February 6, 2017

 
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Attorney General Mills Reports on 2016 Drug Overdose Deaths

Attorney General Janet Mills this past week announced the tragic statistics on 2016 drug overdose deaths in the state.  Deaths climbed for the fifth straight year increasing nearly 40 percent with 378 Mainers losing their lives. 

The 378 fatalities surpassed the previous record of 272 set in 2015.  In 2015 across the country, more than 52,000 people died from a drug overdose, the most recent year for which federal data is available.

Opioids remain the leading factor in deaths, with 313 deaths due to an opioid (pharmaceutical or non-pharmaceutical). Fentanyl caused 195 deaths, a 127% increase over last year, and heroin caused 123 deaths in 2016, a 15% increase over 2015.

"We are losing more than one person each day to a drug overdose," said Attorney General Mills.  "We need to reach out to friends and neighbors and let them know that whatever is wrong in their lives, no drug is going to solve their problems, not for one second. They are only hurting themselves, their friends, family and community. We have to remove the stigma from addiction so that people will get help before it is too late and we have to provide more pathways to recovery." 

The Maine Legislature is expected to name a special task force to review all bills submitted by various legislators that address the opioid situation. MMA has learned that the task force will include both legislators and medical professionals expert in such fields as addiction treatment and prevention. More than 50 bills have been proposed in the current session that relate to opioids, and the task force is expected to take a close look at each of these bills and make recommendations to various legislative committees on whether the bills should be moved forward, combined with other bills, or withdrawn.

Bureau of Insurance Posts Update on Community Health Options

The Maine Bureau of Insurance has posted its preliminary report on the 2016 year end financial results for Community Health Options (CHO) on its website. The loss of $58.3 for the year was greater than the $43.1 set aside but not so severe as to materially impair the capital surplus of the company. In the words of the Bureau, "Claims and expenses for the year were generally consistent with Plan and CHO's preliminary estimate is that capital and surplus will be $37.4 million".

Membership on Feb. 1, 2017 was 48,000 compared to 84,000 at the same time last year. The relativity of CHO's current membership to capital therefore appears better. The 2016 Risk Based Capital ratio is expected to be approximately 16.8% less than projected by the Plan but lower membership combined with higher priced insurance products best positions CHO to operate successfully in 2017.

The Bureau will continue to closely monitor CHO's performance and post monthly statements about its results on the Bureau's website.

 
 
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HHS Announces Feb. 13 Hearing Date for Opioid Rule Making

The rule-making hearing is on Monday, Feb. 13 at 9:00am in room 209B at the Augusta Armory at 179 Western Ave., Augusta. [Note: this is not the usual location for legislative or agency hearings.] The hearing is open to the public and anyone may testify on the emergency rule which became effective on Jan. 1, 2017.  Written comments on the rule will be received until Feb. 23. Here is a link to the rulemaking: http;//www.maine.gov/dhhs/oms/rules/samhs-rules.shtml. You can also send your comments directly to Thomas.Leet@maine.gov.

MMA will testify on the 13th and will also file written comments. The Association will propose an additional exception for patients who have failed an attempted taper and who have objective evidence of loss of function as a result. We will also propose some clarification on who is considered a dispenser and will propose that day surgical units be exempt from the maximum dosage limits. Perhaps most importantly, the Association will oppose the durational limit on the cancer pain exception as that limitation is not even legally permissible in the opinion of MMA lawyers. We will also propose to expand the 7 day period for post-surgical and other break through pain when a patient is already at the maximum daily dose. Other recommendations will be developed in the coming days with the assistance of many of the physicians and practices involved in the development of the emergency rule.

If you or your patients have opinions on the emergency rule, we encourage you to attend the hearing and make the comments orally or to provide them in writing during the comments period. We hope you will also copy the Association on your comments (cc to gsmith@mainemed.com).

In addition to the rulemaking proceeding, there are many bills in the legislature that propose changes to the law. These bills are likely to be considered by a Task Force to be announced by legislative leaders in the coming days. The Talk Force would review the existing law and all the proposed opioid bills (including the bills providing funds for prevention and treatment) and make recommendations to the committees of jurisdiction. The Task Force would consist of some legislators and also representatives of interested parties. The appointments would be made by the President of the Senate and the Speaker of the House.

 


 

 

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Question for our Readers Regarding Question Two and the Retention and Recruitment of Physicians

One of the referenda that passed on November 8th created a 3% surtax on all household (not just individual) income over $200,000. Here at the MMA we have heard rumors of businesses planning to leave the state because of this surtax.

Are there physicians who are actively planning to leave Maine because of its new, highest-in-the-nation state income tax? If so, we would like to know. We're talking about concrete plans, not just musings. If you know of any specific situations where such plans are being made, please contact one of the MMA lawyers. We would also like to know if any of your recruitment efforts have failed specifically because of the surtax. We will protect your individual identifying information, but we plan to make the collective numeric information available to others. As always, we would like to hear your comments as well.

Gordon Smith: gsmith@mainemed.com  (207) 480-4197

Andrew MacLean: amaclean@mainemed.com  (207) 480-4187

Peter Michaud: pmichaud@mainemed.com (207) 480-4199 [return to top]

POLITICAL PULSE: Legislative Leaders Appoint Joint Select Committee on Marijuana Legalization Implementation
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PRESIDING OFFICERS APPOINT MEMBERS TO MARIJUANA COMMITTEE

Senate President Michael Thibodeau and House Speaker Sara Gideon recently announced the following appointments to the Joint Select Committee on Marijuana Legalization Implementation.

Senate Appointments:

  • Senator Roger J. Katz (R-Kennebec), Chair
  • Senator Kimberly C. Rosen (R-Hancock)
  • Senator Joyce A. Maker (R-Washington)
  • Senator Mark N. Dion (D-Cumberland)
  • Senator Susan A. Deschambault (D-York)

House Appointments:

  • Teresa S. Pierce, Chair (D-Falmouth)
  • Kimberly J. Monaghan (D-Cape Elizabeth)
  • Scott M. Hamann (D-South Portland)
  • Craig V. Hickman (D-Winthrop)
  • Erik C. Jorgensen (D-Portland)
  • Lydia C. Blume (D-York)
  • Donald G. Marean (R-Hollis)
  • Bruce A. Bickford (R-Auburn)
  • Lance Evans Harvell (R-Farmington)
  • Patrick Q. Corey (R-Windham)
  • Michael D. Perkins (R-Oakland)
  • Kent Ackley (C-Monmouth)

The 17-member Committee will be referred the many bills that have been filed this session dealing with the passage of ballot Question One providing for the legalization of the recreational use of marijuana for persons 21 years of age and older.  You can find more information about the legislature's implementation of the new recreational marijuana law here.

BIENNIAL BUDGET HEARING SCHEDULED SET BY APPROPRIATIONS COMMITTEE

Last month, Governor LePage released his proposed biennial budget for State Fiscal Years 2018-2019, the two years beginning July 1, 2017.  You can find the budget documents on the web page of the Bureau of the Budget here.  The following is a quick overview of some of the noteworthy health policy items in the Governor's budget proposal.

  • Nothing specific on the opioid crisis;
  • Nothing specific on appropriations for hospitals or physicians or other practitioners, so we would assume level funding for these services, including the primary care “bump,” except where otherwise noted – critical access hospital rate, for example
  • Shift of FHM funding to MaineCare
  • Multiple references to 192 positions eliminated in DHHS
  • Reduce CAH ("Critical Access Hospital") funding from 109 to 101% of cost; $2.2M/$2.2M (p. A-339)
  • Eliminate provider-based reimbursement; $5.7/$5.7M (p. A-339)
  • Eliminate coverage for 19 and 20 year olds effective 1/1/18; $3.3M/$6.6M (p. A-339)
  • Eliminate coverage for adults between 40-100% of FPL; $33M in second year (p. A-340)
  • Language Part IIII sets hospital tax base year to 2014
  • Language Part E extension of the sales tax to “personal services” does not this time appear to include any medical services, cosmetic or otherwise.

The Appropriations Committee last week issued a detailed hearing schedule for the biennial budget.  The Committee has begun its hearings today, but the key items of interest to many physicians in the DHHS section of the budget will be heard during the week of February 20th:

  • Tuesday, February 21st, 1 p.m., Payments to Providers;
  • Thursday, February 23rd, 1 p.m., Public Health;
  • Friday, February 24, 2017, 10 a.m., Adult Mental Health & Substance Abuse.

 

All hearings will take place in Room 228 of the State House.  You can find the Appropriations Committee materials on the legislature's web site here.  If you have an interest in providing testimony on any portion of the budget, either on your own behalf or on behalf of your medical specialty society, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com; 622-3374, ext. 214 (O); or 215-7462 (C).

GOVERNOR LEPAGE TO DELIVER STATE OF THE STATE ADDRESS TO JOINT SESSION OF THE 128TH LEGISLATURE TOMORROW EVENING

 The Governor's 2017 State of the State address to a joint session of the 128th Maine Legislature is scheduled in the House Chamber at the State House tomorrow evening at 7 p.m.

 MMA TESTIFIES BEFORE LCRED COMMITTEE ON BILLS DEALING WITH BOUNDARY VIOLATIONS BY CLINICIANS, FUNDING FOR A CERTIFIED PROFESSIONAL MIDWIFE LICENSING LAW, AND THE ABILITY OF PODIATRISTS TO CONDUCT PRE-SURGERY HISTORIES AND PHYSICAL EXAMS

Last Tuesday, January 31st, the MMA testified before the Labor, Commerce, Research & Economic Development Committee on three bills of interest to Maine physicians.  MMA EVP Gordon Smith testified in favor of L.D. 132, a bill that would permit a podiatrist to perform a pre-surgical history and physical exam for a procedure that is within the podiatric scope of practice.  Several podiatrists also spoke in favor of the bill.  MMA Associate General Counsel Peter Michaud testified in favor of L.D. 130, a bill that proposes funding for the Certified Professional Midwife licensing framework enacted but not funded by the previous legislature.  The MMA worked collaboratively during the course of many months with the Maine Section of ACOG, midwives' professional associations, and other interested parties on the bill.  Finally, MMA Deputy EVP & General Counsel Andrew MacLean testified in opposition to L.D. 13, a bill that would require the two physician licensing boards and some, but not all, other health professions licensing boards to report any incident of a "boundary violation" or sexual misconduct to a law enforcement agency or DHHS.  The Maine Hospital Association also opposed the bill.  The work session on these three bills is scheduled for tomorrow afternoon at 1 p.m. in the LCRED Committee room, Room 208 of the Cross State Office Building.

You can find bill tracking, audio/visual, scheduling, legislator contact information, and many other resources on the legislature's web site, www.legislature.maine.gov.

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MMA Weekly Legislative Call Tuesday, February 7th, 8:00 p.m.

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, February 7th, at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790

Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

The following are bills of interest to the physician community printed last week. We will discuss the priority bills marked with an asterisk (*) first. This will be important when the list grows in the next few weeks.

This year is marked by two topics that have been the subjects of an inordinately large number of bills: recreational marijuana legalization and opioids. In order to allow clearer discussion of all the bills on each topic together during the legislative calls, the marijuana bills will be marked with a superscript "m" and the opioid bills with a superscript "o". We welcome your comments on whether this makes things easier or more difficult for you. Following are the bills of the week:

*LD 327: An Act to Allow a Wrongful Death Cause of Action for the Death of a Viable Fetus (OB/GYN, Pediatrics) (monitor)

*LD 337: An Act to Protect Jobs and the Maine Economy by Eliminating the 3% Income Tax Surcharge Imposed on Certain Mainers and the Fund to Advance Public Kindergarten to Grade 12 Education (All) (support)

*LD 347: An Act to Support Death with Dignity (Geriatrics, Family Practice, Internal Medicine) (oppose)

LD 350: An Act to Repeal Certain Requirements Concerning the Sale and Purchase of Firearms (All) (oppose)

*LD 352: An Act to Require a Dealer to Sell a Gun Lock with Every New Firearm (All) (support)

*LD 358: An Act to Close the Gap in Children’s Health Care Coverage in Maine (Pediatrics) (support)

LD 378: An Act to Promote Physical Activity for Schoolchildren (Pediatrics) (support)

LD 384: An Act to Strengthen Maine Children’s Mental Health (Pediatrics) (monitor)

*LD 386: An Act to Establish Universal Health Care for Maine (All) (monitor)

mLD 387: An Act to Provide for Oversight of Maine’s Recreational Marijuana Laws (Public Health, Psychiatry) (monitor)

LD 401: An Act To Require Reimbursement to Hospitals for Patients Awaiting Placement in Nursing Facilities (All) (support)

mLD 411: An Act To Add Addiction to or Dependency on Opiates or Prescription Drugs to the List of Qualifying Conditions for Medical Marijuana (Public Health, Psychiatry) (monitor)

mLD 433: An Act To Allow Municipalities To Apply a Local Option Sales Tax to the Sale of Marijuana (Public Health, Psychiatry) (monitor)

*LD 443: An Act To Allow Municipally Funded Hospitals To Prohibit the Presence of Firearms on Their Property (All) (support)

 oLD 447: An Act To Coordinate Services and Support Workforce Development for Substance Use Disorder Prevention and Peer Recovery Services (Public Health, Psychiatry) (monitor)

LD 448: An Act To Fund Research on Cancer in Firefighters (Public Health, Oncology) (monitor)

LD 451: An Act To Continue MaineCare Coverage for Parents during the Rehabilitation and Reunification Process (All) (monitor)

oLD 453: Resolve, Regarding Insurance Coverage for Alternative Therapies for Addiction and Recovery (Public Health, Psychiatry) (monitor)

LD 454: An Act To Ensure Safe Drinking Water for Families in Maine (Public Health) (monitor)

*LD 455: An Act Relating to the Provision of Tobacco Cessation Services by Pharmacists (Public Health, Oncology) (monitor)

*LD 456: An Act To Increase Access to Vaccinations (Public Health, Family Practice, Pediatrics) (monitor/oppose)


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Are You Ready To E-Prescribe? Find Out More About DrFirst and their E-Prescribing Products

July 1, 2017, is when Maine’s new EPCS (e-prescribing controlled substances) law takes effect for the prescribing of opioids. Despite the limited application of the law, the benefits of e-prescribing are significant, which is why MMA encourages our members to implement eprescribing technologies in their practices now instead of waiting for the legislative deadline.

To save you the time of vetting potential vendors and offer you another tangible membership benefit, we have chosen DrFirst as our preferred e-prescribing platform and negotiated a generous discount for MMA members. DrFirst offers a superior clinical workflow that is easy to use and affordable (especially with the discount we have negotiated for MMA members). Their package includes Rcopia® for legend drug e-prescribing, EPCS Gold 2.0℠ for controlled substance e-prescribing, and iPrescribePro℠, an app for mobile e-prescribing.

Aside from legend drug and controlled substance e-prescribing within one workflow, you’ll also get

  • 24 months of patient medication history

  • real-time benefit check (formulary data, drug cost, suggestions for cheaper alternatives)

  • clinical alerts (e.g., duplicate therapy and allergy warnings)

  • one-on-one guidance through DEA identity proofing and authentication

  • patient adherence monitoring

  • electronic prior authorization

For more information, MMA members can visit DrFirst’s website and/or contact DrFirst’s Eric Landry, a New Gloucester resident, at 888-481-4303. [return to top]

Webinar: Learn How You Can Be Ready for the ERx Mandate Effective on July 1st

Join the Maine Medical Association and DrFirst as we discuss what you need to know to become compliant with opioid prescribing legislation by the July 1st deadline.  Bring your questions and concerns for the DrFirst e-prescribing expert to answer, and see a demo on the solution that can help you comply in time.

Upcoming webinars:

  • Tuesday, February 21, 2017 at 12:00pm   Register Here   Presented by Eric Zimtbaum, DrFirst Sales Consultant 
  • Wednesday, February 22, 2017 at 7:00pm   Register Here   Presented by Eric Zimtbaum, DrFirst Sales Consultant 
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AMA-convened Workgroup Releases Principles to Reduce Burdensome Prior-authorization Practices

In an effort to reduce the negative impact of prior authorization on patient care, the AMA convened a workgroup of state and specialty medical societies, national provider associations and patient representatives to create a set of best practices related to prior authorization, step therapy and other utilization management requirements. The workgroup identified the most common patient and provider issues surrounding utilization management programs and recently issued the Prior Authorization and Utilization Management Reform Principles to address these concerns. 

The 21 common-sense principles were designed to improve the application of utilization management programs and cover five broad categories:

  • Clinical validity
  • Continuity of care
  • Transparency and fairness
  • Timely access and administrative efficiency
  • Alternatives and exemptions

The principles will form the basis of a widespread, multi-faceted 2017 advocacy campaign seeking to reform prior authorization practices and improve the quality and efficiency of health care. As part of this campaign, the AMA will directly advocate with health plans, benefit managers, accreditation organizations, legislators and standards organizations.

For additional information on the AMA's advocacy on this topic, visit the "Addressing Prior Authorization Issues" web page.

 
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Final Rule Permits Increased Access to Substance Abuse Data

The U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a final rule easing existing restrictions on how clinicians may share substance abuse treatment records with one another.

The new rule, 42 CFR Part 2—commonly known simply as "Part 2"—now permits clinicians to obtain a single authorization from their patients to establish which information their clinician shares with other clinicians. Formerly, clinicians needed to obtain patient authorization for each disclosure, which was burdensome for both physicians and patients.

The AMA strongly supported SAMHSA's efforts to modernize the Part 2 rules to better align them with the current health care delivery system, while simultaneously preserving important patient privacy protections. In particular, the AMA agreed with SAMHSA's goal of enabling patients with substance use disorders to benefit from new integrated health care models without exposing them to adverse consequences that could act as a deterrent to their seeking needed care.

The new rule becomes effective Feb. 17. [return to top]

Upcoming Events

Choosing Wisely: MOC Application Due February 8

Maine Quality  Counts is pleased to offer ABMS Maintenance of Certification (MOC) for physicians interested in Choosing Wisely® (CW).  Credit is available for physicians involved with Choosing Wisely and certified by one of the 24 specialty boards by the American Board of Medical Specialties (ABMS). 

If interested, physicians will need to sign up and return a signed Memorandum of Understanding (MOU) by February 8, 2017 (extended date).  

Interested physicians can review the CW MOC application outlining the MOC requirements and educational interventions here.  The CW MOC project cycle is January 2017-December 2017.


Please join us for the first webinar in the Choosing Wisely series: 

February 8, 2017 12:00-1:00pm  Register Here

How Does Choosing Wisely Help Reduce Unnecessary Care in the Practice Setting?

If you have questions about Choosing Wisely, contact Kellie Slate Vitcavage, Project Manager, at kslatevitcavage@mainequalitycounts.org or by phone at 207-620-8526 x1011.

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                   PROGRAM ON MEDICAL MARIJUANA – FEATURING JOHN KNIGHT, MD, Harvard

Maine's Marijuana Law and Its Impact on Youth

Saturday, March 4, 2017 at Sunday River Resort ~ 4:00pm

Dr. John Knight, a leading researcher in adolescent substance use and abuse is the developer of the CRAAFT Screening Test (a short clinical assessment tool designed to screen for substance-related risks and problems in adolescents and he has developed an informational website for teens which has proved quite effective in changing attitudes and behavior. In addition to reviewing the science of what is known about effects of marijuana on youth, Dr. Knight will also summarize what is known about screening, prevention, and early intervention of adolescent substance abuse (alcohol, marijuana, and opioid)

Following his talk, there will be an expert panel (which includes Gordon Smith, Esq) discussing policy implications, prescribing issues, penalties, DHHS regulations, and how the law will be implemented.

To register:http://events.r20.constantcontact.com/register/event;jsessionid=0A40478B82B9F1AB2798844A7308AE87.worker_registrant?llr=yz5qzmuab&oeidk=a07ednyzs0q4a66acff

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SAVE THE DATE

25th Annual MAFP Family Medicine Update & Annual Meeting 

March 29 – April 1, 2017

at Hilton Garden Inn, Freeport, Maine 

  • Mar. 29 – Pre-conference SAM Study Group
  • Mar. 30-31 – Annual Update programming with Annual Meeting
  • **Just Added - April 1st – AM – Opioid Prescribing training (will meet Maine Medical Licensing requirements for new law)

Complete schedule and registration information available after January 15th on our website – http://www.maineafp.org/cme/mafp-cme-meeting

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Job Openings

FAMILY MEDICINE PHYSICIAN - Maine Medical Partners Primary Care

Maine Medical Partners Primary Care is seeking a Family Medicine trained physician for their new outpatient practice located in Standish, just outside the greater Portland, Maine area.  Candidates will have the opportunity to help establish this new primary care office which will be closely linked to our Windham practice located 10 miles away. 

The successful candidate will be employed by Maine Medical Partners (MMP), a subsidiary of Maine Medical Center and Maine’s largest multi-specialty group.  This high quality team of more than 500 physicians and 200 advanced practice professionals provides a wide range of hospital based, primary, specialty, and sub-specialty adult and pediatric care delivered throughout a network of 30 locations.

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

3/27/16

PRIMARY CARE PHYSICIAN - Eastern Maine Medical Center

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.

Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. Candidates in need of J-1 visa waivers welcome to apply.

For confidential consideration, please contact: Amanda Klausing, Eastern Maine Medical Center, Phone: 207-973-5358 or email emmccvs@emhs.org.

2/27/17

PHYSICIAN ASSISTANT OR NURSE PRACTITIONER HOSPITALIST - Full Time or Per Diem, Bridgton Hospital, Bridgton, Maine

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program. The full time hospitalist PA/NP would be responsible for two regular weeknight shifts and every fifth weekend, allowing for a healthy work/life balance. The candidate would be responsible for overnight admissions and care of acute inpatients and swing bed patients in our 21-bed critical access hospital. This is a contracted position with opportunities for loan repayment and additional per diem hours. Previous hospital experience necessary.

For more information visit our website at ww.bridgtonhospital.org. Interested candidates should contact Donna Lafean, CMMC Associate Professional Staff Recruiter, 300 Main Street, Lewiston, ME 04240; email: lafeando@cmhc.org; call: 800/445-7431; fax: 207/344-0658.

3/20/17

FAMILY PRACTICE PHYSICIAN -  Machias, Maine

Down East Community Hospital would like to find a quality focused Board Certified Physician to join our Outpatient Clinic team in Machias, Maine. We welcome Family Practice/Internal Medicine physicians with experience to share as well as new graduates looking to start their career.  We offer comprehensive benefits, aggressive incentive plans, and a four day workweek.

Whether you’re a weekend wanderer or an avid outdoorsperson, the communities of Downeast Maine have a lot more to offer than sailing craggy coastlines, hiking to spectacular vistas, and fishing vast river systems and lakes. Machias is community oriented town with an endless opportunities to explore a rich historical past as the site of the first naval battle of the American Revolution, art galleries, antique shops, traditional cultures, artisanal foods, and performing arts.

Contact Information: Elizabeth Hines Human Resources 207.255.0468 elizabeth@dech.org  EOE 

2/13/17

PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - Bangor, Maine

A Psychiatric Mental Health Nurse Practitioner is needed for the Hope House Health and Living Center in Bangor, Maine! Requirements include a Master’s Degree in Nursing (Psychiatric Mental Health NP), Maine Advanced Practice Registered Nurse License, Certification by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner, Certification in Healthcare Provider Basic Life Support, and 24 months’ experience as a Psychiatric Mental Health Nurse Practitioner. Please visit www.pchc.com/careers to access our Career Portal and apply today! For additional questions, contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com. PCHC is an equal opportunity/affirmative action employer.

2/13/17

NP or PA - Jackman Community Health Center

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.

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

2/13/17

FAMILY NURSE PRACTITIONER/PHYSICIAN'S ASSISTANT

Katahdin Valley Health Center (KVHC) is seeking a Family Nurse Practitioner for the Urgent Care/Open Access practice located in Houlton Maine.  Open Access hours are 11am – 7pm, Monday – Friday, and 9am – 7pm, Saturday and Sunday.  Weekends are rotated between providers.  This position requires knowledge, experience and active support for rural, community oriented primary care.

With the mission of providing community accessible, quality healthcare with compassion and dignity, KVHC is the largest Federally Qualified Health Center organization in Northern Maine.  KVHC offers integrated, comprehensive, and affordable healthcare for the whole family through six Patient Centered Medical Homes. 

Benefits:  competitive salary and benefits package, generous paid time off, 401K, CME reimbursements, medical, disability and life insurance and FTCA malpractice coverage.  Practitioners at KVHC are eligible for NHSC Loan Repayment. 

Requirements: Current Maine License

Submit Cover Letter and Provider Application to http://www.kvhc.org/wpSite/wp-content/uploads/jobs/ProviderApp.pdf or email your resume to linda.mcgee@kvhc.org.

2/6/17

FAMILY MEDICINE PHYSICIAN - Pittsfield, Maine

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.

For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.

4/3/17 

DIRECTOR OF EMERGENCY CARE - Southern Maine Health Care

Southern Maine Health Care is seeking a qualified physician for Director of Emergency Medicine.  

This FT Director position involves working collaboratively with all clinical staff and senior administration to assure that the care of patients in the ED is of the highest quality.  The position involves 24 administrative hours/week, and approximately 53 clinical hours/ month. 

Candidates must be Board Certified in Emergency Medicine, possess excellent communication and organizational skills, an ability to work well within a changing and fast-paced environment, and a strong commitment to the medical community. 

SMHC is a member of MaineHealth. We are a nationally accredited, award-winning 200-bed medical center located on the beautiful southern coast of Maine. 

SMHC is among the largest health care groups in Maine, bringing together York County's largest medical center with over 40 primary care physicians and specialists.

For more information, please contact Kelley Johnson, SMHC Recruiter at (207) 294-8404 or kajohnson@smhc.org.

2/20/17 

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.

2/20/17

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.

2/20/17

OUTPATIENT ONLY - INTERNAL MEDICINE with Loan Repayment & Sign-on Bonus 

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine.  We offer:

  • Up to $200K in medical student loan repayment
  • $50K sign on bonus
  • Up to $12K moving allowance
  • 4 day work week/generous outpatient call
  • Healthy work/life balance

Central Maine affords easy access to the coast and mountains where you can enjoy four seasons of outdoor activities.  We have a growing arts and restaurant scene in a very safe affordable area to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, ME  04240.  Email:  MallozGi@cmhc.org; Fax: 207/344-0696; Call:  800/445-7431; or visit our website:  http://recruitment.cmmc.org/.

3/13/17

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.

2/20/17

 

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