AmeriCorps*VISTA Member      

Job Number: VISTA
Classification: Temporary
Center: Central Administrative Office
City: Waterville
State: Maine

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Clinical Quality Improvement Specialist      

Job Number: PC22420512
Classification: Full Time
Center: Central Administrative Office
City: Waterville
State: Maine

HealthReach is seeking a Clinical Quality Improvement Specialist to join our central administrative team.  The person in this position supports the clinical team.  Responsibilities include:  Running, vetting, and disseminating various quality reports to internal stakeholders, interfacing with external organizations (various payers/other external organizations) to coordinate data submission for quality initiatives, supporting several committees, and facilitating communication with external organizations that are supporting project-based work.  The candidate for this position should be organized, detail-oriented and adept at utilizing spreadsheets (Excel).  Please send resume to:  Human Resources Director, 10 Water Street, Waterville, Maine 04901, Fax 660-9901, E-mail:  Personnel@Healthreach.org or visit our website at www.HealthReachCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.  

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Clinical Support Specialist      

Job Number: PC22500526
Classification: Full Time
Center: Western Maine Family Health Center
City: Livermore Falls
State: Maine

Western Maine Family Health Center is seeking a Clinical Support Specialist to join our active and friendly family practice. The Clinical Support Specialist supports the provider and nursing teams with administrative duties such as chart preparation, running reports, completing paperwork, and stocking rooms. This position provides back up for staff who answer phones and schedule appointments. Excellent communication skills and working knowledge of office procedures and equipment are required. Prior medical office experience or pharmacy tech experience, and medical terminology are preferred. We offer an excellent benefit package, competitive salary, and positive work environment. Please send resume and cover letter to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org or visit our website at www.HealthReachCHC.org. EOE All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Dental Hygienist      

Job Number: PC21119
Classification: Full Time
Center: Strong Area Health & Dental Center
City: Strong
State: Maine

Strong Area Dental Center seeks a full time Dental Hygienist to work 4 days/week. The selected candidate will provide hygiene and preventive services to patients of all ages. The Strong practice offers general dentistry in a community health center that also provides medical care with integrated behavioral health. The center utilizes digital radiography, chair-side computer charting, and intra-oral imaging. We offer competitive compensation, malpractice coverage, license renewal fee reimbursement, $1,500 in continuing education monies, 1 week of paid time for continuing education, 245 hours of paid time off per year, pension plan with employer match, great benefits and a welcoming environment. Contact: HRCHC, 10 Water Street, Suite 305, Waterville, ME  04901 | Fax 207.660-9901 | Communications@HealthReach.org | www.StrongCHC.org.  All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption. 

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Family Nurse Practitioner/Physician Assistant      

Job Number: PC22430512
Classification: Full Time
Center: Lovejoy Health Center
City: Albion
State: Maine

Lovejoy Health Center (Albion, Maine) seeks a full-time Family Nurse Practitioner or Physician Assistant to provide primary care to patients of all ages. One of 11 practices of HealthReach Community Health Centers, Lovejoy serves 4,000 area residents and visitors each year. The selected candidate will provide outpatient medical care with integrated behavioral health services to individuals and families in our NCQA certified PCMH outpatient practice. Albion is situated among the rolling hills and wide-open fields of Kennebec County in the heart of a farming community. It is located in Central Maine, 13 miles east of Waterville and draws patients from Albion, China, Freedom, Palermo, Thorndike, Troy, Unity, as well as Waterville, Benton, Winslow and other surrounding communities. The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, and eligibility for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org  | www.LovejoyCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Family Nurse Practitioner/Physician Assistant      

Job Number: PC2073
Classification: Full Time
Center: Mt. Abram Regional Health Center
City: Kingfield
State: Maine

Mt. Abram Regional Health Center, (Kingfield, Maine) seeks a Family Nurse Practitioner or Physician Assistant to provide primary care and preventive services in a family practice with integrated behavioral health services. The selected candidate must have a minimum of five years in a family practice setting. In addition, an X waiver would be desirable. The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in central and western Maine. Medical clinicians at Mt. Abram benefit from collaborative relationships with HealthReach clinicians as well as colleagues at Franklin Memorial Hospital in Farmington. The selected candidate will receive a sign-on bonus, competitive salary and benefits, malpractice coverage, pension plan with employer match, loan repayment opportunities. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | Fax: (207) 660-9901 Communications@HealthReach.org  | www.MtAbramCHC.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Family Nurse Practitioner/Physician Assistant      

Job Number: PC2167
Classification: Full Time
Center: Bingham Area Health & Dental Center
City: Bingham
State: Maine

Bingham Area Health Center seeks a full time, experienced Family Nurse Practitioner or Physician Assistant. Outstanding clinical and interpersonal skills plus 5 years’ experience in a family practice setting are required. The selected candidate will provide outpatient medical care to individuals and families of all ages in our NCQA certified Patient-Centered Medical Home. Bingham serves 2,800 area residents of all ages from northern Somerset County towns along the Kennebec River. Our health center was established 46 years ago providing medical, dental and behavioral health services. The selected candidate will receive a SIGN-ON BONUS, competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.BinghamCHC.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Family Nurse Practitioner/Physician Assistant      

Job Number: PC22490519
Classification: Full Time
Center: Bethel Family Health Center
City: Bethel
State: Maine

Classification: Full Time -Start date in late fall

Bethel Family Health Center seeks a Family Nurse Practitioner or Physician Assistant to provide primary care and preventive services in a practice that includes integrated behavioral health services. The selected candidate will offer medical care to area residents and visitors from birth through retirement and beyond. The practice has been a vital part of the community since 1979 and today 3,200 people from Andover, Bethel, Gilead, Greenwood, Hanover, Newry, Upton, Woodstock and beyond receive medical care each year. Bethel is ideally located in Western Maine adjacent to four-season recreational opportunities as well as winding rivers and spectacular views. We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE.  Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901. Fax: (207) 660-9901. Communications@HealthReach.org. www.BethelCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Licensed Clinical Social Worker      

Job Number: PC22200304
Classification: Full Time
Center: Madison Area Health Center
City: Madison
State: Maine

Are you a Licensed Clinical Social Worker (LCSW) looking to work in an intimate, primary care setting where you will collaborate with primary care clinicians to develop treatment plans that address both physical and behavioral healthcare using a shared EMR?  You will have the support of mission-driven colleagues who appreciate the opportunity to support patients in rural communities by employing solution-focused interventions.  Meet monthly with LCSW colleagues to advance initiatives, participate in peer supervision activities, and to enhance your skillset by obtaining licensure as a drug and alcohol counselor (LADC).  Expand your knowledge base with self-directed continuing education monies and time to attend external training opportunities.  The ideal candidate will demonstrate strong skills in the treatment of behavioral health and substance use disorder utilizing evidence-based treatment.  The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, new hire SIGN-ON BONUS, and eligibility for loan repayment. Contact: HRCHC, 10 Water Street, Suite 305, Waterville, Maine 04901 ~ Fax: (207) 660-9901 Communications@HealthReach.org ~ www.MadisonCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Licensed Clinical Social Worker      

Job Number: PC22220304
Classification: Full Time
Center: Strong Area Health & Dental Center
City: Strong
State: Maine

Are you a Licensed Clinical Social Worker (LCSW) looking to work in an intimate, primary care setting where you will collaborate with primary care clinicians to develop treatment plans that address both physical and behavioral healthcare using a shared EMR?  You will have the support of mission-driven colleagues who appreciate the opportunity to support patients in rural communities by employing solution-focused interventions.  Meet monthly with LCSW colleagues to advance initiatives, participate in peer supervision activities, and to enhance your skillset by obtaining licensure as a drug and alcohol counselor (LADC).  Expand your knowledge base with self-directed continuing education monies and time to attend external training opportunities.  The ideal candidate will demonstrate strong skills in the treatment of behavioral health and substance use disorder utilizing evidence-based treatment.  The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, new hire SIGN-ON BONUS, and eligibility for loan repayment. Contact: HRCHC, 10 Water Street, Suite 305, Waterville, Maine 04901 ~ Fax: (207) 660-9901 Communications@HealthReach.org ~ www.StrongCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Licensed Clinical Social Worker      

Job Number: PC22230304
Classification: Full Time
Center: Lovejoy Health Center
City: Albion
State: Maine

Are you a Licensed Clinical Social Worker (LCSW) looking to work in an intimate, primary care setting where you will collaborate with primary care clinicians to develop treatment plans that address both physical and behavioral healthcare using a shared EMR?  You will have the support of mission-driven colleagues who appreciate the opportunity to support patients in rural communities by employing solution-focused interventions.  Meet monthly with LCSW colleagues to advance initiatives, participate in peer supervision activities, and to enhance your skillset by obtaining licensure as a drug and alcohol counselor (LADC).  Expand your knowledge base with self-directed continuing education monies and time to attend external training opportunities.  The ideal candidate will demonstrate strong skills in the treatment of behavioral health and substance use disorder utilizing evidence-based treatment.  The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, new hire SIGN-ON BONUS, and eligibility for loan repayment. Contact: HRCHC, 10 Water Street, Suite 305, Waterville, Maine 04901 ~ Fax: (207) 660-9901 Communications@HealthReach.org ~ www.LovejoyCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Licensed Clinical Social Worker      

Job Number: PC22450512
Classification: Part Time
Center: Sheepscot Valley Health Center
City: Coopers Mills
State: Maine

Classification: Part Time (w/Full Time consideration)
Location: Coopers Mills, Maine   

Are you a Licensed Clinical Social Worker (LCSW) looking to work in an intimate, primary care setting where you will collaborate with primary care clinicians to develop treatment plans that address both physical and behavioral healthcare using a shared EMR?  You will have the support of mission-driven colleagues who appreciate the opportunity to support patients in rural communities by employing solution-focused interventions.  Meet monthly with LCSW colleagues to advance initiatives, participate in peer supervision activities, and to enhance your skill set by obtaining licensure as a drug and alcohol counselor (LADC).  Expand your knowledge base with self-directed continuing education monies and time to attend external training opportunities.  The ideal candidate will demonstrate strong skills in the treatment of behavioral health and substance use disorder utilizing evidence-based treatment. Contact: HRCHC, 10 Water Street, Suite 305, Waterville, Maine 04901 ~ Fax: (207) 660-9901 Communications@HealthReach.org ~ www.SheepscotCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Medical Assistant or Licensed Practical Nurse      

Job Number: PC22410512
Classification: Full Time
Center: Belgrade Regional Health Center
City: Belgrade
State: Maine

Belgrade Regional Health Center is seeking to hire a MEDICAL ASSISTANT/LPN to join our dynamic and experienced team of medical professionals. The ability to multi-task, work in a fast-paced environment, provide quality patient care, and be committed to the team is essential.  Responsibilities include triage, immunizations, chronic disease management, laboratory functions, recording medical information, direct patient care and education, and medical record documentation. Medical Assistants must hold an Associate’s Degree in Medical Assisting and have passed a certification exam (AAMA/NCCT) OR have completed an approved certificate program and have passed a certification exam. The selected candidate will receive competitive salary and benefits, new hire sign-on bonus of $2,000 and pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Medical Assistant or Licensed Practical Nurse      

Job Number: PC22120217
Classification: Full Time
Center: Bethel Family Health Center
City: Bethel
State: Maine

Bethel Family Health Center is seeking to hire an experienced and dependable MEDICAL ASSISTANT/LPN to join our dynamic and experienced team of medical professionals. The ability to multi-task, work in a fast-paced environment, provide quality patient care, and be committed to the team is essential.  Responsibilities include triage, immunizations, chronic disease management, laboratory functions, recording medical information, direct patient care and education, and medical record documentation. Medical Assistants must hold an Associate’s Degree in Medical Assisting and have passed a certification exam (AAMA/NCCT) OR have completed an approved certificate program and have passed a certification exam. The selected candidate will receive competitive salary and benefits, the new hire sign-on bonus of $2,000 and pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org or visit our website at www.HealthReachCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Medical Assistant or Licensed Practical Nurse      

Job Number: PC22600628
Classification: Full Time
Center: Mt. Abram Regional Health Center
City: Kingfield
State: Maine

Mt. Abram Regional Health Center, (Kingfield, Maine) is seeking to hire a MEDICAL ASSISTANT/LPN to join our dynamic and experienced team of medical professionals. The ability to multi-task, work in a fast-paced environment, provide quality patient care, and be committed to the team is essential. Responsibilities include triage, immunizations, chronic disease management, laboratory functions, recording medical information, direct patient care and education, and medical record documentation. Medical Assistants must hold an Associate’s Degree in Medical Assisting and have passed a certification exam (AAMA/NCCT) OR have completed an approved certificate program and have passed a certification exam. The selected candidate will receive competitive salary and benefits, new hire sign-on bonus of $2,000 and pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Medication Refill Specialist      

Job Number: PC22490602
Classification: Full Time
Center: Western Maine Family Health Center
City: Livermore Falls
State: Maine

HealthReach Community Health Centers is seeking to hire an experienced Medication Specialist to join our dynamic team of medical professionals. Applicant must have excelled as a retail pharmacy technician (no current/ active license or certification needed) having superior comprehension and understanding of medications and prescription processing. Excellent customer service skills, telephone communication, strong attention to detail, and an ability to multi-task are essential. Responsibilities include, reviewing and completing medication refill requests, following standing orders, documenting in an Electronic Health Record, completing prior authorizations, working directly with all staff within the practice(s), patients, and pharmacies to increase adherence and prescribing efficiencies. Proficient computer skills are required. We offer an excellent benefits package, competitive salary, and positive work environment. NO late night or weekend shifts! Please send resume and cover letter to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org . All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Patient Service Representative      

Job Number: PC22510602
Classification: Full Time
Center: Richmond Area Health Center
City: Richmond
State: Maine

Richmond Area Health Center is seeking a Patient Service Representative to join our friendly family practice. Responsibilities include: telephone communication, scheduling for multiple disciplines, collecting payments, and clerical duties. Excellent communication skills, proficient computer skills and working knowledge of office procedures and equipment are required. Prior medical office experience and medical terminology are preferred. The selected candidate will receive benefits to include a pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail: Personnel@HealthReach.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Patient Service Representative      

Job Number: PC22570615
Classification: Full Time
Center: Rangeley Family Medicine
City: Rangeley
State: Maine

Rangeley Family Medicine is seeking a Patient Service Representative to join our friendly family practice. Responsibilities include: telephone communication, scheduling for multiple disciplines, collecting payments, and clerical duties. Excellent communication skills, proficient computer skills and working knowledge of office procedures and equipment are required. Prior medical office experience and medical terminology are preferred. The selected candidate will receive benefits to include a pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail: Personnel@HealthReach.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Physician      

Job Number: PC22480519
Classification: Full Time
Center: Bethel Family Health Center
City: Bethel
State: Maine

Classification: Full Time -Start date in late fall

Bethel Family Health Center seeks a Physician to provide primary care and preventive services in a practice that includes integrated behavioral health services. The selected candidate will offer medical care to area residents and visitors from birth through retirement and beyond. The practice has been a vital part of the community since 1979 and today 3,200 people from Andover, Bethel, Gilead, Greenwood, Hanover, Newry, Upton, Woodstock and beyond receive medical care each year. Bethel is ideally located in Western Maine adjacent to four-season recreational opportunities as well as winding rivers and spectacular views. We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE.

Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901. Fax: (207) 660-9901. Communications@HealthReach.org. www.BethelCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Physician      

Job Number: PC22440512
Classification: Full Time
Center: Lovejoy Health Center
City: Albion
State: Maine

Lovejoy Health Center (Albion, Maine) seeks a full-time Physician to provide primary care to patients of all ages. One of 11 practices of HealthReach Community Health Centers, Lovejoy serves 4,000 area residents and visitors each year. The selected candidate will provide outpatient medical care with integrated behavioral health services to individuals and families in our NCQA certified PCMH outpatient practice. Albion is situated among the rolling hills and wide-open fields of Kennebec County in the heart of a farming community. It is located in Central Maine, 13 miles east of Waterville and draws patients from Albion, China, Freedom, Palermo, Thorndike, Troy, Unity, as well as Waterville, Benton, Winslow and other surrounding communities. The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, and eligibility for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org  | www.LovejoyCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Physician      

Job Number: PC22130217
Classification: Full Time
Center: Central Administrative Office
City: Waterville
State: Maine

HealthReach Community Health Center sites in and around Kennebec County seeks a full-time Physician who is an osteopathic manipulative medicine specialist to provide neuromusculoskeletal services in integrated primary care settings. As NCQA-Patient-Centered Medical Homes, we offer accessible, high quality primary care services with integrated behavioral health. HealthReach Community Health Centers is a system of twelve practices in Central and Western Maine with a 47-year history. We offer competitive salary and benefits, pension plan with employer match, malpractice coverage, and loan repayment options. This position is eligible for a sign on bonus. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | Fax: (207) 660-9901 |  Communications@HealthReach.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Physician      

Job Number: PC2169
Classification: Full Time
Center: Bingham Area Health & Dental Center
City: Bingham
State: Maine

Bingham Area Health Center seeks a full time Physician with outstanding clinical and interpersonal skills. The selected candidate will provide outpatient medical care to individuals and families of all ages in our NCQA certified Patient-Centered Medical Home. Bingham serves 2,800 area residents of all ages from northern Somerset County towns along the Kennebec River. Our health center was established 47 years ago providing medical, dental and behavioral health services. The selected candidate will receive a SIGN-ON BONUS, competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.BinghamCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Physician      

Job Number: PC2074
Classification: Full Time
Center: Mt. Abram Regional Health Center
City: Kingfield
State: Maine

Mt. Abram Regional Health Center, (Kingfield, Maine) seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills to provide primary care to patients of all ages in a family practice with integrated behavioral health services. An X waiver would be desirable. The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in central and western Maine. Medical clinicians at Mt. Abram benefit from collaborative relationships with HealthReach clinicians as well as colleagues at Franklin Memorial Hospital in Farmington. The selected candidate will receive a sign-on bonus, competitive salary and benefits, malpractice coverage, pension plan with employer match, loan repayment opportunities. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901| Fax: (207) 660-9901 | Communications@HealthReach.org | www.MtAbramCHC.org All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Registered Nurse      

Job Number: PC22500602
Classification: Full Time
Center: Bethel Family Health Center
City: Bethel
State: Maine

Bethel Family Health Center is seeking to hire a Registered Nurse to join our dynamic and experienced team of medical professionals. The ability to multi-task, work in a fast-paced environment, provide quality patient care, and be committed to the team is essential.  Responsibilities include triage, immunizations, chronic disease management, laboratory functions, recording medical information, direct patient care and education, and medical record documentation. The selected candidate will receive competitive salary and benefits as well as a pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org or visit our website at www.HealthReachCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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Registered Nurse      

Job Number: PC22550610
Classification: Full Time
Center: Rangeley Family Medicine
City: Rangeley
State: Maine

Rangeley Family Medicine is seeking to hire a Registered Nurse to join our dynamic and experienced team of medical professionals. The ability to multi-task, work in a fast-paced environment, provide quality patient care, and be committed to the team is essential. Responsibilities include triage, immunizations, chronic disease management, laboratory functions, recording medical information, direct patient care and education, and medical record documentation. The selected candidate will receive competitive salary and benefits as well as a pension plan with employer match. Please send resume to: Human Resource Director, 10 Water Street, Waterville, ME 04901, Fax 660-9901, E-mail Personnel@HealthReach.org or visit our website at www.HealthReachCHC.org. All new hires will be required to provide either proof of COVID-19 vaccination or a recognized exemption.

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