- Highmark Health (Honolulu, HI)
- …:** **JOB SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services to members with mental ... years of Post licensure experience in any combination of behavioral health clinical, case management and/or condition management **Preferred** + 5… more
- Elevance Health (Kailua, HI)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Humana (Honolulu, HI)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such as ... part of our caring community and help us put health first** The Behavioral Health ...managers or Care managers on complex case management , including familiarity with social determinants of health… more
- Highmark Health (Honolulu, HI)
- …any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience ... health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
- Commander, Navy Installations (Honolulu, HI)
- …to enhance ability to provide up-to-date and relevant service and support. Case Management duties comprise 60%: Communicates directly with each assigned ... The primary purpose of this position is to serve as the installation non-clinical case liaison for the Exceptional Family Member Program (EFMP). Serves as a liaison… more
- Magellan Health Services (Schofield Barracks, HI)
- …Participate in relevant community awareness, campaigns and prevention events. + Maintain ongoing case management , all data entry must be completed within three ... school in social/work, psychology, marriage, family, and child counseling, counseling or behavioral science, education, community health or public health .… more
- Highmark Health (Honolulu, HI)
- …providers. + Maintain current case related information on all applicable case management tracking systems. + Provide investigative support and mentoring to ... law enforcement entities and work with those agencies through closure of the case . Conduct audits for proactive and investigative purposes to comply with internal… more
- CenterWell (Honolulu, HI)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- Highmark Health (Honolulu, HI)
- …location. Work with Pharmacy Markets business owners, stakeholders and other management , as required, to achieve Pharmacy Markets growth objectives. Organize and ... to understand business needs, processes project specifications and business case development. Translate business needs into clearly defined and documented,… more
- Highmark Health (Honolulu, HI)
- …such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. ... verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement...0 - 1 year of experience working in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None… more
- Elevance Health (Kapolei, HI)
- …evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and community services ... of an RN, with overall responsibility for the member's case , as required by applicable state law and contract,...and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient… more
- Sutter Health (Ewa Beach, HI)
- **Organization:** Sutter Health Pacific **Position Overview:** Evaluate, diagnose, and treat patients with mental, emotional, and behavioral disorders. They ... are merely the most descriptive of the current job. Management reserves the right to revise the job description...assess and adjust treatment plans Coordinate and communicate with case managers and other stakeholders about treatment and care… more
- Marriott (Honolulu, HI)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Come join a dynamic team on the world-class ... and Experience** **Required:** * 8+ years' experience in release and/or engineering management * Strong understanding of software quality best practices * Strong… more
- US Courts (Honolulu, HI)
- …to standard federal benefits such as paid vacation and sick time, health /dental/vision insurance, life insurance, long term care, flexible benefits ( health ... During the presentence phase, officers apply US Sentencing Commission guidelines and case law; decide the appropriate course of action after analyzing any objections… more
- Marriott (Honolulu, HI)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Reporting to the Director, Product Management ... to meet or exceed the needs and expectations of management and associates. He/she ensures high caliber customer satisfaction...current and future products and develop the associated business case for new investments. + Ensure all deliverables meet… more
- Marriott (Honolulu, HI)
- …**Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY:** Provides application development leadership for the ... Establishes and manages continuous improvement efforts in technical project management , software engineering & testing automation to improve quality, scalability,… more
- Marriott (Honolulu, HI)
- …**Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Oversees day to day application development projects ... to prioritize and manage multiple tasks o Strong interpersonal and stakeholder management skills with the ability to coordinate between technical and business teams… more
- Marriott (Honolulu, HI)
- …**Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Provides application development leadership for the ... Establishes and manages continuous improvement efforts in technical project management , software engineering & testing automation to improve quality, scalability,… more
- Merck (Honolulu, HI)
- …This role is primarily accountable for the end-to-end performance and project management for assigned protocols in a country in compliance with ICH/GCP and ... Country Operations and clinical trial team (CTT). + Responsible for project management of the assigned studies: pro-actively plans, drives and tracks execution and… more
- Marriott (Honolulu, HI)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Senior Director, Deployment for US + Canada ... and accelerate DTT through unique approaches to strategic planning, program management , change management , experience and business process design, continent… more