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$223.8k - $313.1k
...A healthcare services provider is looking for a Medical Director to evaluate healthcare services and ensure compliance with CMS regulations. The role entails reviewing clinical cases to determine medical necessity for Medicare and Medicaid members. Candidates must have...CmsRemote workHumana
Augusta, ME4 days ago$77.2k - $106.2k
...experience, preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. Homecare Homebase (HCHB) experience, preferred. CMS PDGM billing knowledge and/or experience, preferred. Additional Information Normal Hours of Operation: M-F / 8a-5p (ET) On-...CmsFull timeTemporary workApprenticeshipImmediate startRelocation packageRotating shift- ...Hospital, a nonprofit community hospital sponsored by the Sisters of Mercy, has been providing care to greater Portland since 1918. A CMS five-star hospital, NL Mercy was also named a top hospital in Maine by Newsweek and U.S. News and World Report.Why Northern Light...CmsFull timeRelocation packageFlexible hours
Northern Light Eastern Maine Medical Center
Portland, ME3 days ago - ...facility's policies and procedures, state and federal laws and regulations, including the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission. Why partner with Lifepoint Rehabilitation? - Independent contractor status - Flexible schedule -...CmsFor contractorsLocal areaFlexible hours
LifePoint Health
Lewiston, ME4 days ago - ...consistent with LEAP’s mission and goals. 2. Assure all supports adhere to Home and Community Based Service as fundamentally designed by CMS. 3. Provide back up support to the Administrator to process payroll. This will include reconciling the timecard against schedule,...CmsHourly payWork at officeLocal area
LEAP Life Enrichment Advancing People
Farmington, ME2 days ago $250 - $360 per day
Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more Growth opportunities performing essential work...CmsFull timeLocal areaImmediate startShift workNight shiftCore-Mark
Gardiner, ME18 hours ago- ...department quality indicators. Maintains compliance with all hospital policies as well as compliance with all State, Federal and CMS policies of licensing and certification Responsible to maintain medical record privacy and security according to hospital policies...CmsFull timeLocal area
Britt Medical Search LLC Defunct
Bangor, ME1 day ago - ...electronic medical records. Advanced understanding of risk adjustment models for the Center for Medicare and Medicaid Services (CMS) Affordable Care Act (ACA) knowledge. Ability to document assessment findings both accurately and thoroughly. Ability to...CmsDaily paidFull time
MDM Search
Lewiston, ME4 days ago - ...Requirements: We’re looking for someone with an entrepreneurial spirit accompanied by strong medical knowledge, understanding of documentation (CMS, Medicare, Medicaid) and nursing home/ hospital facility experience. * Have amaster’sdegreeand a valid LMHC/LMFT/LCPClicense in the...CmsPrivate practiceLocal area
MPAC Healthcare
Westbrook, ME18 hours ago - ...situations. Ensures all calls are handled according to contractual service standards and document all cases in the Case Management System (CMS). Performs call follow-up and reporting as assigned. Demonstrates outstanding customer service. Demonstrates exceptional...CmsContract workWork experience placement
ASM Research, An Accenture Federal Services Company
Augusta, MEa month ago $5,000 per month
...bed Skilled Nursing (Nursing Home), which is top-rated by the Us News & World Report and is a nationally recognized 5-star facility by CMS. We offer excellent staff to resident ratios and a clean, safe, and friendly work environment. Schedule: Monday - Friday 2p-...CmsTemporary workMonday to FridayAfternoon shiftPiper Shores
Scarborough, ME3 days ago$72k - $80k
...JOB TITLE (#1256): Clinical Social Worker Health Care Facility Surveyor - Maine CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a Clinical Social Worker Health Care Facility Surveyor to fill...CmsFull timeWork at officeImmediate startMonday to FridayFlexible hoursImpact Recruiting Solution
Cliff Island, ME2 days ago$72k - $80k
...Flexible Spending Account Paid Time Off, Retirement Savings Commuter Benefits program Visa Sponsorship opportunities CMS's Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a Clinical...CmsFull timeImmediate startVisa sponsorshipMonday to FridayFlexible hoursImpact Recruiting Solutions
Scarborough, ME3 days ago- ...clinical protocols, pathways, and quality improvement initiatives Ensure compliance with Centers for Medicare & Medicaid Services (CMS), The Joint Commission, and all applicable regulations Collaborate with hospital leadership to drive program growth and...CmsFull timeLocal areaRelocation packageShift work
Prime Healthcare
Lewiston, ME4 days ago - ...future clients ~ Ability to work within national coalitions to effectively advocate for payment reform,qualityand health equity at CMS/CMMI, within professional organizations and guilds, and across health plan partners. Experience we look for: ~ MD, DOboard certification...CmsWork at officeImmediate startRemote work
Evolent
Augusta, ME18 hours ago $72.7k
...compliance with business process requirements, regulatory requirements, and accreditation standards. Maintain current knowledge and adhere to CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management, including those published...CmsTemporary workWork at officeLocal areaRemote workHighmark Health
Augusta, ME2 days ago- ...bed Skilled Nursing (Nursing Home), which is top-rated by the Us News & World Report and is a nationally recognized 5-star facility by CMS. We offer excellent staff to resident ratios and a clean, safe, and friendly work environment. Responsibilities:...CmsDaily paidTemporary workPart timeImmediate startShift work
Piper Shores
Scarborough, ME2 days ago - Company Highmark Inc. Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral...CmsWork at officeLocal areaRemote workFlexible hours
Highmark Health
Augusta, ME2 days ago $75k - $90k
...JOB TITLE ( # 1156 ): RN Health Care Facility Surveyor - Maine CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting...CmsFull timeWork at officeImmediate startRemote workMonday to FridayFlexible hoursImpact Recruiting Solution
Cliff Island, ME4 days ago- ...EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state...CmsImmediate start
Fresenius Medical Care
Augusta, ME1 day ago $15.6 - $19.03 per hour
...for candidates who work well in a team and are enthusiastic and dedicated to providing compassionate care. We hold accreditations by CMS and the Joint Commission. The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience,...CmsHourly payFull timeFor contractorsSeasonal workWork at officeShift workState of Maine
Augusta, ME3 days ago- ...discretion and good judgment in dealing with the questions and problems of patients and clinical staff. Abides by all HIPAA, DOD, CMS, state, federal and board of pharmacy laws and regulations, as well as departmental and organizational policies to protect the privacy...CmsDaily paidShift work
Martins Point Health Care
Brunswick, ME18 hours ago $33.82 - $41.89 per hour
...for candidates who work well in a team and are enthusiastic and dedicated to providing compassionate care. We hold accreditation's by CMS and the Joint Commission. The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience,...CmsHourly payFull timeSeasonal workWork at officeShift workNight shiftWeekend workAfternoon shiftState of Maine
Augusta, ME4 days ago$19.34 - $28.27 per hour
...Knowledge of FedEx operations features of service. Knowledge of mainframe and web-based applications, i.e. Cosmos, GNSL, FAMIS, IMS, TSO, CMS, etc. Must be proficient with PC applications including word processing, spreadsheets, databases and graphics. Preferred...CmsHourly payFull timeMonday to FridayShift workFederal Express Corporation
Portland, ME8 days ago$60.2k - $107.4k
...staff assuming responsibility in the next level of care Employees are expected to comply with all regulatory requirements, including CMS and Joint Commission Standards Must be able to functionally coordinate and discharge plan for all age groups, including but not...CmsMinimum wageFull timeWork experience placementLocal areaFlexible hoursUnitedHealth Group
Bangor, ME2 days ago$2,459 per week
...review practices comply with regulatory standards, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other state or federal regulations. Assist with audits to evaluate the efficiency and accuracy of utilization management...CmsContract workImmediate startFlexible hoursShift workTravelNurseSource
Camden, ME8 hours agonew$223.8k - $313.1k
...Overview Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing Home Health, SNF, DME, dual Medicare/Medicaid, Medicaid, IRF and LTACH requests. The Medical Director...CmsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to FridayHumana
Augusta, ME1 day ago$35.35 - $44.32 per hour
...for candidates who work well in a team and are enthusiastic and dedicated to providing compassionate care. We hold accreditation's by CMS and the Joint Commission. The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience,...CmsHourly payFull timeSeasonal workWork at officeShift workNight shiftWeekend workAfternoon shiftState of Maine
Augusta, ME2 days ago$126.3k - $173.7k
...C, Ping, or similar. Compliance & Risk Management Skills Familiarity with regulatory and security frameworks, including HIPAA, CMS/Medicare regulations, NIST 800‑63, SOC2, CCPA/GDPR, PCI. Ability to translate regulatory requirements into product features and governance...CmsFull timeTemporary workRemote workHumana
Augusta, ME1 day ago$80.5k - $103.41k
...Provide Tier 2 / Tier 3 application support for DC warehouse systems, including: Manhattan Active Warehouse Management (Active WM) CMS SYNQ / Auto Store SLAM Numina and other supporting integrations Troubleshoot production incidents, analyze root cause,...CmsTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hoursShift workCardinal Health
Augusta, ME3 days ago
