- Sumitomo Pharma (Honolulu, HI)
- …manages within the budget. The Director leads the patient services execution and fosters strategic partnerships with service providers to deliver ... currently seeking a highly motivated and experienced individual for the position of ** Director , Patient Services ** . Primary responsibilities include leading… more
- Hawaii Pacific Health (Lihue, HI)
- …physicians and other caregivers working together to create a healthier Hawai'i. Patient Services Administration supports the hospital/clinic leadership and ... resource planning, medical staff relationships, and research and education initiatives. The Patient Services Administration team works closely with other… more
- Genesis Healthcare (Honolulu, HI)
- …efficient and profitable management of rehabilitation services in assigned site(s) of service . 2. Provides direct patient care. 3. Monitors the standard of ... and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and...account(s). This position also assists in integration of rehabilitation services in all settings. The Director of… more
- Queen's Health System (Honolulu, HI)
- …and objectives approved by the Board of Trustees. Makes a significant contribution to patient care quality and service . Functions as an organizational leader and ... RESPONSIBILITIES I. POSITION DESCRIPTION/ACCOUNTABILITY: A director functions at a high organizational level, providing leadership and direction in the development… more
- Humana (Honolulu, HI)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with… more
- Evolent (Honolulu, HI)
- …NORTHEAST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **Northeast** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- Highmark Health (Honolulu, HI)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration /Management or Public Health **EXPERIENCE** **Required** + 5 years in… more
- Humana (Honolulu, HI)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Evolent (Honolulu, HI)
- …person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or ... Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Queen's Health System (Kamuela, HI)
- …meet quality standards and established organizational goals and objectives. * Performs administrative support activities for the Director . **II. TYPICAL PHYSICAL ... and monitoring of the daily operations for assigned areas for Ambulatory Services . Ensures functions and activities performed are within department and Queen's North… more
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