• Clinical Registered Nurse…

    Cognizant (Honolulu, HI)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/15/25)
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  • Utilization Management Nurse

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
    Humana (11/16/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Honolulu, HI)
    …a fresh perspective on workplace flexibility. Remote Position. Must Reside in Hawaii Registered Nurse (RN) or Licensed Clinician Only. Must have a current ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
    Centene Corporation (10/30/25)
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  • Registered Nurse - Surgical Services…

    Queen's Health System (Kamuela, HI)
    …Bachelor's degree in Nursing preferred. * Current Hawaii State license as a Registered Nurse . * Current certification at BLS/HCP level. Additional certifications ... RESPONSIBILITIES **I. JOB SUMMARY/RESPONSIBILITIES:** * Responsible for coordinating clinical care of patient. * Integrates all health care providers to ensure high… more
    Queen's Health System (10/16/25)
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  • Disease Management Nurse - Remote

    Sharecare (Honolulu, HI)
    …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
    Sharecare (10/22/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Honolulu, HI)
    …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • Case Manager, RN - Case Management

    Hawaii Pacific Health (Honolulu, HI)
    …organizations and other combinations of medical, financial or social interventions. As the Registered Nurse Case Manager, you would ensure the considerate and ... 159,619 USD per year **Category:** Nursing **Minimum Qualifications:** Current Hawai'i Registered Nurse license. Bachelor's degree and/or equivalent combination… more
    Hawaii Pacific Health (09/18/25)
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  • RN - Cath Lab/Cardiac Invasive (Full Time, 36,…

    Queen's Health System (Honolulu, HI)
    …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... addition to the physician performing the procedure room is staffed with 1 Registered Nurse , 1 Cardiovascular Technologist and 1 Radiological Special Procedures… more
    Queen's Health System (09/09/25)
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  • Payment Integrity Clinician

    Highmark Health (Honolulu, HI)
    …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
    Highmark Health (11/14/25)
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  • New to Specialty/Newly Licensed (New Grad) RN…

    Queen's Health System (Honolulu, HI)
    …physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate ... 04/23 Effective Date: 02/03 I. JOB SUMMARY/RESPONSIBILITIES Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure… more
    Queen's Health System (11/21/25)
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