December 19, 2016

 
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Updated Information on Chapter 488 Requirements Taking Effect on Jan. 1

Prescribers of opioid medication prescribed for pain and of benzodiazepines or their delegates must check the PMP prior to writing such scripts, effective Jan. 1, 2017. In addition, the ability to override Chapter 488 by utilizing the medical necessity exception expires Jan. 1 and the 7 day and 30 day limits on scripts for acute pain and chronic pain respectively take effect on the same day.  Because the PMP is transitioning to a new vendor on Tuesday, requiring all delegates to re-enroll (but not prescribers), MMA has asked for a 30 to 60 day grace period before the PMP mandate is enforced. (See also the next article which is the DHHS official statement on the grace period released December 19, 2016.)

As a reminder, the maximum daily dose provision (100 MME) took effect on July 29, 2016, but patients who were on 100 or more MME of opioid medication on that day can receive up to 300 MME until July 1, 2017. If a patient exceeds 100 MME and does not qualify for the 300 MME exception (until July 1, 2017), the only exceptions available are:

Cancer pain

Hospice care

End of Life care

Palliative Care

However, the Department of Health and Human Services is preparing an emergency rule, as called for in the law, which will likely authorize some additional exceptions, including exceeding the limit to allow for post-op care in cases where the patient may already be receiving pain medication for one or more chronic conditions and for patients who are undergoing an active taper. At the final Stakeholders' meeting held on Dec. 7,  HHS staff stated that the emergency rule will be e-mailed to PMP registrants on January 2, the effective date of the rule. Under the state Administrative Procedures Act, an emergency rule can take effect immediately and then the public comment period begins. While MMA staff and several physicians, pharmacists and other health professionals have provided information to HHS and commented on draft exceptions language, we have not had an opportunity to see the final rule and have been told it will not be public until its effective date (Jan. 1, 2017). As it will take some time to educate prescribers regarding the emergency rule, MMA has asked HHS to provide for a grace period of 30 to 60 days prior to enforcing the new rule. (See separate article in this issue with the text of DHHS's grace period announcement.)

Stephen Hull, M.D., Director of Medical Pain Management at Mercy Hospital, attended the Stakeholders' meeting this on Dec. 7,  along with MMA Associate General Counsel Peter Michaud, J.D., RN, and prepared a summary of the discussion. We very much appreciate the effort that Dr. Hull and several other physicians have made to provide clinical input into the emergency rule.

MMA is pleased to share Dr. Hull's comments below:

Policy Update

As it stands, the statutory exceptions of inpatient, residential treatment (i.e. nursing home), cancer pain, end of life, palliative care, and medically assisted treatment (methadone and Suboxone for substance use disorder) will all remain. In addition, I am expecting an exception for postponing active taper during pregnancy, a total dosage "pursuing active taper" exception that will likely be limited to no more that 6 months (though it will apply to current patients, it is not proposed specifically for those providers who have been delaying implementation of a taper in hopes of an exception that would apply for their patient(s), but instead is intended for that patient moving into the state and coming under our care on large doses after implementation of the new rules). Though there was not any discussion in relationship to the many particulars, we also expect an exception for patients who have failed an active taper, likely requiring some documentation of substantive decline in function that was subsequently recovered on reengagement of doses >100 MME. This last exception has tons of complicating issues: how long was the patient at a dose below 100 MME, what measure and documentation of function will be required, etc.

The DHHS staff at the meeting, while not committing to any position about this, did seem to understand that they should allow some grace period to allow education of prescribers
, since the new rules will not be published before we are expected to be accountable for them. I am expecting more about this and some, though not extensive, leniency on enforcement during the first weeks to a month.

Dr. John Pier has reminded me of an additional anticipated important exemption, the acute on chronic pain circumstance. This could be any acute on chronic pain, particularly post surgical pain. I am anticipating that the rules will include the capacity for a prescriber presented with a patient who has an acute on chronic pain to be allowed an exemption to exceed the 100 MME aggregate limit with renewable 7 day prescriptions for acute on chronic pain. The rule making discussions did not address at what point it is appropriate to convert an acute patient to chronic and at that time it would be likely that a "pursuing active taper" exception would apply as the patient was again returned to a dose less than 100 MME.

PMP Update

The Department has selected a vendor to replace the current PMP vendor, Appriss (see below) to provide the upgrade of the PMP. They currently have a portfolio of 28 state PMPs they host/serve and provided a demo. The "go live" for the upgrade will be December 20th. Appriss is sending a guidebook to how to use this upgrade to the Maine PMP, which in turn will be sent out to registrants via email or snail mail on December 19th. Those registrants (but not their delegates) who have provided email addresses (are currently receiving emails from the PMP) are being migrated over from the current vendor to the Appriss product. All delegates and those current registrants who do not have an email address registered with the current vendor will need to reregister with the Appriss product. This appeared from the demo to be an easy process that will be hastened somewhat by entering their NPI, which will be in the system with a limited amount of data that will populate the registration page. When a delegate first registers they will identify prescribers under whom they are requesting delegate status, and an invitation will be sent to the prescriber to accept the delegate.

The necessity for all delegates to re-register, which will require action by the prescriber as well, was only announced at the end of this past week.  As there can be no registrations by delegates or prescribers until the coverstion takes place on Tuesday, Dec. 20, these circumstances also call for a grace period in enfocement to allow for all the delegates to get re-registered which will be an enormous challenge prior to Jan. 1, 2016, the effective date of the PMP mandate.  The request for the 30 to 60 day grace period becomes even more important than when we were just dealing with the issue of the emergency rule.

Appriss PMP Demo 
 Most registrants are likely to be pleased with the upgrade. It seems more user friendly than the present system. I won't provide a detailed description of the product but instead this PDF: http://www.appriss.com/static/sitedocs/PMPAWARE_ProductSheet.pdf. I believe the most useful feature will be the ability for delegates to batch search the database on behalf of a provider. In our clinic I would anticipate our delegates to upload the day's schedule in a PDF or CSV format to the PMP and then be able to rapidly produce a report for the prescribers patients for the day. Additionally, I was told that there would be a way for us to all save some trees by uploading these reports to our EHRs, though they did not demonstrate this function. My recommendation to medical directors would be that they alert their IT department to the implementation on December 20th and, though clearly short notice, have them provide instructions to the prescribers, or more correctly, their clinic managers, on how to create a PDF or CSV formatted report of a day's scheduled patients. The data points that will be required will be Last Name, First Name and Date of Birth. Including Zip Code will allow the program to use some fuzzy logic to search for aliases that may be in the system, i.e. misspellings of the patient's name of incorrect dates of birth, allowing the delegates to accept or reject close matches as their patient.

Again, MMA wishes to express gratitude to Dr. Hull both for his dedicated participation in the stakeholder process and for his excellent summary of the PMP and rule status.   We hope to receive early this week the response to our request for a grace period before enforcing the mandated PMP check.

 

ALERT: Official Communication from DHHS re: Opioid Prescribing/PMP Rules

Following is the verbatim text of a letter sent today by State Health Officer Christopher Pezzullo, DO:

December 19, 2016

Dear Prescribers, Dispensers, Professional Boards and other interested parties:

Thank you for your commitment to the health of the people of Maine. As you are aware, Public Law Chapter 488, an Act to Prevent Opioid Abuse by Strengthening the Controlled Substances Prescription Monitoring Program (PMP), has been in effect since July 29, 2016.

For the past six months, the Department of Health and Human Services (Department) has been collaborating with our medical community to improve functionality of the Maine PMP and promulgate rules. The Department anticipates emergency rules being effective January 2, 2017. As part of the APA process, the new rules will receive a thorough public vetting, including a public hearing which will take place near the end of January. We encourage stakeholders to provide meaningful comments at that time so the Department may finalize a rule that is as inclusive as possible.

Additionally, the Department has been informed by multiple stakeholders of a concern regarding the short period of notice for their respective healthcare communities to fully comprehend and implement systems around the new rules. As a result of these concerns, and our desire to support Maine’s medical community in the implementation of this rule, the Department plans to allow a brief grace period regarding the enforcement penalties articulated in the law. To be clear, Chapter 488 Law is still fully in effect, however:

1. Professional boards will not be notified by the Department for non-compliance with the requirements of the Law and rules until March 1, 2017.

2. Civil penalties as outlined in Chapter 488 Law will not be enforced until October 1, 2017.

Electronic Prescribing:

Additionally, there have been questions and concerns regarding the waiver process for electronic prescribing; the Department anticipates initiating the waiver application process by April 1, 2017.

Opioid Continuing Education opportunity- please save the date:

On March 6, 2017, the Department will host an all-day conference at the Augusta Civic Center about the opioid epidemic facing Maine. The event will feature speakers from the National Safety Council and local speakers who are leaders in opioid medication practices. Attendees will be able to learn and discuss alternatives to pain management along with successful tapering options for patients already prescribed opiates. We will provide more details soon on the conference and how to register.

Please do not hesitate to contact the Department so we may collectively work together to combat the opioid challenges in Maine through enhancing the PMP and implementing PL 488 rules.

Sincerely,

Christopher J Pezzullo, DO

State Health Officer

 

“Overall, 1 of every 550 patients started on opioid therapy died of opioid-related causes a median of 2.6 years after the first opioid prescription; the proportion was as high as 1 in 32 among patients receiving doses of 200 MME or higher. We know of no other medication routinely used for a nonfatal condition that kills patients so frequently.” (The New England Journal of Medicine)  [return to top]

PMP Changeover 12/20/16--Delegates Must Re-register

Following is the verbatim text of a letter from the Maine PMP announcing the changeover to a new platform and the need for delegates to re-register:

 

Dear Account Holder:

As a reminder, tomorrow, December 20, 2016, the Maine Prescription Monitoring Program (PMP) will be upgrading software systems. Today, December 19, is the last day you will be able to use the existing system (https://mepdm-ph.hidinc.com/melogappl/bdmepdmqlog/pmqhome.html).

You will receive an email notification tomorrow, December 20, if your current PMP account successfully transfers to the new system. This notification will include your login information.

If you do not receive an email notification tomorrow, December 20, you will need to register in the new PMP system starting tomorrow.This will include delegates and users whose accounts are not able to be transferred to the new system. Please note that delegates will not be able to register themselves in the new system until their supervisor’s account (i.e., the account they wish to be a delegate for) has been approved by the state PMP administrator.

For more information about Maine’s new PMP system, including how to register, please see the Maine PMP AWARxE User Support Manual. For a quick guide to requesting patient reports, you may consult the Quick Reference Guide. These guides will also be posted on the Maine PMP website (http://maine.gov/pmp).Again, the new system will not be available until tomorrow, December 20.

Please note that there will be a delay in viewing prescription history from the two weeks prior to the transition in software systems. This history will be loaded in the new system within two weeks of the transition. Thank you for your patience during this time.

Starting tomorrow, December 20, you may call support directly at 1-844-4ME-4PMP (1-844-463-4767). Technical assistance is available 24 hours a day, 7 days a week, 365 days a year. Should you have any policy questions in the meantime, you may contact the Maine PMP at (207) 287-2595 or by email at SAMHS.PMP@maine.gov.

Best Regards,

Sheldon Wheeler

Director, Office of Substance Abuse and Mental Health Services

CC:

Evelyn Sharkey, PMP Coordinator

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VA Publishes Final Rule Denying CRNAs Independent Practice in VA Facilities

The Department of Veterans Affairs released a final rule last Tuesday (Dec. 13) amending its medical regulations to permit full practice authority to three categories of APRNs (advanced practice registered nurses) when they are practicing within the scope of their VA employment. But CRNAs were not included in the VA's full practice authority, a decision applauded by the American Society of Anesthesiologists. Instead, the VA requested further comment on whether there are access issues or other unconsidered circumstances that might warrant CRNA inclusion in a future rule-making. The three categories of APRNs that did receive full practice authority included nurse-midwives, nurse practitioners and clinical nurse specialists.

A preliminary rule which included CRNAs had been the subject of vigorous debate and advocacy efforts by both CRNAs and anesthesiologists and other medical organizations, including the AMA. "We feel this proposal will significantly undermine the delivery of care within the VA," Stephen Permut, M.D., J.D., chair of the AMA Board of Trustees said in a statement this past spring when the proposed rule was first released for comment, adding that the association was "disappointed" by the VAs "unprecedented proposal."

"The AMA urges the VA to maintain the physician-led model within the VA health system to ensure greater integration and coordination of care of care for veterans and improve health outcomes," Dr. Permut said. The American Society of Anesthesiologists (ASA) praised the decision to withhold full authority from nurse anesthetists. "This was the right decision for our nation's veterans and for safe patient care," ASA President Jeffrey Plagenhoef, M.D., said. "We're thrilled with the VA's decision to remove anesthesia from the new Advanced Practice Registered Nurses rule."

Dr. Plagenhoef went on to say, "We commend VA's leadership for their recognition that the operating room is a unique care setting and that surgery and anesthesia are inherently dangerous, requiring physician leadership. This is true for anyone, but especially for our nation's veterans, given many of them have multiple medical conditions that put them at greater risk for complications during and after surgery and anesthesia."

The VA had received over 100,000 comments against granting full practice authority for CRNAs. In its comments on the final rule, the VA noted that its decision to exclude CRNAs from independent practice was based largely on its belief that there is not currently any shortage of anesthesiologists that critically impacts access to care for veterans. "If we learn of access problems in the area of anesthesia care in specific facilities or more generally that would benefit from advanced practice authority, now or in the future, or if other relevant circumstances change, we will consider a follow-up rulemaking to address granting full practice authority to CRNAs."

The public has 30 days from the official publication date of Dec. 14 to provide comments on the final rule. 

 
 
 
 
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Board of Licensure in Medicine Moves CME Opioid Educational Requirement Back to April 19

At it's monthly meeting last week (Dec. 13), the Board of Licensure in Medicine, at the request of MMA, moved the effective date of the three hour CME requirement back to April 19, thus allowing licensees who took accredited education on chapter 488 or related issues after that date to count it toward the three hour CME requirement which must be met by Dec. 31, 2017. At its November meeting, the Board had set the effective date as July 29, which was the effective date of the law. April 19 is the date the Governor signed the law.  

At the Board meeting, MMA EVP Gordon Smith requested that the Board move the date back to April 29 to accommodate those physicians who had taken accredited courses between April 29 and July 29, in order to benefit these physicians who had tried to get out in front of the law as soon as possible. After discussion, the Board voted to do just that.

 
 
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Watch for Member Survey on Opioid Crisis, New Opioid Law

On Wednesday the Maine Medical Association will be posting a member survey on the current state of the opioid crisis, the new opioid prescribing law (ch. 488), and how our members are responding to these significant changes in many medical practices. It is extremely important for us to hear feedback from our members on these issues of critical significance to public health and the practice of medicine.

Look for the Email on Wednesday, and take the survey!  [return to top]

MMA Blog Invites Discussion of Price Nomination to DHHS

On November 29, 2016, President-elect Donald Trump named Rep. Tom Price, MD (D-GA) as his nominee for Secretary of Health and Human Services. There have been varied reactions to this news from the medical community, from the public, and from organized medicine. This blog post is an opportunity for MMA members and others to discuss this appointment. - See more at: https://www.mainemed.com/blog/blog/detail/2016/12/08/dr-tom-price-a-good-or-bad-choice-for-secretary-of-us-dhhs.html#sthash.s0prpL8d.dpuf

On November 29, 2016, President-elect Donald Trump named Rep. Tom Price, MD (D-GA) as his nominee for Secretary of Health and Human Services. There have been varied reactions to this news from the medical community, from the public, and from organized medicine. MMA's newest blog post is an opportunity for MMA members and others to discuss this appointment.

Dr. Price is an orthopedic surgeon and has been very active in the AMA House of Delegates dating back to a period before his election to Congress in 2004. He was reelected to Congress on November 8, 2016 to serve his 7th term prior to his being named as Secretary-designate of HHS. His appointment is subject to confirmation by the United State Senate.

Dr. Price has been chairman of the Committee on the Budget in the House of Representatives and has also served on the House Ways and Means Committee - including the subcommittee on Health.

 

On November 29, 2016, President-elect Donald Trump named Rep. Tom Price, MD (D-GA) as his nominee for Secretary of Health and Human Services. There have been varied reactions to this news from the medical community, from the public, and from organized medicine. This blog post is an opportunity for MMA members and others to discuss this appointment. - See more at: https://www.mainemed.com/blog/blog/detail/2016/12/08/dr-tom-price-a-good-or-bad-choice-for-secretary-of-us-dhhs.html#sthash.s0prpL8d.dpuf
On November 29, 2016, President-elect Donald Trump named Rep. Tom Price, MD (D-GA) as his nominee for Secretary of Health and Human Services. There have been varied reactions to this news from the medical community, from the public, and from organized medicine. This blog post is an opportunity for MMA members and others to discuss this appointment. - See more at: https://www.mainemed.com/blog/blog/detail/2016/12/08/dr-tom-price-a-good-or-bad-choice-for-secretary-of-us-dhhs.html#sthash.s0prpL8d.dpuf
On November 29, 2016, President-elect Donald Trump named Rep. Tom Price, MD (D-GA) as his nominee for Secretary of Health and Human Services. There have been varied reactions to this news from the medical community, from the public, and from organized medicine. This blog post is an opportunity for MMA members and others to discuss this appointment. - See more at: https://www.mainemed.com/blog/blog/detail/2016/12/08/dr-tom-price-a-good-or-bad-choice-for-secretary-of-us-dhhs.html#sthash.s0prpL8d.dpuf
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Significant Change to DEA Registration Renewal Process 1/1/17

Through a notice on its website, the Drug Enforcement Administration (DEA) recently announced significant changes to its registration renewal process. Effective January 1, 2017, the DEA is eliminating the informal grace period which the agency has previously allowed for registrants to renew their registrations. Only one renewal notice will be sent to each registrant’s “mail to” address approximately 65 days prior to the expiration date; no other reminders to renew the DEA registration will be provided. The notice also advises that online capability to renew a DEA registration after the expiration date will no longer be available, and that failure to file a renewal application by midnight EST of the expiration date will result in the “retirement” of the registrant’s DEA number. The original DEA registration will not be reinstated. In addition, paper renewal applications will not be accepted the day after the expiration date. If DEA has not received the paper renewal application by the day of the expiration date, mailed in renewal applications will be returned and the registrant will have to apply for a new DEA registration.

The AMA has strongly expressed itsconcerns to DEA about this change in policy and the problems it could create for both patients and their physicians. In letters sent Friday, December 9 to DEA Acting Administrator Charles Rosenberg and Louis Milione (Assistant Administrator for Diversion Control), the AMA urged DEA to reverse the change to the renewal process. 

Maine physicians should take note of this significant change in process and act accordingly.

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MMA Golf Tourney Date Announced

The Maine Medical Association has announced the date for its annual benefit golf tournament. The 2017 tournament will be held on July 10, 2017 at the Augusta Country Club.

So save the date and come join fellow members for a great round! [return to top]

Physicians Needed for Medical Advisory Board

The Maine Secretary of State’s office is asking for physicians to fill vacancies on the office’s Medical Advisory Board. This is a compensated position.

The Medical Advisory Board is a professional unit composed of physicians and motor vehicle staff to advise the Secretary of State’s office on medical criteria and vision standards for licensing drivers. The board consists of at least seven members who have expertise in matters concerning health or medicine. By statute the board must include licensed physicians representing the specialties of cardiology, gerontology, internal medicine, neurology or neurological surgery, ophthalmology, psychiatry, family practice and rehabilitative medicine and may include additional members who are professionals in relevant medical fields. The board advises the Secretary of State on matters relating to medical conditions and vision standards relating to driver’s licenses.

In addition, the board collectively or any individual member of the board will, from time to time, evaluate reports submitted by healthcare professionals to advise the Secretary of State on whether a person is medically competent to operate a motor vehicle on public roads.

Maine rules relating to drivers’ license medical standards have recently undergone a significant redrafting process, and the new rules go into effect December 31, 2016. A summary of the rules may be found at www.maine.gov/sos/bmv/licenses/Medical/FAP%20Summary%20of%20Changes%2011.02.16rev.doc .

By law the board must meet once every two years, but by custom it meets twice per year. Its next meeting is April 21, 2017.

At the moment there are board vacancies in the following specialty areas:

·        Gerontology

·        Internal medicine

·        Family practice

Any interested physicians wishing more information should contact, or send their CVs to:

Barbara A. Redmond, Chief Deputy Secretary of State

Office of the Secretary of State

148 State House Station

Augusta, ME 04333-0148

Tel: 207-626-8400 | Fax:  207-287-8598

The MMA urges its members to consider seriously serving on this board which performs an essential and important public health and safety function.


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Diversion Alert Program Seeks Contributions

The Diversion Alert staff has been working hard to sustain Diversion Alert's free services which assist Maine medical professionals in identifying patients at risk for overdose or in need of addiction treatment. Although many efforts were made to procure state funds through both the Maine legislature and the Governor's Office, the program was not able to obtain funds for this state fiscal year.

They are reaching out to ask for a tax-deductible donation of $25 to support Diversion Alert, a 501(c)(3) organization. This program is truly improving patient care in Maine as evidenced by our recent publication in the CDC's Chronic Disease Prevention journal. MMA urges its members to support this program, which is doing so much to assist with Maine's opioid crisis.

You may click here to make a tax deductible donation through the Diversion Alert fundraising page.

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Upcoming Events

 

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Caring for ME Leadership Meeting

Supporting Maine Clinicians in Responding to the Opioid Epidemic

December 14, 2016

8:00 am - 12:00 pm

Maine Medical Association - Manchester, ME

 

QC is expanding our December Caring for ME Leadership Meeting to hold a half-day strategy session to focus on planning and alignment efforts in support of our Caring for ME initiatives. 

This meeting will give special emphasis to updates on the implementation of PL Chapter 488, including rule-making and exceptions, as well as to fostering a dialogue around Medication Assisted Treatment (MAT). Specifically, what is the current MAT landscape in Maine, and how do we improve and expand access to this critically important treatment? 

Registration is encouraged, but not required, for in-person attendance so that we may get an accurate headcount. A light breakfast will be provided.

For anyone that is unable to attend in person, remote attendance is possible. Please email Lizzy White to request the web-conference log in. 

Featured Presentations

This meeting will feature both structured presentations and facilitated group discussions designed to share knowledge and resources, and increase alignment across the programs currently underway around the state.  

Featured presentations and discussions will include:

  • Updates on Implementation of Opioid-Related Laws, Gordon Smith
  • Successes & Challenges of Chapter 488 Implementation, Group Discussion
  • Advancing the Broader Agenda: Caring for ME Goals, Group Discussion
  • A Review of Maine's MAT Landscape, Lisa Letourneau
  • Training Providers in MAT, Alane O'Connor
  • Current Statewide MAT Efforts: Successes & Challenges, Group Discussion

 

Click here to see the complete agenda.

Event Contact:

Lizzy White

207-620-8526 ext. 1033

Email Lizzy

For Americans with Disabilities Act (ADA) services, or if special arrangements are required for an individual to attend this course please call or email us directly.

 

 


 

 

 


 

 

 


 


 


 



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Job Openings

Physician – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

1/16/17

FNP/NP – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time FNP/NP, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please fax or e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EOE

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package medical, dental, life, 401(k) , flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

1/16/17

OUTPATIENT ONLY - BC/BE INTERNIST - Central Maine Medical Center

Central Maine Medical Center offers an exciting practice opportunity to a BC/BE Internist for its employed practice.  Join colleagues committed to excellence.  This office based position offers a 4 or 4 ½ day work week, outpatient only call (weekend call approximately 1:10 ) , and full EMR.    An attractive compensation and benefits package, including loan repayment and a generous sign on bonus, are enhanced by the scenic beauty and abundant outdoor adventure Maine lifestyle affords.  Combine your talent and skills with our established excellent reputation of the best physician care. Interested candidates, send CV or call: Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, Maine 04240.  Fax: 207-344-0696, E-mail: MallozGi@cmhc.org, or call: 800/445-7431.  Not a J1 opportunity.

3/13/17

NP or PA - Jackman Community Health Center

JCHC is a part of Penobscot Community Health Center which is a nationally recognized health care facility that focuses on patient-centered care, innovation and collaboration. Signing, retention, and relocation bonuses are up for grabs with this position! This site is also loan repayment eligible.

Give yourself the opportunity you deserve, by working for a healthcare facility that always puts the patient first…for you, for your family, for our community.

For more information, please contact Vanessa Sanderson, Recruitment Coordinator, Penobscot Community Health Center at (207) 404-8015 or vsanderson@pchc.com

If you want to enjoy Maine, the way it should be, come and experience the simple pleasures of small town medicine while being surrounded by over 250,000 acres of woodlands. Each season offers something for everyone except a traffic light. Jackman Community Health Center is in need of a full-time NP or PA to work in their highly unique primary care and urgent care facility.

1/2/17

CMHVI IN-PATIENT CARDIOLOGY, NP or PA, Baylor Staffing Plan, Nights, Lewiston, Maine

CMHVI Cardiology, in Lewiston, Maine is seeking an experienced Nurse Practitioner or Physician Assistant, full-time Baylor Staffing Plan, 11pm – 7am, Friday, Saturday and Sunday, to work 24 hours and get paid for 36 hours! This person will perform dedicated in-patient care under the supervision of a CMHVI cardiologist.  Candidate must have (2) or more years as a hospital-based Physician Assistant/Nurse Practitioner experience and at least (1) year cardiovascular experience preferred.

CMMC is proud to offer you a competitive salary and benefit package that includes:  Substantial hiring bonus; all-inclusive relocation packages; generous loan repayment; short term and long term disability insurance; significant time off to complete CME & allowance for paid program; excellent 403B retirement/savings plan; state of the art Fitness Center and Wellness Program.

Contact Donna Lafean, lafeando@cmhc.org; FMI: http://recruitment.cmmc.org/

12/26/16

GENERAL SURGEON - Brunswick, ME

Mid Coast Medical Group is seeking a full time General Surgeon. This is a community hospital oriented job with needed skills in all core aspects of general surgery.  The surgeon will be part of a long standing 4-5 provider general surgery group. The office is conveniently located adjacent to Mid Coast Hospital. New graduates and experienced candidates are encouraged to apply.

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.

1/2/17

INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

1/16/17

 

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