- Queen's Health System (Honolulu, HI)
- …and manages administrative and clinical operations of Emergency Department and Inpatient Case Management services. * Develops, implements, monitors and evaluates ... years nursing experience with at least three (3) years experience in Case Management . * Two (2) years supervisory/leadership experience. * Prior experience in a… more
- Humana (Honolulu, HI)
- …Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic approach for case ... management throughout the continuum of care. The case manager will offer guidance, support, and... programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians and providers as necessary;… more
- Highmark Health (Honolulu, HI)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which focus,… more
- Highmark Health (Honolulu, HI)
- …Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... member. The incumbent conducts outreach to members enrolled in case management including but is not limited...and federal law standards and are within the care manager 's professional discipline. + For assigned case … more
- Sharecare (Honolulu, HI)
- …members to Clinical Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include but are not limited ... during the training period will be evaluated on a case by case basis and must be...plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited… more