- Centene Corporation (Honolulu, HI)
- …staff, Caregivers, PCP's and Service Managers to coordinate access to behavioral health services and community resources. + Identify special needs members ... member care + Educate PCP's, members, medical consenters, and caregivers on behavioral health issues including symptoms, relapse prevention, stress reduction and… more
- Evolent Health (Honolulu, HI)
- …Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as… more
- Centene Corporation (Honolulu, HI)
- …internal 'Ohana staff. + Processes Adverse Events. + Coordinates with member's QUEST Integration Health Plan Service Coordinator for continuity of care. + ... Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Acts as provider… more
- Hawaii Pacific Health (Honolulu, HI)
- …areas include: Neurology, Orthopedics,Genetics, Adolescent Medicine, Otolaryngology, Behavioral Health Services, Hematology/Oncology, Neonatology, Pediatric ... 100 Specialists, Nurse Practitioners and other staff, covering newborn to women's health services at Kapi'olani Medical Center for Women & Children. KMS operates… more
- Hawaii Pacific Health (Honolulu, HI)
- …areas include: Neurology, Orthopedics,Genetics, Adolescent Medicine, Otolaryngology, Behavioral Health Services, Hematology/Oncology, Neonatology, Pediatric ... Nurse Practitioners and other staff, covering newborn to women's health services at Kapi'olani Medical Center for Women &...injuries in children and adults. As the Clinical Care Coordinator at the Orthopedics department, you will have the… more
- Humana (Honolulu, HI)
- …caring community and help us put health first** The Provider Contracting Coordinator initiates and maintains behavioral health provider contracts and ... Qualifications** + Managed care experience + Experience working with behavioral health contracts + Experience working with...millions of people we serve to achieve their best health - delivering the care and service … more
- Highmark Health (Honolulu, HI)
- …onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and at times ... **EXPERIENCE** **Required** + 1 - 3 years of Customer Service experience + 0 - 1 year of experience...0 - 1 year of experience working in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None… more
- Highmark Health (Honolulu, HI)
- …of the process to ensure adherence to all regulatory compliance requirements and service level agreements. This role may be required to make outbound calls, triage ... + None **EXPERIENCE** **Required** + 3 years of customer service experience + 1 year of healthcare industry experience...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Fresenius Medical Center (Kailua, HI)
- …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of ... team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to… more