Hawaii Medical Service Association
Open positions
3 jobs
4 views last month
Care Manager, LTSS
Open 32d North America
United States
Honolulu, HawaiiAssessment & Planning Conducts comprehensive assessments--including physical, psychosocial, and health literacy evaluations--and interprets relevant diagnostic data to identify member and family needs. Applies critical…
2 views 3 months ago
Nurse Reviewer - Clin Rvw Unit-TT4050
North America
United States
Kapolei, HawaiiUtilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed…
3 views 3 months ago
Concurrent Nurse Reviewer-FUR-TT4045
North America
United States
Honolulu, HawaiiApplies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM work plan. This…