Case Manager & Care Coordinator – N.I

Kaiser Permanente; Wailuku (HI); On-site; USD 122,000 - 157,000; Full time

Job summary

Kaiser Permanente in Hawaii is seeking an experienced RN to provide case management and discharge planning for Health Plan members in the Maui region. You will coordinate care, assess needs, and connect patients with community resources to ensure timely, high‑quality outcomes.

The role emphasizes collaboration with Continuing Care providers and PCP teams, risk and utilization management, and adherence to regulatory standards while maintaining patient confidentiality across hospital and clinic

Qualifications

• Experience with case management and community outreach.
• Strong oral and written communication skills.
• Ability to coordinate care and navigate resources.

Responsibilities

• Implements Continuing Care programs and integrates into daily practice.
• Provides case management to targeted patients/families; develops work plans and coordinates services.
• Monitors high-risk members and assists access to care; evaluates outcomes and recommends changes.
• Assists patients/families with identified problems/concerns.
• Meets with Continuing Care providers and PCP Team to monitor patients and coordinate community care.
• Makes hospital rounds for UM and discharge planning; assists with transfers home or to alternative facility.
• Reports issues to management and ensures regulatory requirements are met.
• Acts as contact for MOA/Oahu discharges; coordinates smooth transfers.
• Participates in community hospital interdisciplinary team meetings.

Skills

Case management

Community outreach

Oral communication

Written communication

Interpersonal skills

Customer service

Change management

Multi-tasking

Problem solving

Education

Bachelor's degree in nursing

Four years of related field experience

Tools

Word processing

Spreadsheet

Database PC applications

Job description

Job Summary

Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members hospitalized at community hospitals. Incorporates Risk Management, Quality Management and Utilization Management concepts into daily hospital and clinic activities.

Essential Responsibilities

• Implements Continuing Care programs and initiatives with Continuing Care providers and PCP Team. Assists with integrating programs and initiatives into daily practice. Makes clinic/location-specific adaptations as necessary to insure successful implementation of model. Monitors and evaluates outcomes.
• Provides case management services to targeted patients/families by interviewing and evaluating their needs. Develops work plans to assist patients/families in meeting identified needs. Coordinates resources and services to assure continuity and quality of care. Maintains working knowledge of community resources. Interprets Kaiser Permanente benefits/services to patients, families, and members of community.
• Monitors high-risk members and assists them with access to care. Integrates patients into existing programs/services. Evaluates outcomes and makes recommendations for change.
• Assists patients/families with identified problems/concerns.
• Meets with Continuing Care providers and PCP Team to monitor targeted patients. Assists Team by coordinating community care. Explores options to assure that quality, cost-efficient care is provided.
• 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 alternate facility.
• Reports any Risk/Quality/Utilization Management issues to Neighbor Island Management Team.
• Acts as contact person for MOA/Oahu discharges. Assists patients with smooth transfer to home.
• Participates in community hospital interdisciplinary team meetings.
• Maintains confidentiality of all patient information.
• May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
• Develops and maintains collegial and consultative working relationship with Government Programs office staff to assure that all regulatory requirements are met and necessary changes are implemented.
• Attends community seminars and workshops specific to professional needs. Participates in approved educational programs.
• Assists in developing, implementing, maintaining, evaluating, and enhancing Total Quality Management activities within organization. Makes suggestions for change/improvement as indicated.
• Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.

Experience

Basic Qualifications:

• Minimum one (1) year of working with low income/high risk patients, preferably in healthcare setting, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable.

Education

• Bachelors degree in nursing OR four (4) years of experience in a directly related field.

License, Certification, Registration

• Registered Nurse License (Hawaii) required at hire
• Basic Life Support from American Heart Association

Additional Requirements

• Case management/community outreach experience.
• Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, change management, multi-task and problem solving.
• Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.

Preferred Qualifications

• Program development and operations level implementation.
• Geriatric experience in outpatient clinic setting.
• Supervisory/lead experience.

Primary Location:

Hawaii,Wailuku,Maui Lani Medical Offices

Scheduled Weekly Hours:

40

Shift:

Day

Workdays:

Mon, Tue, Wed, Thu, Fri

Working Hours Start:

08:00 AM

Working Hours End:

04:30 PM

Job Schedule:

Full-time

Job Type:

Standard

Worker Location:

Flexible

Employee Status:

Regular

Employee Group/Union Affiliation:

NUE-HI-01|NUE|Non Union Employee

Job Level:

Individual Contributor

Department:

Moanalua Medical Center – Utilization Mgmt-Admin – 1201

Pay Range:

$121500 – $157190 / year

Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate’s years of relevant work experience, education, certifications, skills, and geographic location.

Travel:

Yes, 50 % of the Time

Work Setting:

Flexible

Worker location must align with Kaiser Permanente’s Authorized States policy.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.