- Sharecare (Augusta, ME)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Central Maine Medical Center (Rumford, ME)
- …experiences for our community and for each other every day. Position Summary: The Care Manager assesses, plans, implements, and evaluates the needs of patients ... the Following Areas: + Performs all aspects of patient care in an environment that optimizes patient safety and...meets current standards and policies. + Cooperates with Case Manager 's activities with the insurance company, based on information… more
- Healthfirst (ME)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- Highmark Health (Augusta, ME)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... **utilization management** strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource… more
- Healthfirst (ME)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- Northern Light Health (Brewer, ME)
- …Associate's Degree, Bachelor's degree in nursing preferred. Working Conditions + Prolonged periods of sitting. Position Care Manager - RNLocation Req ID null ... Northern Light Health Department: Community Care Team Position is located: Cianchette Professional Blding...Schedule: 8:00 AM to 4:30 PM Summary: Oversee clinical care to patients with complex care needs,… more
- Healthfirst (ME)
- …and achieving quotas/goals **Preferred Qualifications:** + Bachelors degree + Experience working as a care manager for long term care programs such as MAP ... **Duties/Responsibilities:** + Lead and manage the care management team to ensure the best individualized...care management team to ensure the best individualized care decisions, adherence to timely assessments and interventions for… more
- Spurwink Services (Biddeford, ME)
- …, by working in collaboration with Clinical Team Leader, Peer Partner, Nurse Care Manager , and Psychiatric and Medical Consultants. + Maintain regular contact ... Portland 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 position… 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 of medical ... and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care . Completes medication review for… more
- Humana (Augusta, ME)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a ... better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for… more