- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- 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 ... 153,483 USD per year **Category:** Nursing **Minimum Qualifications:** Current Hawai'i Registered Nurse license. Bachelor's degree and/or equivalent combination… more
- Hawaii Pacific Health (Lihue, HI)
- …long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. \#Bonus1 ... combinations of medical, financial or social intervention. As the RN Case Manager , you will ensure the...Manager , you will ensure the considerate and confidential management of unique and high-risk patient cases by performing… more
- Somatus (Pearl City, HI)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... the team members. + Uses protocols and pathways in line with established disease management and care management programs and approved by medical management … more
- Queen's Health System (Honolulu, HI)
- …QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State license as a Registered Nurse . * Bachelor's degree in Nursing. * Master's degree ... role highly preferred. * Experience to demonstrate: o Knowledge of case management , utilization review processes and discharge management . o Knowledge of… more
- Sharecare (Honolulu, HI)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- CenterWell (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more