- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- Highmark Health (Honolulu, HI)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Highmark Health (Honolulu, HI)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Clinical Operations Manager is responsible for daily operations of the nursing unit, and supervision and support ... duties and responsibilities. Assists in setting the standard of care in the department, consistent with the mission, vision...and area(s) assigned as required. * Serves as the manager in the absence of the department manager… more
- Magellan Health Services (Honolulu, HI)
- …in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong organization, time management and communication skills. ... and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… more
- Centene Corporation (Honolulu, HI)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Centene Corporation (Honolulu, HI)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... Purpose:** **(Must reside in Oahu)** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most… more
- Highmark Health (Honolulu, HI)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Honolulu, HI)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Honolulu, HI)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Magellan Health Services (Honolulu, HI)
- …years' clinical experience. 3+ years in utilization management operations. 5+ years in health care quality improvement. Licensure is required for this position, ... CM meetings as needed. + Audits and reviews case manager , Health guide, UM staff, vendor, and...- Occupational Therapy, Bachelor's - Physical Therapy, Master's - Behavioral Health Education - Preferred License and… more
- Marriott Vacations Worldwide (Koloa, HI)
- …problems, and choose a course of action. + **Professional Demeanor** - Exhibiting behavioral styles that convey confidence and command respect from others; making a ... dish machines, and other equipment. Knowledge of techniques for care and cleaning of silver, stainless steel, and dish...(eg, they have identified a medical condition on the Health Questionnaire or they are showing signs of distress… more
- Magellan Health Services (Honolulu, HI)
- …and Work Experience May Be Considered. - Nursing, Bachelor's - Nursing, Master's - Behavioral Health Education - Preferred PsyD - Clinical Psychology License and ... related to clinical services. + Audits and reviews case manager and provider clinical documentation and telephone interactions against...- Required LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health … more
- Highmark Health (Honolulu, HI)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Commander, Navy Installations (Honolulu, HI)
- …Qualifications KNOWLEDGE RQUIRED BY THE POSITION Completion of a four year degree in behavioral health , social science, or criminal justice and two years of ... victims receive from various agencies including medical, legal, mental health and investigative services. Facilitates care and...demonstrates acquired knowledge of one or more of the behavioral health or social sciences equivalent to… 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
- CenterWell (Honolulu, HI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... will play a critical role in ensuring optimal patient care , high quality health outcomes, and improved...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Honolulu, HI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Sharecare, Inc. (Honolulu, HI)
- …Specialty Care Providers, ancillary services, and all other members of the health care team to support the members. The certified professional will use ... team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.… more
- CenterWell (Honolulu, HI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more