- Evolent Health (Honolulu, HI)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Highmark Health (Honolulu, HI)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… 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 ... on workplace flexibility. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the… 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 ... oversight over a specified panel of **Pediatric** members that range in health status/severity and clinical needs. The incumbent assesses health management… more
- Queen's Health System (Honolulu, HI)
- …airway supplies. There are some rooms that also have specialized equipment. 2. Psychiatric/ Behavioral Health Treatment Areas (6 rooms) 3. Fast Track/Mid Track ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Clinical Operations Manager is responsible for daily operations of the nursing unit, and supervision and support… more
- Highmark Health (Honolulu, HI)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **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
- 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
- Highmark Health (Honolulu, HI)
- …capabilities. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, ... executive leadership of the Enterprise (both Highmark and Highmark Health ), including CFO, EVP, Chief Actuary, and Vice President,...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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 ... part of our caring community and help us put health first** The PEX Program Manager is...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- The Cigna Group (Honolulu, HI)
- …+ Years of Experience: 3 years of experience in dispensing pharmacy, 2-3 years in health care or PBM industry preferred; Minimum of 1 year of management ... -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k)...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- BAYADA Home Health Care (Honolulu, HI)
- …will offer training and continuing education to support a career within BAYADA Home Health Care . This role should exhibit an intermediate competency level for ... here (https://www.bayada.com/benefits/) **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local… 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
- 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 ... part of our caring community and help us put health first** The Care Delivery Call Quality...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Fresenius Medical Center (Honolulu, HI)
- …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...affect adherence to treatment. Works with patient, family and health care team to provide education tailored… 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 ... Medicare or call center processes/practices + Experience in the health care industry + Bachelor's Degree **Scheduled...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
- 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
- The Cigna Group (Honolulu, HI)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... **Account Management (Non-IC) Lead Associate** The Account Manager is responsible for ensuring Accredo's customers, inclusive...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- Humana (Honolulu, HI)
- …clinical health care space, such as utilization management, pharmacy, care management, behavioral health . + Proficiency in Microsoft Office programs. ... This role does NOT operate in a traditional Project Manager functional way. Individuals with business process change management...Change Management. + 3+ years working in a managed care healthcare system or health plan. +… more