Top 1344 Care manager Jobs in Oahu Island Hi

Practice Performance Manager - Remote in Hawaii
UnitedHealthcare —Honolulu, HI
- $72,800 - $130,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
Clinical Care Coordinator
REHAB Hospital of the Pacific —Honolulu, HI
- $83,208.31 - $124,812.48 a year
- Full-time
- Google Workspace
- Nursing
- RN License
HEALTH SYSTEM SPECIALIST
US Military Treatment Facilities under DHA —Tripler Army Medical Center, HI
- $77,964 - $101,359 a year
- Online Application
- Background check
- High school
- Pass drug screening
8d
Counter Person - Hoolana
Marriott International, Inc —Kahuku, HI
- $28.30 - $35.38 an hour
- Part-time
- Hotel
- High school diploma or GED
- Entry level
Hospice Access Nurse Practitioner
Islands Hospice —Honolulu, HI
- $130,000 - $145,000 a year
- 8 hour shift
- Background check
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
13d
CNA (Weekend Coverage 8a- 8p Saturday and/or Sunday)
Islands Hospice —O'ahu, HI
- $27 - $29 an hour
- Weekends as needed
- Background check
- 18 years or older
- CPR Certification
- Paid holidays
- Health insurance
Quick Apply
Case Manager 3/Driver (Masters Degree)
U.S.Vets Wai'anae —Waianae, HI
- $53,361 - $55,000 a year
- Full-time
- Experience working with individuals with disabilities
- Computer literacy
- BLS Certification
- Mileage reimbursement
- Health insurance
Quick Apply
CNA - Certified Nursing Assistant
Islands Hospice —O'ahu, HI
- $24 - $26 an hour
- Full-time
- 18 years or older
- CPR Certification
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
CNA - Certified Nursing Assistant
Islands Hospice —O'ahu, HI
- $24 - $26 an hour
- Full-time
- 18 years or older
- CPR Certification
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
Case Manager II/Driver Housing First
United States Veterans Initiative —Kapolei, HI
- Up to $25 an hour
- Full-time
- Experience working with individuals with disabilities
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Case Manager II-Driver Supportive Service
United States Veterans Initiative —Kapolei, HI
- $24.04 an hour
- Full-time
- Nursing
- Clean driving record
- RN License
- COVID-19 protective measures
- Health savings account
Quick Apply
Direct Support Professional
Easterseals Hawaii —Honolulu, HI
- $17.50 - $18.50 an hour
- Full-time
- 18 years or older
- Clean driving record
- Microsoft Excel
SRSP Team Lead
CARE Hawaii, Inc —Pearl City, HI
- $23 - $25 an hour
- Full-time
- Microsoft Word
- LMFT
- 18 years or older
Quick Apply
RN Case Manager- Field Nurse
Islands Hospice —Honolulu, HI
- $43 - $50 an hour
- Full-time
- Hybrid work
- Acute care
- CPR Certification
- Nursing
- Mileage reimbursement
- Health insurance
Quick Apply
Accounting Manager
Quality Custom Distribution —Waipahu, HI
- $77,000 - $95,000 a year
- Full-time
- Data analysis skills
- Mid-level
- Office
- AD&D insurance
- Paid holidays
Quick Apply
Credit Union Operations Trainer
University of Hawaii FCU —Honolulu, HI
- $43,000 - $55,000 a year
- Weekends as needed
- Basic math
- Public speaking
- English
- Commuter assistance
- AD&D insurance
Quick Apply
14d
Mental Health Therapist (Hawaii)
SonderMind —Hawaii
- $85 - $105 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Recruiting Manager
Gate Gourmet —Honolulu, HI
- $80,000 - $85,000 a year
- Full-time
- Bilingual
- Background check
- Research
- Health savings account
- Health insurance
Quick Apply
8d
Restaurant Manager
Chili's Hawaii —Mililani Town, HI
- $70,000 - $90,000 a year
- Full-time
- Mid-level
- Health insurance
- Paid time off
Quick Apply
HR Benefits Specialist
HiEmployment —Schofield Barracks, HI
- $30 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
14d

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care manager jobs near oahu island hi

Practice Performance Manager - Remote in Hawaii

UnitedHealthcare -
Honolulu, HI

Apply Now

Job Details

Full-time
$72,800 - $130,000 a year

Qualifications

Customer relationship building
Client relationship development
Presentation preparation

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Practice Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.

The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results.

Positions in this function drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO mgrs, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality and practice performance while reducing medical costs. Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closure, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use of data analytics, technology, workflow changes and clinical support. These roles develop comprehensive, provider-specific plans to increase their physician practice performance, reduce readmissions and improve their outcomes. Generally work is self-directed and not prescribed.

If you are located in Hawaii, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

Functioning independently, travel across assigned territory to meet with providers to discuss UHG tools and programs focused on improving the quality of care for Medicare Advantage Members
Execute applicable provider incentive programs for health plan
Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs
Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes
Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution
Act as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultation. Training will include Stars measures (HEDIS/CAHPS/HOS/med adherence), and Optum program administration, use of plan tools, reports and systems
Coordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals
Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resource
Facilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparation
Provide suggestions and feedback to Optum and health plan
Work collaboratively with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing gaps
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts
Work internally with leadership on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performance
Create strategy and action plans for targeted provider groups to increase healthcare delivery, star ratings, and maximize on gap closures
Weekly commitment of 60% travel for business meetings (including client/health plan partners and provider meetings) and 40% remote work
Works with less structured, more complex issues
Serves as a resource to others

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

5+ years of healthcare industry experience
3+ years of experience working for a health plan and/or for a provider's office
1+ year of STARs experience
Proven solid communication and presentation skills
Proven solid relationship building skills with clinical and non-clinical personnel
Weekly commitment of 60% travel for business meetings (including client/health plan partners and provider meetings) and 40% remote work

Preferred Qualifications:

Consulting experience
Experience in managed care working with network and provider relations/contracting
Solid knowledge of electronic medical record systems
Solid knowledge of the Medicare market
Knowledge base of clinical standards of care, preventive health, and Stars measures
Proven solid problem-solving skills
Proven medical/clinical background
Proven solid financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models)
Microsoft Office specialist with exceptional analytical and data representation expertise; Advanced Excel, Outlook, and PowerPoint skills

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

care manager jobs in oahu island hi

Practice Performance Manager - Remote in Hawaii

Clinical Care Coordinator

HEALTH SYSTEM SPECIALIST

Counter Person - Hoolana

Hospice Access Nurse Practitioner

CNA (Weekend Coverage 8a- 8p Saturday and/or Sunday)

Case Manager 3/Driver (Masters Degree)

CNA - Certified Nursing Assistant

CNA - Certified Nursing Assistant

Case Manager II/Driver Housing First

Case Manager II-Driver Supportive Service

Direct Support Professional

SRSP Team Lead

RN Case Manager- Field Nurse

Accounting Manager

Credit Union Operations Trainer

Mental Health Therapist (Hawaii)

Recruiting Manager

Restaurant Manager

HR Benefits Specialist

I want to receive the latest job alert for care manager in oahu island hi

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