- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity ... project components, and work is performed without direction. The Behavioral Health Medical Director actively uses their...and use of business metrics. + Experience working with Case managers or Care managers on complex… more
- Elevance Health (Kapolei, HI)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and community ... 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… more
- Queen's Health System (Honolulu, HI)
- …environment with potential exposure to body fluids, blood products, communicable diseases and behavioral health issues. * Access to vehicle as travel to off-site ... in program development and coordination. * Prior work experience in home health , hospice, case management or other outpatient/community setting highly desirable.… more
- BAYADA Home Health Care (Kapolei, HI)
- …**_\#LIRX_** **_\#joinBAYADA-RX_** **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local ... Supervise a team of BCBAs, including report reviews, onsite case consults, ongoing training, and group meetings + Collaborate...mandates.** BAYADA Home Health Care , Inc., and its associated entities… more
- Magellan Health Services (Schofield Barracks, HI)
- …+ Ensures victims of domestic abuse receive sensitive, confidential and immediate comprehensive care and treatment needed to restore health and well-being. + ... school in social/work, psychology, marriage, family, and child counseling, counseling or behavioral science, education, community health or public health .… more
- Neogen Care (Waianae, HI)
- …Board of Behavioral Sciences is a plus! + Minimum of one (1) year experience in health care . + Experience in a home health care preferred. + ... support healthy lifestyles. We are looking for a Home Health Medical Social Worker to join our soon to...Participates in the development of the total plan of care and case conferences as required. +… more
- Highmark Health (Honolulu, HI)
- …size and complexity **Preferred** + 3 years of financial analysis in an acute care hospital or health insurance setting + 3 years in professional billing, ... a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related… more
- Highmark Health (Honolulu, HI)
- …limited to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling, pharmacy policy review and development and/or review ... information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a...may also review UM requests; provide consultation into the case and disease management identification process, and consult with… more
- Sutter Health (Ewa Beach, HI)
- …mental health recovery. Develops ways of mitigating obstacles affecting care plan implementation and success. Competency in delivering services and treatments ... **Organization:** Sutter Health Pacific **Position Overview:** Provides biopsychosocial assessment, individual/group treatment, family therapy, discharge and… more
- Sutter Health (Ewa Beach, HI)
- …with case managers and other stakeholders about treatment and care **EDUCATION** Doctorate: MD or DO **CERTIFICATION & LICENSURE** Valid DEA Certificate ... **Organization:** Sutter Health Pacific **Position Overview:** Evaluate, diagnose, and treat patients with mental, emotional, and behavioral disorders. They… more
- US Marine Corps (Kaneohe, HI)
- …evidence-based and informed interventions, service planning, and clinical case management services. Comprehensive non-medical counseling services consists of ... group sessions. Provide services to clients that address emotional problems, behavioral problems, life stressors, domestic abuse, child abuse, and problematic sexual… more
- Humana (Honolulu, HI)
- …Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. **Use your ... that aims to improve utilization and outcomes, quality of care , social determinants of health , and experience...the senior population with a strong lens on intersecting behavioral and social health needs. + Provide… more
- US Marine Corps (Kaneohe, HI)
- …possess a master's degree in social work or psychology; or in a related behavioral health field (marriage and family therapy, counseling) from an accredited ... ie, conducts seminars and training programs for facility, installation, and community health - care providers and staff, leaders, and peer professional as… more
- US Marine Corps (Kaneohe, HI)
- …See Duties and Qualifications EVALUATIONS: Qualifications Completion of a four year degree in behavioral health or social science or a related field or work ... plans. Develops and maintains relationships with individuals and families to include case closure and making modifications to safety plans and services as needed.… more
- US Courts (Honolulu, HI)
- …paid vacation and sick time, health /dental/vision insurance, life insurance, long term care , flexible benefits ( health care /dependent care and ... During the presentence phase, officers apply US Sentencing Commission guidelines and case law; decide the appropriate course of action after analyzing any objections… more
- Humana (Honolulu, HI)
- …Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... Plan Accreditation and/or Long-Term Services and Supports/Long Term Care / Case Management. + Exceptional analytical and critical...millions of people we serve to achieve their best health - delivering the care and service… more
- Merck (Honolulu, HI)
- …Bachelor's Degree in Business Finance/ Administration/ Life Science or equivalent Health Care related experience. MRLGCTO \#EligibleforERP **NOTICE** **FOR** ... Expected salary range: $111,400.00 - $175,300.00 Available benefits include bonus eligibility, health care and other insurance benefits (for employee and… more
- Marriott (Honolulu, HI)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... solutioning. * Ensures all projects follow the defined development and business case processes. * Ensures proper coordination with appropriate IT and vendor… more
- Marriott (Honolulu, HI)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... requirements. * Evaluate and select collaboration services products and build business case . * Support governance based on standard methodologies and ensure proper… more
- Marriott (Honolulu, HI)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... new system. + Ensures all projects follow the defined development and business case processes. + Ensures proper coordination with appropriate IT and vendor relations… more