Hospital Case Manager: Admissions & Discharge Specialist

Kahuku Medical Center; Kahuku (HI); On-site; USD 54,000 - 63,000; Full time

Job summary

Kahuku Medical Center is seeking a Case Manager to coordinate admissions, discharge planning, and case management services. This role oversees patient vetting, registration, payer approvals, and referrals, acting as liaison among patients, families, and healthcare professionals to ensure continuity of care.

The position directs admissions activities, validates information, and coordinates with billing, pharmacy for medication review, and the provider for patient acceptance.

Qualifications

• Current Hawaii Social Work License required.
• Knowledge of insurance verification and healthcare regulations.
• Strong organizational, communication, and multitasking skills.
• Knowledge of community resources and critical thinking skills.
• Proficiency with electronic health records (EHR) systems.
• Five years of related hospital experience preferred.
• Master’s Degree in Social Work preferred.

Responsibilities

• Coordinate admissions and discharge planning and respond to inquiries.
• Manage admissions per hospital procedures including pre-registration.
• Notify relevant departments of admissions and complete required reporting.
• Coordinate utilization management with Medical Director for reviews/appeals.
• Distribute NOMNC to Medicare patients and determine medical necessity.
• Provide case management and coordinate with patients, physicians and providers.
• Assess needs, arrange referrals (DME, home health, LTC, transport), follow-ups.
• Monitor progress and support informed decisions with agencies and families.
• Develop relationships with physicians and interdisciplinary team; uphold policies.
• Adhere to standards, policies, and regulatory requirements.
• Other duties as assigned by the Assistant Chief Nursing Officer.

Skills

Organizational skills

Communication skills

Multitasking

Insurance verification knowledge

Healthcare regulations knowledge

EHR proficiency

Community resources knowledge

Critical thinking

Education

Master’s Degree in Social Work

Hawaii State Social Work License

Job description

Kahuku Medical Center is seeking a Case Manager to coordinate admissions, discharge planning, and case management services. This role oversees patient vetting, registration, payer approvals, and referrals, acting as liaison among patients, families, and healthcare professionals to ensure continuity of care.

The position directs admissions activities, validates information, and coordinates with billing, pharmacy for medication review, and the provider for patient acceptance.