RN Leader: Clinical Review & Utilization Mgmt
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HMSA in Hawaii seeks an experienced Nursing Leader to manage multiple units across locations, providing leadership and alignment with strategic initiatives. The role ensures compliance with HMSA, NCQA and DOL standards for preauthorization activities and oversees LTSS, CIS and EVV programs. The ideal candidate holds an RN license in Hawaii with 2+ years of supervisory experience and a proven ability to train staff, develop workflows and collaborate with partners across the healthcare landscape. #J-18808-Ljbffr Socket.dev
- Hawaii Medical Service Association is seeking a Nursing Utilization Management supervisor to oversee nurse review teams, drive preauthorization, payment... ...supports a hybrid work model based in Hawaii, requiring RN licensure in Hawaii and extensive leadership, workflow...Suggested
- ...Utilization Manager Registered Nurse (UMRN)Spectrum Healthcare Resources has a need for a... ...from the Nurse's home. The Nurse will be reviewing cases, educating patients on... ...requirements, the HCWs must have pertinent clinical experience within the past two (2) years...SuggestedFull timeContract workWork at officeRemote workWork from homeMonday to Friday
- ...operations with HMSA strategic initiatives, ensure compliance with HMSA, NCQA and DOL standards for preauthorization and concurrent reviews, and oversee LTSS, CIS and EVV programs. Collaborate with internal and external partners, mentor staff, manage resources, and drive...Suggested
- ...physicians, and other department leaders to ensure that clinical operations are efficient... ...and ancillary personnel utilizing both professional and supervisory... ...Registered Nurse (RN) licensure in the state of... ...Conducts emergency preparedness reviews. Performs other job-...SuggestedFull timeWork experience placementShift work
$32.93 - $36.59 per hour
...and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records... ...information on patient; informs RN or practitioners regarding incomplete... ...vaccine inventories. Utilizes file maintenance to ensure newly...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaShift work- ...and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records... ...information on patient; informs RN or practitioners regarding incomplete... ...vaccine inventories. Utilizes file maintenance to ensure newly...
$90k - $120k
...RN Clinical Manager — Home Health (Honolulu, HI)BAYADA Home Health Care is hiring an RN Clinical Manager for our Oahu Visits (OAV) office... ....Oversee service quality, including clinical documentation review and key performance measures.Match the right clinicians to each...Temporary workWork at officeLocal areaRelocation packageFlexible hours$110k
Clinical Supervisor (RN) - Home Health | Oahu $110,000 annually Lead with purpose. Support clinicians. Improve patient outcomes. Kimura Home... ...oversee and guide clinical staff, support care coordination, review documentation, and help maintain compliance with Medicare...Flexible hours- Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work... ...entirely remotely from home. The nurse will review cases, educate patients on appropriate... ...compact preferred), and at least 2 years of RN UM experience (remote/hybrid preferred)....Remote jobWork from homeMonday to Friday
$45 - $52 per hour
Overview Job Title: Registered Nurse (RN) Case Management Reviewer/Service Coordinator Company: Acro Service Corp Duration: Through June... ...agencies, payers, consumers, etc.). Conduct utilization reviews of clinical information to determine eligibility and appropriateness...Work at officeMonday to FridayFlexible hours- ...physicians, and other department leaders to ensure that clinical operations are efficient... ...and ancillary personnel utilizing both professional and supervisory... ...Registered Nurse (RN) licensure in the state of... ...Conducts emergency preparedness reviews. Performs other job-...Full timeWork experience placementShift work
- A leading electric utility provider in Hawaii seeks an Environmental Scientist or Senior Environmental Scientist. The role involves ensuring regulatory compliance and managing environmental projects across the Hawaiian Islands. Candidates should demonstrate expertise in...
- Hawaii State Department of Education seeks qualified applicants for Clinical Psychologist VI positions serving students across schools in the Leeward District. The posting notes vacancies at VI level with external applications possible at V level if needed. Key duties...
$6,535 - $7,952 per month
A government educational agency in Hawaii is seeking a Clinical Psychologist VI to provide vital services to students. Responsibilities include psycho‑diagnostic and psychotherapeutic support, alongside supervision of staff. Candidates are expected to hold a doctoral degree...- The State of Hawai'i, Department of Health, seeks licensed clinical psychologists on Oahu to provide psychotherapy, consultation and related professional services in a civil service setting. Positions involve prevention, education, training and/or research; some roles...
$140k - $200k
...Jacobs is seeking an Architectural Group Leader to lead and grow our architecture... ...delivery and performance.• Optimizes financial utilization and balances team workload to support... ...including: o Ensuring adherence to quality review processes.o Leveraging team resources to...Full timeContract workFor subcontractorWork at officeLocal areaRemote work$57.1k - $121.9k
...mail open, cashier, image capture, image review, data entry, bookprint, quality control,... ...located in Honolulu, Hawaii.The Section Leader leads and manages a team of Support Associates... ..., including;Four (4) years of experience utilizing a variety of office software,...Contract workFor contractorsWork at office- ...Islands Health Care System. The RN functions as a core member of... ...and a subject matter expert - utilizing an inter-professional approach... ...for wound management Clinical Procedures: Administering and... ...Services program office after review of the EDRP application Former...Permanent employmentTemporary workWork at officeImmediate startRemote workRelocation package
- ...Job Title Independently provides education, support, and clinical care to patients participating in oncology clinical trials. Coordinates... ...for a Bachelor's Degree.) Must possess a State of Hawai'i RN license Must complete Collaborative Institutional Training Initiative...Flexible hours
- ...is seeking an experienced Registered Nurse to support oncology clinical trials in Honolulu. You will educate patients, coordinate visits... ...investigational therapies within study protocols. The role requires Hawaii RN licensure, BLS/ACLS, CITI training within 3 months, and 4+ years...
- Center for Social Dynamics (CSD) seeks a Clinical Leader to mentor Behavior Specialists, supervise fieldwork, and advance clinical quality. You will lead on-site and community visits, guide parent education aligned with goals, and partner with Training and Operations to...
- ...(BCBA) to design, implement, supervise, and evaluate ABA therapy programs across clients’ lifespans. The role supports telehealth, clinic, home, or school settings. You will collaborate with SLPs, OTs, PTs, and educators, supervise RBTs, ensure data-driven progress, and...Flexible hours
- Continuum Behavioral Health is a BCBA-led ABA organization focused on ethical, evidence-based care and sustainable clinical practice. We offer smaller caseloads, supportive supervision, and flexible scheduling for BCBAs delivering meaningful, data-driven outcomes in both...Flexible hours
- ...treatment programs. This role provides mentorship and collaborative support to clinicians while you build confidence and advance your clinical expertise. You’ll conduct assessments, supervise RBTs, analyze data, train caregivers, and maintain ethical documentation in a...
- Kahu Malama Nurses in Honolulu, HI is seeking an Infection Prevention & Control (IPC)/OEH Coordinator to lead infection prevention and environmental health initiatives. The role focuses on maintaining a safe environment for patients, staff, and visitors and ensuring regulatory...
- Maui Health is seeking a registered nurse to provide comprehensive nursing care to patients and families in a dynamic clinical setting. The role includes directing licensed practical nurses and assistive personnel, delegating tasks, and upholding regulatory guidelines...
$65k - $83k
...Psychiatric RN Coordinator AlohaCare is a local, non-profit... ...effective healthcare utilization, monitors health care resources... ...Team (ICT) to achieve optimal clinical and resource outcomes. Takes... ...purpose of assessments, teaching, reviewing and administering ordered medications...Work at officeLocal areaWeekend workAfternoon shift- FaithCare Hawaii is seeking a Clinic Community Liaison for Executive Health Lounge in Honolulu. This part-time startup-phase role focuses on ethical outreach, relationship-building, and community partnerships to promote health and wellness services. The position offers...Hourly payWeekly payPart timeFlexible hours
- Center for Social Dynamics seeks a Clinical Leader to coach Behavior Specialists, lead in-field practice, and elevate clinical quality across home, school, and community settings. You’ll mentor teams toward BCBA certification, participate in structured training via CSD...
- Center for Social Dynamics in Honolulu, HI seeks a Clinical Leader to mentor Behavior Specialists, oversee in-field coaching, and advance clinical quality toward BCBA certification. You will conduct home and community visits, ensure fidelity of programming, and partner...
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