Wellcare jobs in Oahu Island, HI

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Housing Coordinator

Kapolei, HI 96707 (Makakilo-Kapolei area)
The coordinator will identify health plan members who may be eligible for and in need of housing support services and work with low income and at-risk...

Care Coordinator

Kapolei, HI 96707 (Makakilo-Kapolei area)
Corresponds and communicates with providers, vendors, members and various Wellcare departments. Evaluates the pre-service authorization request for Durable...

Customer Service Representative

Kapolei, HI 96707 (Makakilo-Kapolei area)
Makes decisions that are consistent with the concept of a win-win-win for members, associates and WellCare. Responds to member and provider inquiries (phone,...
Desired Experience: Call Center

Quality Practice Advisor

Kapolei, HI 96707 (Makakilo-Kapolei area)
Identifies specific practice needs where WellCare can provide support. Establishes and fosters a healthy working relationship between large physician practices,...
Desired Experience: ICD-10, Certified Nurse Practitioner, CPT Coding, Customer Service, Excel, ICD-9, CPHQ, Medical Terminology, Social Work Certification, RN, Microsoft Powerpoint, NCQA Standards, Counseling Certification, Microsoft Word, Marriage and Family Therapy Certification, Medical Coding Certification, Managed Care

Patient Care Advocate

Kapolei, HI 96707 (Makakilo-Kapolei area)
Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded....
Desired Experience: Patient Care, ICD-10, Social Work Certification, RN, NCQA Standards, CPT Coding, Microsoft Office, Excel, Microsoft Word, Managed Care

Behavioral Health Advocate

Kapolei, HI 96707 (Makakilo-Kapolei area)
Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Coordinates and plans activities and...
Desired Experience: Time Management, Social Work Certification, Excel, Microsoft Word, Managed Care

Service Coordinator

Kapolei, HI 96707 (Makakilo-Kapolei area)
Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care....
Desired Experience: Bilingual, RN, Excel, Microsoft Word, Managed Care

Care Coordination - Supervisor

Kapolei, HI 96707 (Makakilo-Kapolei area)
Oversees the day-to-day activities of the team to achieve quality and service driven objectives. Monitors productivity and quality of outbound calls, inbound...

Network Management Specialist

Kapolei, HI 96707 (Makakilo-Kapolei area)
Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy....
Desired Experience: Network

Service Coordinator - Behavioral Health-Social Work

Kapolei, HI 96707 (Makakilo-Kapolei area)
Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care....
Desired Experience: Bilingual, Case Manager Certification, Excel, Social Work Certification, RN, Microsoft Office, Microsoft Word, Marriage and Family Therapy Certification, Managed Care
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