Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees * Meets regularly with vendor's operational areas to assist ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
Creation of the electronic file within the Utilization Management (UM) management system for review. * Adhering to the guidelines and processes for management of documents within the Fax Manager ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
Case Manager & Care Coordinator - Maui Lani
Wailuku, HI · On-site
$121K/yr
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Case Manager & Care Coordinator - Maui Lani
Wailuku, HI · On-site
$121K/yr
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
* Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM ...
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or ...
New
Um information
See Hawaii salary details
$40.5K - $52.2K
15% of jobs
$52.2K - $63.9K
8% of jobs
$65.6K is the 25th percentile. Wages below this are outliers.
$63.9K - $75.7K
15% of jobs
The median wage is $83.1K / yr.
$75.7K - $87.4K
20% of jobs
$87.4K - $99.1K
11% of jobs
$104.9K is the 75th percentile. Wages above this are outliers.
$99.1K - $110.8K
13% of jobs
$110.8K - $122.5K
5% of jobs
$122.5K - $134.2K
3% of jobs
$134.2K - $145.9K
4% of jobs
$145.9K - $157.6K
3% of jobs
$157.6K - $169.3K
3% of jobs
$40.5K
$93K
$169.3K
How much do um jobs pay per year?
What is an Um?
What are the key skills and qualifications needed to thrive as an Um, and why are they important?
What is the difference between Um vs Customer Service Representative?
| Aspect | Um | Customer Service Representative |
|---|---|---|
| Required Credentials | High school diploma or equivalent; technical skills | High school diploma; communication skills |
| Work Environment | Call centers, technical support settings | Retail, call centers, online support |
| Industry Usage | Tech, telecommunications, IT | Retail, hospitality, telecom |
| Common Search Intent | Technical support, troubleshooting | Customer inquiries, issue resolution |
Um typically refers to roles focused on technical support or specialized assistance, often requiring technical skills and certifications. Customer Service Representatives handle general customer inquiries and support across various industries. While both roles involve communication, Um roles are more technical, whereas Customer Service Representatives focus on customer relations and problem-solving.
What job categories do people searching Um jobs in Hawaii look for?
The top searched job categories for Um jobs in Hawaii are:
What cities in Hawaii are hiring for Um jobs?
Cities in Hawaii with the most Um job openings:

Job description
- Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors:
- Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements.
- Develops data templates and submission forms.
- Maintains program documentation for auditing purposes.
- Analyzes business issues, including but not limited to new services, contract deliverables, enhancements, etc.
- Troubleshoots workflow issues as well as member/provider complaints and recommend solutions to management and internal departments.
- Reviews status reports to ensure projects progress on schedule within prescribed guidelines. Modify plans as required. Prepares project reports for management, partners, or others as required.
- Identifies and implements opportunities for process improvement in workflows and infrastructure operations. Initiate change and evaluate impact.
- Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation requirements.
- Program interaction/Committee involvement
- Presents vendors' UM program description, program evaluation, and delegation oversight audit reports to HMSA's cross-functional committees
- Meets regularly with vendor's operational areas to assist with oversight of the vendor program and services
- Provides coordination and guidance to other departments and external resources in managing work to support efficient program operations.
- Leads coordination of internal cross-departmental meetings
- Provides training and consultation to vendor staff on an as-needed basis
- Subject matter expertise on program compliance
- Facilitates quarterly UM file reviews with Medical Director's guidance
- Acts as a liaison between vendors and HMSA departments for various audit activities
- Coordinates with vendors to ensure timely and accurate reporting of UM decisions as required by state and federal agencies
- Provides subject matter expertise in evaluating vendors' compliance with NCQA UM standards
- Prepares vendors' documentation in consultation with Quality Improvement department for submission to NCQA during re-accreditation surveys
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
About HMSA
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938