- Centene Corporation (Honolulu, HI)
- … behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and ... with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability....Acts as provider liaison to oversee the Community Based Case Management (CBCM) Agencies who deliver and… more
- Highmark Health (Honolulu, HI)
- …+ 5 years of Post licensure experience in any combination of behavioral health clinical, case management and/or condition management Preferred + ... **JOB SUMMARY** This job provides telephonic case management services to members with mental health /substance...incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and… more
- Highmark Health (Honolulu, HI)
- …3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience in ... assure appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of… 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
- Public Consulting Group (Honolulu, HI)
- …potential clients with a particular focus on state Medicaid agencies, children's behavioral health , child welfare and juvenile justice Agencies, HHS agencies, ... with the Medicaid system (eg1115 and other waivers,residential rehabilitation, targeted case management , state plan amendments, demonstration projects, managed… 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
- Public Consulting Group (Honolulu, HI)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... oral presentation and written communication skills. + Solid organization and time management skills. + Knowledge of federal, state, local laws pertaining to the… more
- Magellan Health Services (Honolulu, HI)
- …conducting reviews of clinical interactions and clinical documentation including reviews of case management , utilization management , vendor, and provider ... health plan Quality Insurance Committee and co-chair health plan Utilization Management Committee. + Collects,...- Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health Education - Preferred License and… more
- Magellan Health Services (Honolulu, HI)
- …with facilitating member engagement with their primary care and other sources of behavioral health and services support. Maintains their own caseloads and meet ... years' prior work experience in psychiatric or substance use behavioral health setting specific to discharge planning....setting specific to discharge planning. Ability to independently manage case load of low complexity care management … more
- Defense Health Agency (Honolulu, HI)
- …advisability of counseling or referral to other specialists or institutions. + Provides case management services to effectively manage patients enrolled in ... our growing team! AtTripler,you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves… more
- Commander, Navy Installations (Honolulu, HI)
- …who do not wish to disclose their identity to civilian resources. Attends Sexual Assault Case Management Group (SACMG) meetings when a case is presented ... advice and assistance specific to the victim's circumstances or case , including the filing for civilian or military protective...THE POSITION Completion of a four year degree in behavioral health , social science, or criminal justice… 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
- Magellan Health Services (Honolulu, HI)
- Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data ... and Work Experience May Be Considered. - Nursing, Bachelor's - Nursing, Master's - Behavioral Health Education - Preferred PsyD - Clinical Psychology License and… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** CANDIDATE MUST BE US Citizen (due to contractual/access requirements) This job is an integral ... 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)
- …responsible for leading large projects and initiatives related to the risk case management and intake activities of Highmark Health in support of a broad ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...parties.Prepare and/or provide status reporting to Risk Partners, accountable management , and the Audit Committee of the Board of… more
- Highmark Health (Honolulu, HI)
- …Administration/Employee Health , Payroll/Time & Attendance, and/or Portal Design/Content Management / Case Management and Knowledge + Knowledge and ... Management Systems, and + 3 years Healthcare or health insurance experience **KNOWLEDGE, SKILLS & ABILITIES** + Strong...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Honolulu, HI)
- …provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, ... physicians, physician groups, discharge planners, other referral sources, community health organizations, and potential donors, as appropriate. **ESSENTIAL RESPONSIBILITIES**… more
- Guardian Life (Honolulu, HI)
- …a positive attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** ... worksite modifications and transitional work plans to help return claimant to employment. Case management of part-time work claims to increase full-time return… 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