scheduling + Follows office protocols regarding time off… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …upon your day's scheduled work. This position allows for telework with management approval and requires daily travel within the assigned district. The Division ... health support, adult health services, communicable disease control, lead poisoning management , asthma management , immunizations, and migrant and refugee health… more
- MaineGeneral Health (Waterville, ME)
- …clinic for a NP or PA passionate about providing quality care. Reporting to the Medical Director of Express Care, this individual will be supported by primary ... Word processing, EMR, and email + Strong collaborator with excellent clinical and case management skills. Clinic hours are Monday through Friday, 8:00 am… more
- Public Consulting Group (Augusta, ME)
- …Understand the important points of intersection and overlap between our Special Education/ Case Management and school-based Medicaid services work within a state; ... Implement best practice models and structures for client communication and management , including coordinating involvement from other functional areas + Seek… more
- Fujifilm (Augusta, ME)
- …team of Field Marketing Technicians. The position reports directly to the Director of Technical Marketing - Motion Production. FUJIFILM North America Corporation, a ... of technical documentation, positioning documents, presentations, product demonstrations, whitepapers, case studies, webinars, and videos, to educate and engage… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …particularly severe mental illnesses, including development of treatment plans and case management . Incorporates new evidence-based and recovery clinical ... Posting: CBTD-12576135-25-MK Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Psychologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Psychology-Career-Flyer.pdf Program Management Responsibilities (at least 50% of… more