17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Lead the collections, delinquency, and cancellation process. Analyzes billing and payment data to ensure that payments are collected timely and in compliance with applicable laws and regulations. Independently resolve identified systemic problems, escalating issues to management as necessary. Manage exception processes to ensure proper payment application and delinquency processing. Lead the pr...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Demonstrate understanding of the department's primary business functions (subject matter expert) by developing proficiency to: Effectively represent the department on projects Write business requirements, test cases, decision documents, and other artifacts as needed Resolve operational issues identified as obstacles to solution delivery Understand and manage risks and success criteria Perform e...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Conduct timely face to face health functional/risk assessments and develop, document, and implement targeted service/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a team of decision-makers to develop a service/care plan including the PCP, other providers as appropriate, the member, and others determined by the member includ...
17-Jan-2019'Ewa Beach, HI+19 milesHealthcare Jobs
We are a general dentistry practice and we provide our very best care to patients of all ages in a comfortable, caring, and fun environment. Our goal is to build lasting relationships with our patients while setting them up with the knowledge and tools to take their oral health to the next level. We are looking to hire a Part-Time Dental Hygienist who is as enthusiastic about dentistry as we ar...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Works closely with the Provider to develop, implement and maintain strategic initiatives to deliver quality care, improved access for HMSA members and to build a sustainable health care system by bending the cost trend across all lines of business. Collaborate in setting the strategic direction for the business relationship between HMSA and Provider. Utilize the quality improvement principles a...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Works closely with all providers to develop, implement and maintain strategic initiatives to deliver quality care, improved access for HMSA members and to build a sustainable health care system by bending the cost trend across all lines of business. The size (determined by numbers of physicians and attributed members) determines the skill level and career path for the individual in this positio...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Neuroscience Account Manager - Psychiatry - Honolulu, HI Location: Hawaii Other Location: Honolulu Description Territory: Honolulu, HI - Psychiatry Target cities for territory is Honolulu - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries includes: Hawaiian Islands SUMMARY: Lundbeck is the only global pharmaceutical c...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
The Program Manager meets with external stakeholders, including Centers for Medicare & Medicaid Services, state MedQUEST Division representatives, Physician Organization leadership, Federally Qualified Health Center leaders, and physician practices, for strategy development and quality program management. Coreo Provider Services Product Development and Management Works with Navvis and consultan...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Triages and coordinates case resolution with internal business areas to respond (in writing or telephonic) timely and accurately to provider inquiries regarding claims, benefits and issues that include medical or payment policy questions and provider appeals. Monitors and analyzes case trends to proactively identify opportunities for improvement and/or development. Maintains the data integrity ...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Analyzes, researches and interprets medical and claims data while processing authorization requests. Authorizes requests that clearly meet specified criteria according to department guidelines. Refers requests to Medical Directors for determination when appropriate following department and regulatory guidelines. Ensures necessary medical record information, previous review determinations and ot...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Engagement, Assessment and Planning Engages members with the Event Driven Care program (outreach and successful enrollment) in facilities and other settings using system generated alert, census data or other sources which identify that patients have been admitted in the hospital, or registered in the Emergency Department, and their relative risks for readmission. Engages with facility and other...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Working closely with HMSA Provider Services leadership, you are responsible for leading and managing the hospital contracting function in Provider Services and building a high functioning hospital contracting and relationship management team that helps transform our transactional relationships to strategic provider partnerships with value based payment agreements. These responsibilities include...
17-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Engagement, Assessment, and Planning Applies social work interventions in the field, or within a telephonic environment, as required to guide the development and implementation of patient-centered action to optimize their function. Effectively engages the patient, the physician and/or other healthcare professionals, utilizing interpersonal skills to build relationships based on rapport and trus...
17-Jan-2019'Ewa Beach, HI+19 milesHealthcare Jobs
Job details: The Registered Nurse performs nursing assessment, initiates the patient's treatment plan for identified patient needs, intervenes according to established standards of care and current acceptable nursing practice, and evaluates results of nursing care--modifying treatment plans as indicated. The RN supervises nursing care provided by other members of the nursing staff and is respon...
16-Jan-2019Kaneohe, HI+4 milesHealthcare Jobs
Join our not-for-profit organization that has provided nearly 100 yrs of housing and services to seniors with a commitment to quality care and service in a Christian environment. Show YOU care, join us today! Staff Nurse LPN/LVN - On Call Location: 1470 - GSS Pohai Nani 45-090 Namoku St Kaneohe, Hawaii, 96744-5399 United States Employment Type: On Call / PRN Hourly: 22.19 - 23.90 Shift: Rotatin...
15-Jan-2019'Aiea, HI+13 milesHealthcare Jobs
Practice what you love in Paradise! Seeking a BC/BE Surgical Oncologist who is interested in a GREAT opportunity! Our office space is located adjacent to the hospital overlooking majestic Pearl Harbor in the center of a busy community, an area of tremendous growth, outside of busy Honolulu! Very competitive pay * A team of well-trained and collegial surgeons * Excellent complete benefits * 1:5 ...
15-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Position description Oahu Home Healthcare - Physical Therapist (PT) As a home health physical therapist with Oahu Home Healthcare, you will provide 1 on one therapeutic treatment to patients in their home. Physical therapists will have autonomy in their work in addition to the support and collaboration of a full team of healthcare professionals. Responsibilities : Collaborate with physicians, n...
15-Jan-2019Kaneohe, HI+4 milesHealthcare Jobs
Requisition ID: 89074 Store # : 000616 LensCrafters Position: Part time At LensCrafters, we love eyes and we care about the people behind them. LensCrafters is the largest optical retailer in North America with 900+ stores and as part of an eyewear industry innovator, Luxottica, our love of eyes and higher standard of quality have made LensCrafters a leader in vision care for over 30 yrs. With ...
15-Jan-2019Honolulu, HI+10 milesHealthcare Jobs
Honolulu, on the island of Oahu s south shore, is capital of Hawaii and gateway to the U.S. island chain. The Waikiki neighborhood is its center for dining, nightlife and shopping, famed for its iconic crescent beach backed by palms and high-rise hotels, with volcanic Diamond Head crater looming in the distance. Sites relating to the World War II attack on Pearl Harbor include the USS Arizona M...
14-Jan-2019Kaneohe, HI+4 milesHealthcare Jobs
The Unit Clerk is responsible for clerical and administrative support for the clinic(s) operation. Responsibilities: Answer phones; greet patients and visitors in a professional manner. Update and maintain medical records; prepare patient records and charts for daily treatments, and assist in auditing records for ongoing compliance as required. Input PD fees, acute care, and other fees as reque...