- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Performs administrative support and program administration for the coordination of the daily operations of the ... Care Coordination/CDI and UM departments. II. TYPICAL PHYSICAL DEMANDS: * Essential: seeing, hearing and speaking. * Continuous: standing, sitting, walking,… more
- Magellan Health Services (Honolulu, HI)
- …and providers. + Provides non-clinical support to workflows involving utilization management , case management , disease management , and health ... department workflow by supporting clinical team with administrative care coordination support . Locates community services and other referral locations for enrollees,… more
- Magellan Health Services (Honolulu, HI)
- …to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows high ... treatment. Continues physician oversight of at-risk patients deemed appropriate for complex case management and timely completion of all utilization … more
- Sharecare, Inc. (Honolulu, HI)
- …members to Clinical Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include but are not limited ... / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to medical, dental,… more