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Managed Care Organization Pharmacy : Hawaii

KAISER FOUNDATION HEALTH PLAN INC
2828 Pa A St  Ste 2400    Honolulu,  HI 96819
808-432-5760
NPI: 1780639724
KAISER FOUNDATION HEALTH PLAN INC
910 Wainee St      Lahaina,  HI 96761
808-662-6945
NPI: 1275674624
KAISER FOUNDATION HEALTH PLAN INC
94 1480 Moaniani St      Waipahu,  HI 96797
808-432-3150
NPI: 1114068574
KAISER FOUNDATION HEALTH PLAN INC
201 Hamakua Dr Bldg B      Kailua,  HI 96734
808-432-3450
NPI: 1366583718
KAISER FOUNDATION HEALTH PLAN INC
56 700 Kamehameha Highway      Kahuku,  HI 96731
808-432-3950
NPI: 1942341318
KAISER FOUNDATION HEALTH PLAN INC
1010 Pensacola St      Honolulu,  HI 96814
808-432-2060
NPI: 1386785731
KAISER FOUNDATION HEALTH PLAN INC
87 2116 Farrington Hwy      Waianae,  HI 96792
808-432-3573
NPI: 1174664536
KAISER FOUNDATION HEALTH PLAN INC
80 Mahalani St      Wailuku,  HI 96793
808-243-6565
NPI: 1699816058
KAISER FOUNDATION HEALTH PLAN INC
45 602 Kamehameha Hwy      Kaneohe,  HI 96744
808-432-3851
NPI: 1669514386
KAISER FOUNDATION HEALTH PLAN INC
75 184 Hualalia Rd      Kailua-kona,  HI 96740
808-334-4433
NPI: 1740322478
KAISER FOUNDATION HEALTH PLAN INC
95 660 Lanikuhani Ave      Mililani,  HI 96789
808-432-4225
NPI: 1033230420
KAISER FOUNDATION HEALTH PLAN INC
55 Maui Lani Pkwy      Wailuku,  HI 96793
808-243-6565
NPI: 1750402228
KAISER FOUNDATION HEALTH PLAN INC
6700 Kalanianaole Hwy  Ste 111    Honolulu,  HI 96825
808-432-3750
NPI: 1154548048
KAISER FOUNDATION HEALTH PLAN INC
Kaiser Kona Pharmacy  74-517 Honokohau Street    Kailua-kona,  HI 96740
808-334-4400
NPI: 1093135493
KAISER FOUNDATION HEALTH PLAN INC
4366 Kukui Grove St Ste 101  Kaiser Lihue Pharmacy    Lihue,  HI 96766
808-246-5624
NPI: 1881068377
KAISER FOUNDATION HEALTH PLAN, INC.
Kaiser Kapolei Pharmacy  599 Farrington Highway    Kapolei,  HI 96707
808-432-3650
NPI: 1992131387
KAISER FOUNDATION HOSPITALS
1279 S Kihei Rd  Ste 120    Kihei,  HI 96753
808-891-6860
NPI: 1629119359
KAISER FOUNDATION HOSPITALS
3288 Moanalua Rd      Honolulu,  HI 96819
808-432-8100
NPI: 1023159480
KAISER FOUNDATION HOSPITALS
3288 Moanalua Rd      Honolulu,  HI 96819
808-432-8100
NPI: 1083755441
KAISER FOUNDATION HOSPITALS
1292 Waianuenue Ave      Hilo,  HI 96720
808-934-4090
NPI: 1740407840
KAISER FOUNDATION HOSPITALS
3288 Moanalua Rd      Honolulu,  HI 96819
808-432-8115
NPI: 1023415593


MANAGED CARE JOBS - Page 1

1 Manager, Care Management Oakland, CA, USA Assists Director in Establishing, implementing and ensuring that care management policies, practices and procedures are in accordance with the Joint Commission, Title 22 and other regulatory agencies ...... Apply Now>>

2 Care Manager II (RN) - Behavioral Health Houston, TX, USA Interqual, NCCN) and government sponsored managed care programs. Licenses/Certifications: Current state's RN license. Texas Requirements: Education/Experience: Graduate from an Accredited School of ...... Apply Now>>

3 Care Manager: POP HEALTH SO (PHSO) Miramar, FL, USA The Care Manager is a member of a dynamic care management team responsible for achieving the highest levels of care transitions for a target population of the Memorial Healthcare System and Memorial ...... Apply Now>>

4 Manager, Medical Staff Services Oakland, CA, USA ... managed care policies, regulatory bodies (TJC, NCQA, CMS, federal and state). 7. Maintains knowledge of accreditation, licensing, and educational requirements; assists in implementation. 8. Assists ...... Apply Now>>

5 Clinical Manager PACU FT/40HRS Santa Fe, NM, USA Description The Clinical Manager is responsible for direction of clinical services in the PACU, Surgical Admitting, Pain Procedures, and Digestive Health. Works closely with the Operating Room ...... Apply Now>>

6 Director of Memory Care & Programs - 1250 Sunnyvale, CA, USA The Director of Memory Care & Programs is a cornerstone of our success, providing comprehensive ... Join our dedicated management team and use your passion to make Belmont Village a Great Place to ...... Apply Now>>

7 Manager, Medical Management- MI Flint, MI, USA Seven (7) years experience and knowledge of Managed Care functions (e.g, medical delivery, regulatory compliance, HEDIS, NCQA). * Three (3) years experience in ambulatory medical management. Job... Apply Now>>

8 RN, Manager Case Management - Care Management Tyler, TX, USA Demonstrated hands-on leadership and operational responsibility in a large/complex healthcare ... Possesses strong personnel management and team building skills that result in a high performing ...... Apply Now>>

9 Dental Practice Manager San Diego, CA, USA ... Management experience? You might be the perfect candidate to join our team ... Children's Choice Central Care & Premier Orthodontics is an established Pediatric and Orthodontic ...... Apply Now>>

10 LPN Med Care Manager Los Angeles, CA, USA Working here is an unbelievable privilege and it will be something I carry with me for the rest of my life!" - Sunrise Team Member At Sunrise, our LPN Medication Care Manager is responsible for ...... Apply Now>>

11 Home Health Start of Care RN San Francisco, CA, USA Coordinates available resources to manage care plan and ensures stated outcomes are achieved * Periodically reassesses or delegates the reassessment of patient needs and revises care plan as ...... Apply Now>>

12 Healthcare Management Consultant Seattle, WA, USA ... Managed care waiver program design, implementation and evaluation Demonstration waiver program design, implementation and evaluation Federal financing options and related compliance Perform financial ...... Apply Now>>

13 Care Manager Sun City West, AZ, USA Explore this unique position as a Care Manager working under the direction of our Licensed Fiduciaries in our West Valley office. We are in need of a compassionate, experienced RN or LPN with an ...... Apply Now>>

14 Resident Care Director - Brand Neww Assisted Living Community! Chicopee, MA, USA Facilitates, with high integrity, the overall coordination and management of care and services for residents and provides supervision of the Resident Services Department through the following:Move In ...... Apply Now>>

15 Quality and Patient Safety Program Manager in Seattle, Washington | Careers at Seattle Cancer Car... Seattle, WA, USA Overview The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a ... The Quality and Patient Safety Program Manager builds and maintains strong relationships with ...... Apply Now>>

16 Business Office Manager - Skilled Nursing Camas, WA, USA Prestige Care and Rehabilitation - Camas is a contracted provider for Medicaid, Medicare and several managed care plans.: U.S. See job URL for more information and EOE statement. For more details go ...... Apply Now>>

17 Manager, Reg Care Management - RN Commerce, CA, USA Preferred: * 3 to 5 years prior acute nursing with critical care experience. * 2 to 4 years managed care/HMO experience in utilization review, case management or discharge planning. * 2 to 3 years ...... Apply Now>>

18 Home Health Clinical Manager Full-Time Seattle WA Lynnwood, WA, USA Supervises, monitors, and ensures competencies and performance of assigned home health care team(s) and ensures the delivery of quality home health services. * Supervises ongoing case management of ...... Apply Now>>

19 Care Manager Toledo, OH, USA To conduct care management, and assessments for individuals in need of community based long-term care. Benefit package. Knowledge of community resources and reliable transportation required. Reliable ...... Apply Now>>

20 RN Weekend Clinical Manager (Remote) San Jose, CA, USA Compassionate care, uncompromising service and clinical excellence - that's what our patients have ... The Weekend Clinical Manager is responsible for the receipt, input, review, and completion of all ...... Apply Now>>

21 Registered Nurse Manager, Cardiovascular Thoracic ICU (Permanent Roles) Beverly Hills, CA, USA Registered Nurse Manager, Cardiovascular Thoracic ICU (Permanent Roles)Includes Cedars Sinai, Stanford Children's and many others. Locations include Los Angeles, Glendale, Beverly Hills, Long Beach ...... Apply Now>>

22 Clinical Manager in St. Paul (Marian), Minnesota | Careers at Cerenity Senior Care Marian of St. ... Saint Paul, MN, USA Manages the care process of the residents by coordinating and overseeing the provided care. Responsibilities Coordinates the admission, care plan, and discharge process. Ensures an admission ...... Apply Now>>

23 Clinical Manager-NICU FT Nights, $10K Sign On Bonus, JDCH: Neonatal ICU Hollywood, FL, USA Manages the daily operations of the assigned department, unit, or function to ensure alignment with departmental and organizational objectives. May provide direct care to patients. Detailed ...... Apply Now>>

24 Family Responsibility Manager Farmington, MI, USA ... care to allow BCBA's to focus on clinical issues and support Centria's dedication to quality ... The manager will also ensure the team is delivering a highly positive experience for clients... Apply Now>>

25 Pharmacy Technician II - Managed Care Pharmacy in Shrewsbury, Massachusetts | Careers at SCHOOL Shrewsbury, MA, USA Overview GENERAL SUMMARY OF POSITION: Under the direct supervision of the Director or designee, the Pharmacy Associate II functions as a team member of the drug utilization review programs within ...... Apply Now>>

26 RN/Registered Nurse Care Coordinator Colorado Springs, CO, USA Experience in managed care, population health, case/care management, utilization management or chronic disease management environment preferred Minimum Education Requirements Completion of accredited ...... Apply Now>>

27 Veterinary Hospital Administrator Ventura, CA, USA ... care and offering exceptional customer service. Responsibilities include managing overall operations of the hospital and creating a collaborative team environment. The ideal candidate is a highly ...... Apply Now>>

28 Business Analyst II Saint Louis, MO, USA Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured ...... Apply Now>>

29 NOW HIRING! Care Navigator Santa Rosa, CA, USA Project Leader/Regional Manager The CareThroughCare Navigator serves as an integral part of the medical care team to help empower and engage patients in their healthcare. While the Care Navigator ...... Apply Now>>

30 UM/UR RN New Hyde Park, NY, USA Company Description Integra MLTC, Inc. ("Integra") is a Medicaid Managed Long Term Care Plan that serves Medicaid beneficiaries in need of long term supportive services to help them live in their ...... Apply Now>>

31 Health & Wellness Director Registered Nurse Chapel Hill, NC, USA Brookdale's Nurse Healthcare Director manage the day-to-day healthcare operations of our senior assisted living communities. Our residents and their families enjoy the peace and assurance of knowing ...... Apply Now>>

32 Clinical Practice Consultant - Midland / Odessa, West Texas Area Odessa, TX, USA ... or managed care experience * 3+ years of experience in Risk Adjustment and HEDIS/Stars * Access to reliable transportation * Ability to travel up to 50% within the West Texas areas of Lubbock ...... Apply Now>>

33 Medicare Compliance Manager San Jose, CA, USA ... Managed Care Manuals, sub-regulatory guidance and knowledge of operations. 2. Work with the Director, Compliance and Compliance team colleagues to create and maintain an effective Medicare compliance ...... Apply Now>>

34 Physician, Primary Care Float - St. Petersburg/Clearwater, FL Clearwater, FL, USA Managed care experience a plus. * Must be able to travel locally. Ready to begin your life s best work? Apply today at www.jobsatoptumcare.com, or contact Lindsay Hale at 727-828-2412. Interested in ...... Apply Now>>

35 Director of Patient Care Services Larkspur, CA, USA Provides guidance and counseling to team leaders/site manager/other supervisors to assist them in continually improving all aspects of hospice care services provided through agency personnel... Apply Now>>

36 Memory Care Director | RN LPN Oakland, CA, USA MEMORY CARE DIRECTOR - Grow your career with MERRILL GARDENS!! Merrill Gardens , a privately-owned ... Knowledge of how to develop and utilize service plans, medication management systems, infection ...... Apply Now>>

37 Business System Analyst-Healthcare San Jose, CA, USA The Contractor must have knowledge of Managed care healthcare experience required Business analysis principles and practices (IIBA or similar certification) Business process design and workflow Use ...... Apply Now>>

38 Resident Care Manager | RN LPN | $5000 Signing Bonus) Issaquah, WA, USA Era Living is seeking a full-time Resident Care Manager (LPN/RN) to become the newest member of our Nursing team located at our University House Issaquah, WA. Competitive Compensation and a Complete ...... Apply Now>>

39 Medical Director (UM/UR) (Remote) New York, NY, USA Utilization review / Utilization management for post-acute care cases (geriatrics) * Predominantly UM work - evaluating cases, start around 8:00 AM CST - go to queue, start working on cases, pre ...... Apply Now>>

40 Regional Care Director Bellevue, WA, USA Effectively oversees the community care team compliance within a region, including efforts from all levels of Care Managers(CM), Medication Care Managers (MCM) and Associate Care Directors (ACD... Apply Now>>



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