Case Manager jobs in Honolulu, HI

Case Manager coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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Case Manager
  • HMSA
  • Kapolei, HI FULL_TIME
    1. Engagement, Assessment and Planning
      • Engages members in the case management program (outreach and successful enrollment) using diagnostic cost group classifications or other tools which identify the relative risk score and illness burden. Identifying catastrophic health care users with significant health care costs is a priority.
      • Conducts and documents a comprehensive assessment of the member's health and psych/social needs, including health literacy and social determinants of health. Gathers clinical information which includes past medical history, medications, physical/psychosocial factors, cultural influences, evaluation of health care barriers to include: available support systems, available benefits, community resources, financial, transportation, employment, housing, educational, and health information as appropriate to develop and create an effective care plan and medication compliance.
      • Utilizes case-management clinical knowledge and experience to coordinate integrated care-plan in collaboration with Primary Care Physician (PCP), specialists and other healthcare providers/vendors. Goals developed will be prioritized, action-oriented and time-specific to stabilize the complicated health care condition.
      • Assist with transition of care to ensure continuity of care
      • Determines need for and coordinates inter-disciplinary and/or family conferences.
      • Conducts face to face visits to member's homes, facility, community settings, PCP office or virtually.
    2. Implementation / Evaluation
      • Analyzes situations and determine proper course of action by making critical decisions and utilizing independent clinical judgment.
      • Proactively identifies member care needs and develops and communicates a collaborative Plan of Care. Ensures member is progressing towards desired outcomes by monitoring care through ongoing assessments and/or member records. Identifies and provide educational and community resources, support groups, medication review, pharmacy program and financial assistance and alternative payers (COBRA, SSDI etc.). Assists with planning and coordination including out of state services, follow-up appointment with treating physician, and assists with self-management of serious or complex conditions.
      • Communicates with providers and develops collaborative relationships.
      • Interacts with the member as needed and necessary via telephone and face-to-face visits and provides support until the member and their authorized representative can manage and maintain the health of the member.
      • Documents the necessary communication and timely follow up with the member, family, physicians, and other health care providers to ensure the member's progression in meeting the established care plan goals.
      • Evaluates ongoing management of plan of care.
      • Evaluates member and provider satisfaction and quality of care provided.
    3. Miscellaneous Support
      • Participates in the preparation and on-site reviews for Employer/Group accreditation audits.
      • Responsible for completion of documentation review and self-audit as assigned by management.
      • Assists in claims inquiries and resolution.
      • Participates in meetings with Providers and or Provider group leaders to improve quality and effectiveness of services provided to members.
    4. Performs all other miscellaneous responsibilities and duties as assigned or directed

    #LI-Hybrid

     

  • 21 Days Ago

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Case Manager
  • Jobot
  • Waianae, HI FULL_TIME,CONTRACTOR,TEMPORARY
  • Case Manager Opportunity - Make a difference in lives today!This Jobot Job is hosted by: Vanessa RamosAre you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.Sala...
  • 24 Days Ago

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Case Manager
  • Ku'ikahi Mediation Center
  • Hilo, HI FULL_TIME
  • JOIN OUR TEAM Communication, Collaboration, Confidentiality, Courtesy, Competence These five "C"s are our core values. Ku'ikahi Mediation Center is seeking qualified and considerate people to uphold t...
  • 25 Days Ago

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Case Manager
  • YWCA Oahu
  • Honolulu, HI FULL_TIME
  • The YWCA O’ahu’s mission is empowering women and eliminating racism. We have 3 locations on Oahu. This position is at Fernhurst Residence, a place of shelter, safety, and hope for women. Under the Sup...
  • 3 Days Ago

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Case Manager
  • Mental Health Kokua
  • Honolulu, HI FULL_TIME
  • POSITION TITLE: CASE MANAGERRESPONSIBLE TO: Case Management Team Leader or DesigneeFLSA STATUS: Non-Exempt POSITION GOALS:To provide case management and recovery-oriented services to consumers. ESSENT...
  • 15 Days Ago

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Case Manager
  • Mental Health Kokua
  • Kona, HI FULL_TIME
  • POSITION TITLE: CASE MANAGERRESPONSIBLE TO: Case Management Team Leader or DesigneeFLSA STATUS: Non-Exempt POSITION GOALS:To provide case management and recovery-oriented services to consumers. ESSENT...
  • 15 Days Ago

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0 Case Manager jobs found in Honolulu, HI area

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Travel Nurse RN - Home Health - $2,140 per week
  • TRS Healthcare
  • Kaneohe, HI
  • TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Kaneohe, Hawaii. ...
  • 3/28/2024 12:00:00 AM

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Hospice Aide - CNA (Part-Time)
  • Navian Hawaii
  • Kailua, HI
  • More than a job, this is a position with a higher purpose - where you impact people's lives on a personal, human level. ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse - Home HealthAgency
  • CareResource Hawaii
  • Honolulu, HI
  • Job Description Job Description We are seeking a Registered Nurse - Home Health Agency to join our team! You will be res...
  • 3/27/2024 12:00:00 AM

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Mental Health Residential Case Manager (Crisis Stabilization Facility)
  • Community Empowerment Resources (CER)
  • Kaneohe, HI
  • Positions are available as long as this ad is posted! Our team is expanding and looking for several new team members! Yo...
  • 3/27/2024 12:00:00 AM

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Residential Assistant
  • Hale Na au Pono
  • Kaneohe, HI
  • Job Description Job Description Part-Time positions currently available. Full-Time Positions may be offered when shifts ...
  • 3/27/2024 12:00:00 AM

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Health Care Navigator
  • U.S.VETS
  • Kapolei, HI
  • Job Details Level Experienced Job Location USVETS Barbers Point - Kapolei, HI Position Type Full Time Education Level Gr...
  • 3/27/2024 12:00:00 AM

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staff - Registered Nurse (RN) - Home Health Care Manager - $41-61 per hour
  • PRN Healthcare
  • Kaneohe, HI
  • Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Kaneohe, Hawaii. Job D...
  • 3/25/2024 12:00:00 AM

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Residential Assistant
  • Hale Na au Pono
  • ‘Ewa Beach, HI
  • Job Description Job Description Part-Time positions currently available. Full-Time Positions may be offered when shifts ...
  • 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 Manager jobs
$89,503 to $107,804
Honolulu, Hawaii area prices
were up 1.9% from a year ago

Case Manager in Duluth, MN
Correctional case managers, or treatment specialists, provide a critical connection between the prison system and social services.
November 09, 2019
Case Manager in Raleigh, NC
Case managers perform their work with the idea in mind that optimizing a person’s ability to function benefits not just them, but their family, friends, and community as well.
November 02, 2019
Case Manager in Lancaster, PA
Some other entry points into the Case Management field include.
October 11, 2019