- Evolent (Honolulu, HI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Hawaii Pacific Health (Lihue, HI)
- …CDI certification. Knowledge of InterQual, Milliman or other nationally recognized Utilization Management criteria. Knowledge of DRGs or inpatient International ... evaluate how standards are being met. As the Quality Management and Peer Review Clinical Coordinator , you will provide strategic oversight to uphold our patient… more
- Highmark Health (Honolulu, HI)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more