- Somatus (Honolulu, HI)
- …to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. ... skills that demonstrate our company's commitment to superior customer service , including quality, care and concern with...Uses protocols and pathways in line with established disease management and care management programs… more
- Sharecare (Honolulu, HI)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing ... high-quality telephonic Case or Care Management with CareFirst members. The ...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Highmark Health (Honolulu, HI)
- …and/or triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- Always Best Care Senior Services (Honolulu, HI)
- … Services - Oahu is a reputable organization dedicated to providing exceptional senior care services in Honolulu, HI. Always Best Care Senior Services ... - Oahu is a leading provider of senior care services in the area, dedicated to...Oversees staff orientation, education, and ongoing training. * Patient Care Management : * Participates in assessment, … more
- Cognizant (Honolulu, HI)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact... management experience with managed health care plan . 3 years' experience in health … more
- Sharecare (Honolulu, HI)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...healthcare needs.. + Identifies participant barriers to accessing health care services and advises them of existing… more
- BAYADA Home Health Care (Honolulu, HI)
- …position including client visits as necessary. **Qualifications:** + An active Hawaii Registered Nurse license. + Home Health experience preferred. + Recent ... Home Health Care ** is currently seeking a **full-time Clinical Manager ( RN required)** in our Medicare certified **Oahu Visits office in Honolulu, Hawaii** .… more
- Humana (Honolulu, HI)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager** will...their role, the Case Manager will collaborate with other care management programs until the beneficiary's needs… more
- CenterWell (Honolulu, HI)
- …+ Current CPR certification. + Good working knowledge of home health, hospice, and palliative care services . + Good time management skills. + Ability to ... under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home...service or for those who may need post-acute services . Able to navigate healthcare options; care … more
- CenterWell (Honolulu, HI)
- …years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional ... caring community and help us put health first** Conviva Care Solutions is seeking a RN who...care givers in reviewing actual and proposed medical care and services against established CMS Coverage… more
- Queen's Health System (Honolulu, HI)
- …throughout Hawai'i and the Pacific Basin. We are dedicated to delivering comprehensive health care services and programs to Native Hawaiians and all people of ... settings. + Coordinates information flow to ensure appropriate patient care and services and continuity of ...degree in Nursing. + Current Hawaii licensure as a Registered Nurse . + Current BLS certification for… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge...physician performing the procedure room is staffed with 1 Registered Nurse , 1 Cardiovascular Technologist and 1… more
- Hawaii Pacific Health (Honolulu, HI)
- …If you are friendly, considerate and enjoy working with people, you could be a Registered Nurse Customer Care Representative in our Contact Center. In this ... call is the first step toward accessing our health care services . The Contact Center's friendly staff...for someone who pays attention to detail and information management and shares our commitment to delivering the highest… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizations and other combinations of medical, financial or social interventions. As the Registered Nurse Case Manager, you would ensure the considerate and ... 159,619 USD per year **Category:** Nursing **Minimum Qualifications:** Current Hawai'i Registered Nurse license. Bachelor's degree and/or equivalent combination… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge...read, write, speak and understand English effectively. SCOPE OF SERVICE The Med/Surg/Tele Float Pool is a unit that… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... but are not limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge planning. II. TYPICAL… more
- Queen's Health System (Honolulu, HI)
- …A. Education/Certification and Licensure: 1. Current Hawaii State license as a Registered Nurse . 2. Bachelor's degree in Nursing. 3. Master's degree ... Board of Trustees. Makes a significant contribution to patient care quality and service . Functions as an...preferably in Nursing. B. Experience: 1. Five (5) years management /leadership experience in Cardiac Services , preferably in… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge...read, write, speak and understand English effectively. SCOPE OF SERVICE The QET 1 Pre/Post Unit is a 10… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... but are not limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge planning. II. TYPICAL… more
- Queen's Health System (Honolulu, HI)
- …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... limited to, initiation and development of the plan of care , patient/family education, utilization management and discharge...read, write, speak and understand English effectively. SCOPE OF SERVICE Based on the mission, values and philosophy of… more