- Magellan Health Services (Honolulu, HI)
- …for MRx MMUM). After Hours coverage may be required. General Job Information Title Medical Director ( Behavioral Health ) - Hawaii Licensed, Remote ... This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid,...activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
- Queen's Health System (Honolulu, HI)
- …2024, The Queen's Medical Center-Kahi Mohala opened to provide comprehensive behavioral health services to children and adolescents ages 4-17 years of ... RESPONSIBILITIES **Visionary Nursing Leader Sought for Transformative Behavioral Health Role** Hawai'i's premier healthcare institution is seeking an exceptional… more
- Centene Corporation (Honolulu, HI)
- …care + Educate PCP's, members, medical consenters, and caregivers on behavioral health issues including symptoms, relapse prevention, stress reduction and ... medical director and corporate oversight + Facilitate access to behavioral health services, including assisting with locating providers and scheduling… more
- Highmark Health (Honolulu, HI)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Honolulu, HI)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Honolulu, HI)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Conviva (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Evolent Health (Honolulu, HI)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more