Case Manager, Hawaiian Islands AlohaCareCase Manager, Hawaiian IslandsHonolulu, HI$70,000–$83,000 / yearThe Case Manager develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder. Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs.
Case Manager, RN - Case Management Hawaii Pacific HealthCase Manager, RN - Case ManagementHonolulu, HI$127,691–$159,619 / yearSpecialty services for patients throughout Hawaii and the Pacific Region include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport and high-risk perinatal care. The hospital is home to the Kapiolani Women's Center and the Women's Cancer Center, and offers numerous community programs and services, such as specialty pediatric clinics, the Kapiolani Child Protection Center and the Sex Abuse Treatment Center.
Behavioral Health Case Management Liaison AlohaCareBehavioral Health Case Management LiaisonHonolulu, HI$70,000–$83,000 / yearOversees CCS contract compliance of the CBCM agencies (i.e. Behavioral Health Assessment (BHA)/Individualized Treatment Plan (ITP) received within specified timeframes, quarterly BHS reports, post hospitalization follow-up, etc.) including onsite trainings and audits. The Behavioral Health Case Management Liaison manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability.
Case Management Supervisor AlohaCareCase Management SupervisorHonolulu, HI$70,000–$83,000 / yearThe Care Management Supervisor Supervises the case management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs.
RN Case Management - REMOTE TEEMA GroupRN Case Management - REMOTE"-", HIRemote$86,000–$98,000Our client is seeking a dedicated Case Manager to provide exceptional case management services to beneficiaries, focusing on high-quality care and positive outcomes. Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care.
Supervisor, Case Management TriWest Healthcare AllianceSupervisor, Case ManagementHonolulu, HIRemoteFull timeCollaborates with case managers, care coordinators, medical providers, the Director, Case Management and the Medical Director for Case Management on program interpretation and guidance. Monitors individual staff caseloads and beneficiary service levels to ensure delivery of quality and timely Case Management services.
Coordinator Patient Care-Case Management Kaiser PermanenteCoordinator Patient Care-Case ManagementHonolulu, HIPerforms daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge. May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
Case Management Manager AlohaCareCase Management ManagerHonolulu, HI$81,000–$110,000 / yearThe Case Management Manager manages the case management team and the care coordination of behavioral health members to develop and assess high-quality, cost-effective healthcare outcomes related to mental and behavioral health needs. Direct the daily activities of case management staff including reviewing and approving the caseloads of case management staff based on state requirements, case management staff experience, and member needs.
Nurse Case Manager (RN | Full Time) Navian HawaiiNurse Case Manager (RN | Full Time)HONOLULU, HI$93,000–$99,000 / yearUnder the supervision of the Patient Care Manager, the Nurse Case Manager serves our patients by utilizing principles of palliative care and holistic philosophy to provide care that reflects skilled nursing judgment, medical necessity, measurable patient caregiver, and reasonable goals. Ability to set priorities, research, problem-solve, and make independent decisions with minimal supervision by using logic to identify key facts, explore alternatives, and propose quality solutions within the scope of the job.
CBCM Case Manager Kalihi Palama Health CenterCBCM Case ManagerHonolulu, HIProvides crisis and emergency services, either by telephone or face-to-face, 24 hours per day for clients on the Case Management Team. providing psycho-social rehabilitation services (teaching hygiene and self-care, housing skills, budgeting, problem-solving, etc.).
Case Manager Immigration Bilingual Spanish The GEO GroupCase Manager Immigration Bilingual SpanishHonolulu, HawaiiFull timeIdentifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer. At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred.
Nurse Case Manager Loyal Source Government Services LLCNurse Case ManagerHonolulu, HIThe Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.
Overnight Residential Case Manager (Crisis Stabilization Facility) Community Empowerment Resources (CER)Overnight Residential Case Manager (Crisis Stabilization Facility)Kaneohe, HI$18–$22 / hourOvernight staff are responsible for crisis prevention and de-escalation, crisis response, maintaining facility cleanliness and organization, documenting client interactions and significant events, and communicating relevant information to incoming staff and treatment team members. 6-12 months supervised experience (work, volunteer, or a combination) with at least one of the following populations: severely mentally ill (SMI/SPMI), developmentally disabled (DD), elderly, children, or other special needs populations.
Case Resolution Specialist II Hawaii Medical Service AssociationCase Resolution Specialist IIHonolulu, HINegotiates fees on behalf of members for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information from providers in order to resolve member inquiries. Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements.
RN Case Manager Bristol Hospice, LLCRN Case ManagerHonolulu, HIAre you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities.
Case Resolution Specialist I Hawaii Medical Service AssociationCase Resolution Specialist IHonolulu, HIAssists Supervisor and Coordinator in working as a liaison with providers, members and internal decision makers in representing HMSA objectives, goals, and expectations for meeting contractual, regulatory, and accreditation requirements. Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements.
NewCase Assistant Gordon Rees Scully Mansukhani, LLPCase AssistantHonolulu, Hawaii$36,500–$65,000 / yearFull timeDisclaimer: Reposting positions from this website does not authorize search firms or other third parties to directly solicit candidates on the firm’s behalf or represent a relationship with the firm. Overview: Gordon Rees Scully Mansukhani, a national law firm with offices in all 50 states, has an immediate opening for a Case Assistant in its Honolulu office.
Manager, Utilization Management TriWest Healthcare AllianceManager, Utilization ManagementHonolulu, HIRemoteFull timeTechnical Skills: Thorough knowledge of health care delivery, clinical quality assurance program metrics, UM, CM,CC, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations. Manages prospective and concurrent Utilization Management (UM) programs including prior authorization, concurrent inpatient and continued stay reviews including authorization and management of selected post inpatient care.
Director of Risk Management and Safety Foodland Super MarketDirector of Risk Management and SafetyHonolulu, HawaiiThe Director of Risk Management & Safety is responsible for the strategic oversight and day-to-day administration of the company’s risk management, insurance, workplace safety, and workers’ compensation programs for a diverse workforce of approximately 5,000 employees of the company and affiliated entities supported by the company. This role ensures compliance with Hawaii-specific regulatory requirements, minimizes financial and operational risk, reduces workplace injuries, and supports a safe work environment across retail stores, distribution, offices, and support operations.
Medical Assistant III - #1531 Loan Administration Network, Inc (LANI)Medical Assistant III - #1531Honolulu, HIThe Medical Assistant performs routine front and back office duties for multispecialty exams and a variety of clients, to include reception of examinees, answering phones, performing data entry in electronic health record (EHR) and case management systems, exam report reconciliation, appointment scheduling, and assisting in the examination process of examinees under the direction of a physician or other licensed provider. Competencies: • Strong clinical competencies including but not limited to accurate manual and electronic measurement of vital signs, venipuncture, immunizations/injections, administering EKG, spirometry, and vision and hearing screens for occupational health customersKnowledge of sterile technique, and how to don, doff, and store N95 mask in order to pass a respiratory fit test.