Hybrid Care Manager — LTSS & Care Coordination (Maui/HI)

HMSA; Hawaii; On-site; USD 70,000 - 90,000; Full time

Job summary

HMSA is seeking a Care Manager to provide specialized care coordination for members, focusing on LTSS, HCBS, and safe transitions. The role collaborates with physicians, nurses, social workers, and other care professionals to improve health equity, access, and outcomes.

Responsibilities include evaluating needs, authorizing home-based services, reducing hospital utilization, and advocating for members while ensuring HIPAA privacy and strong documentation.

Qualifications

• Experience coordinating care for LTSS/HCBS populations.
• Ability to collaborate with physicians, nurses, social workers and other care professionals.
• Strong documentation and privacy compliance to HIPAA requirements.

Responsibilities

• Evaluate member needs and risks to determine appropriate services.
• Authorize home-based and community-based services to support transitions.
• Reduce avoidable hospital utilization through proactive care planning.
• Advocate for members and ensure access to needed resources while maintaining privacy.

Skills

Care coordination

Patient advocacy

Team collaboration

HIPAA compliance

Job description

HMSA is seeking a Care Manager to provide specialized care coordination for members, focusing on LTSS, HCBS, and safe transitions. The role collaborates with physicians, nurses, social workers, and other care professionals to improve health equity, access, and outcomes.

Responsibilities include evaluating needs, authorizing home-based services, reducing hospital utilization, and advocating for members while ensuring HIPAA privacy and strong documentation.