- Sharecare (Honolulu, HI)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Honolulu, HI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... **utilization management** strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource… more
- Always Best Care Senior Services (Honolulu, HI)
- Always Best Care is a locally owned and operated licensed home care and home health agency in Hawai'i. If you're looking to work for one the fastest growing ... senior care agency in the county, come and join our...clients in their place of residents to discuss their care needs. Marketing to facilities and other referral sources… more
- Centene Corporation (Honolulu, HI)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. ... May develop or assist with developing personalized service care plans/service plans for long-term care members...personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on… more
- Centene Corporation (Honolulu, HI)
- …workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
- Humana (Honolulu, HI)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a ... better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for… more
- Cardinal Health (Honolulu, HI)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services… more
- Public Consulting Group (Honolulu, HI)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...is to provide a funding source for future health care costs associated with birth‐related neurological injuries. The Case… more
- Public Consulting Group (Honolulu, HI)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... of program policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates actions required to… more
- Highmark Health (Honolulu, HI)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Queen's Health System (Honolulu, HI)
- …clinical and business staff and others. * Strives to achieve The Queen's Health Care Centers (QHCC) and The Queen's Health Systems (QHS) priorities of the highest ... quality of care , growth in patient population, excellence in access and...* Develops outpatient clinical programs and ensures quality of care and continuity for patients and families. * Works… more
- Hawaii Pacific Health (Honolulu, HI)
- … Care Physician members. In this role, you will also work closely with the Manager of Complex Care Management Services to provide care management and ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...Hawai'i and the Pacific Region with high quality, compassionate care . Its four medical centers - Kapi'olani, Pali Momi,… more
- Fresenius Medical Center (Honolulu, HI)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Clinical Operations Manager is responsible for daily operations of the nursing unit, and supervision and support ... duties and responsibilities. Assists in setting the standard of care in the department, consistent with the mission, vision...and area(s) assigned as required. * Serves as the manager in the absence of the department manager… more
- Humana (Honolulu, HI)
- …Enclara Pharmacia is the nation's largest full-service hospice and palliative care Pharmacy Benefits Manager , offering compassionate and cost-effective services ... of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager * Assist pharmacies with claims adjudication * Complete incoming tasks as… more
- BAYADA Home Health Care (Honolulu, HI)
- BAYADA Home Health Care has an immediate opening for a **Client Services Manager ** in our **Medicare-certified Oahu Visits Home Health Office** . If you are ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. We want… more
- BAYADA Home Health Care (Honolulu, HI)
- **BAYADA Home Health Care ** is currently seeking a **full-time Clinical Manager (RN required)** in our Medicare certified **Oahu Visits office in Honolulu, HI** ... your career with a purpose! **Duties of a Clinical Manager include:** + Directing and coordinating the care provided by a multi-disciplinary team of home health … more
- BAYADA Home Health Care (Waipahu, HI)
- …services to our clients. **_Location: Waipahu, HI_** **_Position: ABA Clinical Manager /Behavior Services Manager , BCBA (Insurance/Center-based)_** Are you an ... and group meetings + Collaborate with Director of Clinical Operations and Manager of Behavioral Operations to ensure clinical quality and ethical compliance +… more
- CVS Health (Honolulu, HI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... At CVS Health, we are focused on transforming health care for our customers and making our company a...the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team… more
- CVS Health (Honolulu, HI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... we do it all with heart, each and every day. **Position Summary** The Operations Manager is a member of the Store Management team, and as such, fulfills the company… more