• Behavioral Health Case

    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
    Centene Corporation (09/14/24)
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  • Behavioral Health High Acuity Team…

    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 (09/17/24)
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  • Care Manager Behavioral Health

    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
    Highmark Health (09/10/24)
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  • Behavioral Health Medical Director…

    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
    Humana (08/07/24)
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  • Children's Behavioral Health

    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
    Public Consulting Group (07/25/24)
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  • Complex Case Manager RN - Oncology (Remote)

    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
    Highmark Health (09/07/24)
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  • Exceptional Family Member Program Case

    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
    Commander, Navy Installations (09/13/24)
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  • Virginia Case Management Specialist…

    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
    Public Consulting Group (09/04/24)
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  • Director, Clinical Care (UM/BH), Hmsa,…

    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 (08/09/24)
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  • Transition of Care Specialist I Hmsa

    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
    Magellan Health Services (07/10/24)
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  • Clinical Social Worker

    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
    Defense Health Agency (08/03/24)
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  • Sexual Assault Prevention and Response (SAPR)…

    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
    Commander, Navy Installations (09/06/24)
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  • Medical Director, Medicaid (Remote PA, DE or WV)

    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
    Highmark Health (08/23/24)
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  • Quality Clinical Reviewer, HMSA

    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
    Magellan Health Services (07/02/24)
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  • Senior Test Engineer

    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 (08/29/24)
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  • Senior Regulatory Implementation & Assurance…

    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 (07/10/24)
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  • Senior HRIS Analyst

    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 (08/10/24)
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  • Part-time/Remote Medical Director…

    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
    Highmark Health (06/25/24)
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  • Clinical Counselor Tier II & Tier III Nf4 (RFT)…

    US Marine Corps (Kaneohe, HI)
    …assessment, evidence-based and informed interventions, service planning, and clinical case management services. Comprehensive non-medical counseling services ... assessments, safety plans, clinical counseling notes, individualized service plans, clinical case management , collateral notes, contact details, and other… more
    US Marine Corps (09/18/24)
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  • Vocational Rehabilitation Consultant I

    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
    Guardian Life (07/31/24)
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