- Defense Health Agency (Pearl Harbor, HI)
- **Overview** **Pearl Harbor, HI** **- CLINICAL PSYCHOLOGIST ( BEHAVIORAL HEALTH )** **About the Position: This position is under Naval Health Clinic located at ... employer contributions. **Responsibilities** **Responsibilities:** 1. Serves as a Clinical Psychologist Behavioral Health Consultant (BHC) for the Clinic and … more
- Defense Health Agency (Honolulu, HI)
- **Overview** **CLINICAL PSYCHOLOGIST ( BEHAVIORAL HEALTH CONSULTANT)** **Tripler Army Medical Center, Honolulu, HI** **About the Position:** This position is ... **Responsibilities** MAJOR DUTIES 1. Serves as a Clinical Psychologist Behavioral Health Consultant (BHC) for the Clinic and… more
- Humana (Honolulu, HI)
- …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… 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
- CVS Health (Honolulu, HI)
- …division within Aetna/CVS Health . Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... other programs to overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory and company policies and… more
- Highmark Health (Honolulu, HI)
- …provider/member flag tracker and certified mail; and will input and maintain current case information in applicable case management tracking systems. ... for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim...current case related information on all applicable case management tracking systems. + Set and… more
- Highmark Health (Honolulu, HI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... the incumbent participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on… more
- Queen's Health System (Honolulu, HI)
- …on the mission, values and philosophy of The Queen's Medical Center and Behavioral Health Services Division, the Family Treatment Center provides individualized ... and developmental needs. In the Family Treatment Center, the Child and Adolescent inpatient behavioral health unit, population is aged 5 through 18 years. Less… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** + As a Senior AI Consultant at Highmark, you will play a pivotal role in shaping and executing ... across partners and stakeholders to drive timely decision making and business case design. + Implementation:Facilitate the process to translate proof of concept into… more
- Highmark Health (Honolulu, HI)
- …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state,… more
- Highmark Health (Honolulu, HI)
- …by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) + AHIMA… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is an integral member of an agile scrum team responsible for writing, executing, ... to understand requirements surrounding new or enhanced features.Responsible for writing test case documents, test plan documents, and test results that adheres to… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...a contributor to the divisional planning process and senior management team. Responsible for managing the identification of enhancements… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Leveraging technology as an enabler, the Enterprise-Wide Finance Product Leader will shape and ... partners on design, prioritization, and deployment. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- BAYADA Home Health Care (Waipahu, HI)
- …for RBTs + Supervise a team of BCBAs, including report reviews, onsite case consults, ongoing training, and group meetings + Collaborate with Director of Clinical ... Operations and Manager of Behavioral Operations to ensure clinical quality and ethical compliance...hours, flexible work schedule, opportunities to develop leadership and management skills. + BAYADA offers a comprehensive benefits plan… more