Case Manager, RN - Case Management

Hawaii Pacific Health; Honolulu, Northern (HI, KY); Hybrid; USD 128,000 - 160,000; Full time

Job summary

Hawaii Pacific Health, through Straub Medical Center in Honolulu, seeks a Registered Nurse Case Manager to oversee high-risk patient care coordination, discharge planning, and medical necessity reviews. The role emphasizes organization, communication, and collaboration across care settings.

The position is full-time, with day shifts, at Straub Benioff Medical Center, supporting patients statewide and contributing to quality improvement initiatives.

Qualifications

• Current Hawai’i Registered Nurse license.
• Bachelor's degree or equivalent combination of education, training, or work experience.
• Three (3) years clinical experience in acute care, community or long term care, or related field.

Responsibilities

• Perform case management through referrals and review of medical records to determine admissions and medical necessity.
• Conduct treatment plan assessments and discharge needs interviews.
• Coordinate planning for high risk cases and participate in quality improvement activities.

Skills

Organizational skills

Communication skills

Case management knowledge

Education

Bachelor's degree or equivalent

Hawai'i RN license

Job description

Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Straub is home to the Pacific Region's only multidisciplinary burn treatment center. The hospital consistently brings new technologies and innovative medical practices to Hawai'i, such as minimally invasive cardiac surgery and total joint replacement.

The Case Management team puts great emphasis on helping each patient transition their health care treatment with an appropriate set of support tools and information. Our caring, professional staff provides timely medical and discharge management to meet clinical and service goals, and to provide an effective, appropriate continuum of care. We want to ensure that our patients receive the attention they need beyond the hospital walls, especially when they require care from several different organizations and other combinations of medical, financial or social interventions.

As the Registered Nurse Case Manager, you would ensure the considerate and confidential management of unique and high-risk patient cases by performing case management through direct referrals and reviews of medical records. This would include determining the appropriateness and medical necessity of admissions, continued hospital stay, and the use of ancillary services. You would also perform treatment plan assessments, discharge needs interviews, planning/coordination for high risk cases, and participate in organizational quality improvement activities. We are looking for an individual who is perceptive to patient needs, with outstanding organizational and communication skills and a commitment to delivering the highest quality health care to Hawai'i's people.

Location: Straub Benioff Medical Center

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: Yes

Req ID 33813

Pay Range: 127,691 - 159,619 USD per year

Category: Nursing

Minimum Qualifications: Current Hawai’i Registered Nurse license. Bachelor's degree and/or equivalent combination of education, training, or work experience. Three (3) years clinical experience in acute care, community or long term care, or related field.

Preferred Qualifications: Current Case Management or Utilization Management certification.

EOE/AA/Disabled/Vets

Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.