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Weekend Case Reviewer Jobs in Hawaii (NOW HIRING)

Altais, Inc.

Per Diem Medical Director

Honolulu, HI · On-site

This is a Per Diem opportunity covering selected weekdays, weekends and holidays. You will focus on ... Chart Reviews for Appropriateness of applying clinical guidelines. * Physician to Physician liaison ...

Alpha, Inc.

Special Projects - Estate Cleaner

Kahului, HI · On-site

$22 - $28/hr

Flexibility to work evenings and weekends. * Familiarity with green or eco-friendly cleaning ... A background check conducted after a conditional offer; past issues will be reviewed on a case-by ...

LanceSoft

Travel Nurse RN - Home Health

Kaneohe, HI · On-site

Collaborates with acute care case managers to ensure appropriateness on ongoing care.Coordinates ... Rotating Weekends as needed (2-3 per month) StateLicenses:Hawaii Facility Description:Adventist ...

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Weekend Case Reviewer information

What is the difference between Weekend Case Reviewer vs Medical Claims Processor?

AspectWeekend Case ReviewerMedical Claims Processor
Required CredentialsHigh school diploma or equivalent; some roles may require healthcare or legal certificationsHigh school diploma or equivalent; familiarity with insurance policies often preferred
Work EnvironmentRemote or office-based, reviewing cases on weekendsTypically office or remote, processing insurance claims during weekdays or weekends
Employer & Industry UsageHealthcare, insurance, legal sectorsHealth insurance companies, third-party administrators
Comparison Search IntentUnderstanding roles involving case review on weekendsUnderstanding claims processing tasks and responsibilities

The Weekend Case Reviewer primarily focuses on reviewing cases during weekends, often requiring healthcare or legal knowledge. In contrast, a Medical Claims Processor handles insurance claims, usually during regular business hours. Both roles may be remote and are common in healthcare and insurance industries, but they differ in daily tasks and specific credentials needed.

What cities in Hawaii are hiring for Weekend Case Reviewer jobs? Cities in Hawaii with the most Weekend Case Reviewer job openings:
Weekend Case Reviewer jobs near you

HICM+ Case Manager

Institute for Human Services

Honolulu, HI • On-site

$21.15/hr

Full-time

Re-posted 11 days ago

Job description

The Institute for Human Services (IHS) is Hawaii's most comprehensive human services agency dedicated to ending and preventing homelessness. For over 45 years, we've been at the forefront of creating tailored solutions for those in crisis, offering a continuum of care that includes emergency shelters, housing programs, health services, employment assistance, and outreach.

The HICM+ Case Manager manages a caseload of consumers and provides intense case management services for our homeless SMI population. This position works collaboratively with the treatment team to implement a client centered master individualized recovery plan (MIRP) along with Behavioral Health Assessment and to include the acuity determination (LOCUS). The HICM+ Case Manager provides quality case management to include supportive counseling, outreach, and provision of safe, decent and affordable housing opportunities, skills teaching/education, family support, service coordination/advocacy, and crisis support.

Compensation: Starting from $21.15 hourly, actual pay commensurate with experience.

Essential Functions:

  1. Demonstrate excellent customer service consistent with the standards contained in the Vision, Mission, and Values of the organization.
  2. Manage a caseload and ensure the coordination of all case management services to include the development of a Master Individualized Recovery Plan (MIRP), completion of the behavior health assessment; acuity determination and crisis plan reviews.
  3. Engage with consumers 1-2x per week and meet consumer outcomes by determining the objectives needed to reach the clients recovery goals and identifying service needs that may or may not include contact with individuals, families, guardians, and/or significant others if the client desires.
  4. Make collaborative outreach attempts, including transportation of consumers as needed, to other involved or needed providers to coordinate members care as necessary.
  5. Participate in crisis intervention services and assesses needs, develops and coordinates written crisis plans when indicated in coordination with clients psychiatrist or APRN-RX.

Required Knowledge/Skills/Abilities:

  1. Working knowledge of community resources available to homeless or disenfranchised individuals including knowledge of substance abuse treatments, diagnosis and support services for clients with severe and persistent mental illness.
  2. Effective problem solving and organizational skills and able to work independently under general direction.
  3. Able to effectively communication and interact with professionals, partnering agencies and clients with severe and persistent mental illness and/or substance abuse problems; Able to document these interactions and services in the systems of record per contract standards.
  4. Possess personal qualities of integrity, patience and commitment to mission.
  5. Flexible and able to multitask; can work within an ambiguous, fast-moving environment.

Required Education and Experience:

  1. Bachelors degree from an accredited university or college, preferably in social work, psychology, human services or related field with minimum 12 semester credit hours in courses such as psychology, counseling, criminal justice, human services, social work, social welfare, sociology or other behavioral sciences.
  2. Minimum of 1 1/2 years of clinical skill and experience to assess, plan, develop, coordinate, and provide treatment, rehabilitation, and support services to program clients with severe and persistent mental illnesses
  3. Access to vehicle and appropriate no-fault insurance with valid drivers license and clean abstract.

Position Type/Expected Hours of Work:

Regular Full-Time classification. Generally Monday through Friday and some weekends. Hours and days may vary based on the needs of the consumers and organization.

IHS is an Equal Opportunity Employer, maintains a Drug and Alcohol-free Workplace, and is proud to be an employer of national service.

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