FULL_TIME

FEED

OTHER

Applies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.

TriWest Healthcare Alliance

Utilization Clinical Reviewer

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Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

UNKNOWN

You will work as part of the BerryDunn Program Integrity team, and work closely with MQD Program Integrity staff, audit and TPL specialists, data analysts, compliance staff, vendor partners, and other workstream members to help identify risks, interpret policy, improve internal controls, escalate issues for leadership, and support recovery efforts. You Will: Conduct detailed reviews of Medicaid claims and related provider, member, eligibility, financial, and operational data to identify, document, and escalate potential fraud, waste, abuse, improper payments, compliance issues, and operational risks.

YEAR

BerryDunn

Medicaid Program Integrity Senior Consultant

[AW]-iCims

Our primary care clinic includes a physician led team with 3 other primary care physicians and a family practice APRN in addition to 2 pediatricians, 2 psychiatry physicians, a psychiatry APRN, a wound care clinic, an infectious disease physician, and a Native Hawaiian focused integrated health care program. Additionally, the hospital has an oncology clinic with an infusion center, a cardiology clinic, an OB/Gynecology clinic, a specialties clinic that includes orthopedics and general surgery, and support from an interventional radiologist within Queen’s North Hawaii Community Hospital itself and our clinic sites.

The Queen's University Medical Group

Physician, Primary Care (North Hawaii Community Hospital, Big Island)

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Provides consultation on business requirements and functional specifications in logical program designs, code modules, application systems, and software solutions; facilitates the transition to high level design and supports the project lifecycle with input from leadership where needed. Serves as a technical lead for project teams throughout the implementation and maintenance of business and enterprise software solutions by leveraging partnerships with technology teams and business leaders to resolve escalated issues.

Old Dominion Freight Line Inc

Application Delivery Technical Lead

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This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Director, Population Health

Software Developer, Full Stack Engineer, Web Developer, Front End Developer, Back End Developer, JavaScript Developer, UI Developer, Application Developer, Front End Engineer, React Developer, Vue Developer, Angular Developer, UI/UX Developer, Full Stack Software Engineer, ect. Computer Science, Software Engineering, Information Technology, Computer Engineering, Web Development, Information Systems, Data Science, Human-Computer Interaction, Cybersecurity, Mathematics, etc.

Cymertek

Full Stack Developer (ReactJS, Vue, Angular)

Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).

HOUR

Fresenius Medical Care AG & Co KGaA

Registered Nurse - RN - Dialysis

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Fresenius Medical Care North America is a wholly owned subsidiary of Fresenius Medical Care AG & Co. KGaA, located in Bad Homburg, Germany. Through our dialysis services entity, Fresenius Medical Services, we operate more than 2,100 outpatient dialysis clinics in the U.S. Our Renal Therapies Group is responsible for the manufacture and distribution of a variety of dialysis products and equipment, including dialysis machines, dialyzers and other dialysis-related supplies. 

Fresenius Medical Care

Remit accurate project quantities using assigned project cost coding to ensure project financials are accurately reported. Notifies engineering and project management of any significant schedule changes and develops solutions to mitigate delays and cost.

Flatiron Construction Corp

Senior Mechanical Engineer - Construction

Project Engineer

Project Engineer Utilities

Senior Mechanical Engineer Construction

Project Engineer - Utilities

Reporting to the Executive Sous Chef or the Executive Chef for the unit, the Sous Chef, Operations assists the Executive Sous Chef Operations or the Executive Chef in designing and preparing meals for airline customers. Prepares daily production sheet and assigns tasks to employees; works with and directs employees through the use of the production sheet and passenger counts.

Gate Gourmet is the world’s largest independent provider of airline catering and provisioning services. We are also very active in adjacent markets.
With more than sixty years of experience in providing appealing food and beverage options, designed to fit any budget, we offer: A wide range of culinary solutions
"Last mile" provisioning to aircraft
Catering and provisioning services for non-airline business, such as railway companies, lounges, and convenience retailersGate Gourmet is the core business behind gategroup, whose ten associated companies offer customers a comprehensive scope of products and services for virtually any onboard need - from innovative menu design to stylish packaging to sophisticated supply chain solutions.

Gate Gourmet Inc

Sous Chef (Japanese Cuisine), Operations

Minimum Qualifications: Possession of a pertinent baccalaureate educational degree in Management Information Systems, Computer Science, Information & Computer Sciences, or related field and 3 years of progressively responsible professional information technology experience with responsibilities for applications development, of which 2 years of the experience must have been comparable in scope and complexity to the next lower payband in the University of Hawaii broadband system; or any equivalent combination of education and/or professional work experience which provides the required education, knowledge, skills and abilities as indicated. In accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, annual campus crime statistics for the University of Hawaii may be viewed at: https://www.hawaii.edu/titleix/help/campus-security/ , or a paper copy may be obtained upon request from the respective UH Campus Security or Administrative Services Office.

University of Hawaii

IT Specialist (0079948)

About The Role: Support the Hotel Controller to manage and oversee the efficient running of the Finance department maintaining accurate and timely records whilst ensuring all accounting procedures and guidelines are carried out as per company policy and statutory regulations. Timely completion of other accounting and administrative duties as required by the Hotel Financial Controller and Regional Financial Controller, Executive Director of Finance, Corporate Compliance and the Finance Shared Services team.

Accor SA

HOTEL ACCOUNTANT

MEP Project Engineer

GENERAL EXPERIENCE: Must have experience, education, or training in a variety of operations or situations concerned with substance or content of supply actions, requiring ability to decide course of action to take, considering the circumstances or conditions encountered; experience with basic or commonly applied rules, procedures, or operations such as, filling out, posting, filing, controlling, or coding documents and/or transactions; experience using computer and automation systems. AREA OF CONSIDERATION: This position is in the Excepted Federal Civil Service "under the authority of 32 U.S.C. 709" and is open to Category 1: All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All current military members of the Florida National Guard; and Category 4: All individuals who qualify for membership in the Florida National Guard and are willing to become T32 Dual Status technicians.

ORGANIZATION
The Army, as one of the three military departments (Army, Navy and Air Force) reporting to the Department of Defense, is composed of two distinct and equally important components: the active component and the reserve components. The reserve components are the United States Army Reserve and the Army National Guard.


Regardless of component, the Army conducts both operational and institutional missions. The operational Army consists of numbered armies, corps, divisions, brigades, and battalions that conduct full spectrum operations around the world. The institutional Army supports the operational Army. Institutional organizations provide the infrastructure necessary to raise, train, equip, deploy, and ensure the readiness of all Army forces. The training base provides military skills and professional education to every Soldier—as well as members of sister services and allied forces. It also allows the Army to expand rapidly in time of war. The industrial base provides world-class equipment and logistics for the Army. Army installations provide the power-projection platforms required to deploy land forces promptly to support combatant commanders. Once those forces are deployed, the institutional Army provides the logistics needed to support them.


Without the institutional Army, the operational Army cannot function. Without the operational Army, the institutional Army has no purpose.

OUR PURPOSE REMAINS CONSTANT
To deploy, fight and win our nation’s wars by providing ready, prompt and sustained land dominance by Army forces across the full spectrum of conflict as part of the joint force.

The Army mission is vital to the Nation because we are the service capable of defeating enemy ground forces and indefinitely seizing and controlling those things an adversary prizes most – its land, its resources and its population.

United States Army

SUPPLY TECHNICIAN (TITLE 32)

Proficiency with accounting software systems (Yardi, MRI, or similar property management platforms strongly preferred) and advanced Microsoft Excel skills including pivot tables, VLOOKUP, sorting/subtotals, and financial modeling. This position offers the opportunity to manage the complete accounting cycle for a single retail shopping center while partnering closely with property management teams and clients to drive informed business decisions.

JLL is a financial and professional services firm specializing in commercial real estate services and investment management. We create value for companies and institutions that invest in and use real estate. With 60,000 employees across 280 corporate offices worldwide, we serve the local, regional and global real estate needs of corporates and investors in more than 80 countries. Our integrated services offering is grounded in expertise in all property types, a deep understanding of real estate markets and capital markets, and is coordinated and consistent across geographies.

Coding Manager Jobs in Hawaii

Utilization Clinical Reviewer TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Medicaid Program Integrity Senior Consultant BerryDunn

Physician, Primary Care (North Hawaii Community Hospital, Big Island) The Queen's University Medical Group

Application Delivery Technical Lead Old Dominion Freight Line Inc

Director, Population Health TriWest Healthcare Alliance

Full Stack Developer (ReactJS, Vue, Angular) Cymertek

Registered Nurse - RN - Dialysis Fresenius Medical Care AG & Co KGaA

Registered Nurse - RN - Dialysis Fresenius Medical Care

Senior Mechanical Engineer - Construction Flatiron Construction Corp

Project Engineer Flatiron Construction Corp

Project Engineer Utilities Flatiron Construction Corp

Senior Mechanical Engineer Construction Flatiron Construction Corp

Project Engineer - Utilities Flatiron Construction Corp

Sous Chef (Japanese Cuisine), Operations Gate Gourmet Inc

IT Specialist (0079948) University of Hawaii

HOTEL ACCOUNTANT Accor SA

MEP Project Engineer Flatiron Construction Corp

SUPPLY TECHNICIAN (TITLE 32) United States Army

Sr Associate I - Retail Client Accounting JLL

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