Case Management Director jobs in Honolulu, HI

Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Case Management Team Leader
  • Mental Health Kokua
  • Wailuku, HI FULL_TIME
  • ESSENTIAL FUNCTIONS:
    Service Responsibility Duties:
        
    1.    Maintain a partial case load of ten to fifteen (10-15) consumers.
    a.     Provide follow-up on service linkage and monitoring of case dispositions with continued client support, as necessary.
    b.    Assess the need for psychiatric and medication evaluations; make appropriate referral consultations with the medical staff.
    c.    Provide direct treatment services; coordinate services; make referrals; develop treatment plans; monitor and evaluate progress; provide ongoing support; provide intake and assessments; and make necessary changes to treatment plans.
    d.    Provide transportation to appointments when appropriate.
    e.    Assist client with budgeting resources when appropriate.
    f.    Assist in accessing medical and psychiatric care. Attend MED management meetings as needed.
    g.    Provide guidance and assistance in seeking and securing entitlements.
    h.    Work in conjunction with nursing staff and other Case Managers in implementing activities involving clients to include individual, group, family and recreational activities congruent with the client’s individual treatment plan.
    i.    Participate in collateral, conjoint, and family conferences necessary to client’s achieving treatment goals and objectives.
    j.    Recognize and accept changes in duties and responsibilities consistent with agency requirements and national standards, appropriate to the context of the Case Manager position.
    k.    Continually monitor and update consumer’s electronic record system.


    Case Management Supervision Duties:

    1.    Provide weekly supervision of case managers including:
    a.    Reviewing contact consumer tracker forms.
    b.    Meeting acuity levels of assigned consumers.
    c.    Completing behavioral assessments within 14 days of referral.
    d.    Completing treatment plans within 30 days of referral.
    e.    Providing follow-up with consumers discharged from psychiatric inpatient hospitalization within 7 days.
    f.    Assist with consumers to avoid re-psychiatric hospitalization within 30 days.
    g.    Make appropriate referral consultations with the medical and psychiatric staff.

    2.    Assist Case Managers to provide direct treatment services; coordinate services; make referrals; develop treatment plans; monitor and evaluate progress; provide ongoing support; provide intake and assessments; and make necessary changes to treatment plans.

    3.    Assist in accessing medical and psychiatric care. Attend case management team meetings as needed. Participate in collateral, conjoint, and family conferences necessary to client’s achieving treatment goals and objectives.

    4.    Work in conjunction with nursing staff and other Case Managers in implementing activities involving clients to include individual, group, family and recreational activities congruent with the client’s individual treatment plan.

    5.    Recognize and accept changes in duties and responsibilities consistent with MHK requirements and national standards, appropriate to the context of the Case Manager position.

    6.    Participate in MHK’s monthly Quality Improvement Committee, reporting on case management census and #1.a through 1.f, as well as incident reports and sentinel events.

    7.    Provide After Hours on-call services in the Evenings, Holidays, and on weekends as assigned.

    8.    Perform other related duties as assigned by Management.

    Clinical Supervision Duties:

    9.    Gathers information and identifies resource and referral services for care.

    10.    Conducts preparation and evaluation of consumer psychosocial assessments and development of social work service plans as needed for QMHP review, approval and signature.

    11.    Provides ongoing clinical review of case management, coordination, and monitoring of social work service plans in areas of personal, social or economic resources, conditions, or problems.

    12.    Assesses ongoing consumer treatment and prevention of psychosocial dysfunction, disability, or impairment, including emotional and mental disorders.

    13.    Applies formal clinical knowledge base, theoretical concepts, clinical diagnosis, specific functional skills, cultural sensitivity, and essential social values used to effect change in human behavior.

    14.    Documents clinical assessments, treatment plans, interventions and other important information in medical record according to MHK guidelines; maintains confidentiality of all clinical information and records in accordance with state and federal regulations and regional guidelines.

    15.    Follows case management program description as applicable.

    16.    Participates in clinical team meetings, departmental planning and quality management activities.

    17.    Coordinate and conduct master treatment team sessions for difficult or at risk consumers. The team will consist of representatives from all programs and other individuals associated with the client’s treatment (family members and significant others, etc.).

    18.    Works with Clinical Supervisor to ensure clinical supervision of assigned case managers occurred, including:
    a.    Individual/ group documentation according to contract, accreditation and business needs.
    b.    Document corrective action as necessary; e.g., training needed; clinical documentation.
    c.    Provide corrective action as assigned.

    19.    Provide clinical training to assigned staff members in identified areas of interest and concern, including:
    a.    Urgent or high-risk clinical situations and makes appropriate interventions;
    b.    Referral of persons served to psychiatrist or other clinician in timely fashion;
    c.    Admission to hospital or other specialized facility when needed;
    d.    Provides appropriate follow-up and intensity of services based on clients’ needs;
    e.    Assesses needs for psychological testing, chemical dependency treatment or other specific services and makes appropriate referrals.

    20.    Documents in clinical records according to MHK policy, including timely entry, and accurate portrayal of services. Conducts quarterly clinical record reviews according to contract requirements and accreditation standards.

    21.    Ensures adherence of assigned personnel to current MHK work rules, MHK code of conduct/ethics, applicable federal and state laws and regulations, accreditation and MHK policies and procedures. Reports and/or resolves issues of non-compliance.

    22.    Conducts routine performance supervision and annual performance evaluations of assigned staff members according to MHK policy. Ensures annual training competencies are completed for assigned staff annually.

    23.    Ensures case management and prescriber coverage for all persons served, including planned and unplanned absences of case managers and prescribers.

    24.    Works with QMHP to provide clinical supervision according to contract requirements and accreditation standards.

    25.    Serves as administrative liaison for MHK (where applicable) with insurance companies and funding sources; e.g., coordinating referrals; securing service authorizations; meeting productivity expectations; monitoring billing; and maintaining contract compliance.

    Core Expectations

    26.    Customer Service. Is proactive to create, adapt and develop services that are responsive to customer needs/ expectations. Maximizes customer satisfaction

    27.    Adaptability/ Change Management. Is flexible and open to new ideas. Creates/ supports new initiatives. Assists others. Exhibits optimism in adapting to change. Seeks opportunities to try new ways of doing things. Begins projects with the end in mind.

    28.    Communication & Listening Skills. Uses current MHK transparent communication model. Keeps others informed. Writes and speaks clearly, concisely, and effectively. Uses active listening. Genuinely strives to understand other viewpoints first before speaking. Respects differing viewpoints.

    29.    Conflict Resolution & Negotiation. Uses current MHK conflict resolution model. Goes first to the person with whom there is a problem. Focuses on the operating issues, separating out the personal issues. Seeks clear, equitable solutions that benefit the greater organization.

    30.    Problem Solving. Uses current MHK problem solving model. Resolves problems timely, with win-win solutions that benefit the greater organization. Follow through, applies solutions, and is accountable.

    31.    Teamwork. Participates and supports the collective MHK goals and offers ideas to synergize solutions.

    32.    Systems Thinking. Expresses opinions, offers solutions and makes decisions based on clinical/ business principles; corporate goals; and current MHK values/ ethics.

    33.    Organizational Alignment. Offers opinion, solutions and decisions for individual programs that are aligned with the mission, values, and goals of the greater MHK organization.

    34.    Accountability & Compliance. Is accountable for assignments. Offers to assist others. Holds self and others accountable for business functions. Complies with MHK work rules, and corporate compliance policy.

    35.    Utilizing Resources & Stewardship. Is proactive to create, adapt and develop services that are responsive to customer needs/ expectations. Maximizes customer satisfaction.

    QUALIFICATIONS:
    Education & Experience - Minimum Qualifications
    Graduation from an accredited four-year college/university with a bachelor’s degree or higher and 12 semester hour credits in: psychology, sociology, social work, social science, nursing, counseling, criminal justice, human services, social welfare or other related behavioral health science. Prefer Three (3) years specialized experience in case management, human services or related field. Computer literate. Shall have or be working towards competencies in providing services for dually diagnosed individuals.

    LICENSES & CERTIFICATIONS*:
        Valid Hawaii driver’s license
    Safe driving record as documented by a Traffic Abstract
    Current vehicle insurance & safety inspection
    Criminal Background Check

    *Must be completed and documentation provided within 30 days of hire.

    PHYSICAL DEMANDS:
    The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
        May occasionally be required to lift up to 25 pounds in a work environment.
        Must talk and hear frequently for telephone use and basic communication.
        Must frequently sit, stand, walk, climb stairs, stoop, bend, reach and twist.
        Must be able to drive to different locations, which requires the use of a personal vehicle.

    WORK ENVIRONMENT:
    Variable, depending on need.

  • 9 Days Ago

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Registered Nurse - Case Management- Case Manager
  • American Mobile Healthcare
  • Honolulu, HI OTHER
  • Job DetailsBehavior Health department The Case Manager RN is responsible to monitor, coordinate, and facilitate the clinical management for an assigned patient population from admission to discharge t...
  • 16 Days Ago

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Registered Nurse – Case Management- Case Manager
  • AMNHealthcare
  • HONOLULU, HI FULL_TIME
  • Behavior Health department The Case Manager RN is responsible to monitor, coordinate, and facilitate the clinical management for an assigned patient population from admission to discharge to optimize ...
  • 12 Days Ago

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Registered Nurse / Case Management Exp
  • Cross Country Healthcare
  • Honolulu, HI FULL_TIME
  • Job DescriptionAs a case management nurse (RN CM), you will collaborate with the healthcare team to assess, plan, facilitate and coordinate care for individual patients. Working within and outside of ...
  • 16 Days Ago

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Coordinator Patient Care - Case Management
  • Kaiser Permanente
  • Honolulu, HI OTHER
  • Job Summary:Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all...
  • 10 Days Ago

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RN Case Manager (Home Health)
  • Ohana Pacific Management Company Inc
  • Honolulu, HI FULL_TIME
  • Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company:We are Ohana Pacific Health. We positively impact thousands of liv...
  • 7 Days Ago

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Manager, Government Operations, Billing
  • Lumen
  • Honolulu, HI
  • Lumen Manager, Government Operations, Billing Honolulu , Hawaii Apply Now Lumen connects the world. We are igniting busi...
  • 4/24/2024 12:00:00 AM

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Closing Team Leader
  • Target Us
  • Honolulu, HI
  • The pay range per hour is $24.50 - $41.65 Pay is based on several factors which vary based on position.These include lab...
  • 4/24/2024 12:00:00 AM

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Senior Manager, Talent Management
  • Kamehameha Schools
  • Honolulu, HI
  • Job Posting Title Senior Manager, Talent Management Employee Type Regular Recruiting Start Date 04-11-2024 Work Year 12 ...
  • 4/23/2024 12:00:00 AM

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Marketing Manager
  • Alohilani Resort Waikiki Beach
  • Honolulu, HI
  • Compensation Type YearlyHighgate HotelsHighgate is a premier real estate investment and hospitality management company w...
  • 4/23/2024 12:00:00 AM

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Assistant Operations Manager, Waikiki
  • Herms
  • Honolulu, HI
  • Job DescriptionThe Team:The Herms Waikiki Boutique opened in 1989 and focuses on providing extraordinary service to clie...
  • 4/23/2024 12:00:00 AM

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ASSISTANT HOUSEKEEPING MANAGER
  • Springboard Hospitality
  • Honolulu, HI
  • Job Details Job Location White Sands Hotel - Honolulu, HI Salary Range $24.00 - $26.00 Hourly Description About our comp...
  • 4/22/2024 12:00:00 AM

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Utility Management Director
  • Hunt
  • Honolulu, HI
  • A Brief Overview The Utility Management Director is responsible for providing leadership, direction and guidance as it p...
  • 4/21/2024 12:00:00 AM

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Medical Technologist, Sr (Full-time) - Kapiolani Medical Center, HI
  • Clinical Laboratories of Hawaii, LLP
  • Honolulu, HI
  • Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNA -- is it in yours? You put th...
  • 3/25/2024 12:00:00 AM

Honolulu (/ˌhɒnəˈluːluː/; Hawaiian: [honoˈlulu]) is the capital and largest city of the U.S. state of Hawaiʻi. It is an unincorporated part of and the county seat of the City and County of Honolulu along the southeast coast of the island of Oʻahu.[a] The city is the main gateway to Hawaiʻi and a major portal into the United States. The city is also a major hub for international business, military defense, as well as famously being host to a diverse variety of east-west and Pacific culture, cuisine, and traditions. Honolulu is the most remote city of its size in the world and is the westernmost...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$156,680 to $220,022
Honolulu, Hawaii area prices
were up 1.9% from a year ago

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