Managed Care Coordinator, Full-time, Day shift

Adventist Health; Kailua (HI); On-site; USD 34,000 - 45,000; Full time

Job summary

Adventist Health Castle in Kailua, HI is seeking a care coordination professional to work with multidisciplinary teams in physician offices. You will coach and coordinate care for designated patients and motivate high-risk populations to complete wellness screenings as required by health plans.

You’ll partner with physicians and office staff to develop processes for managing patient populations, promote patient-centered care, and participate in multidisciplinary team meetings.

Qualifications

• High School Education/GED preferred.
• Associate’s/Technical Degree or equivalent preferred.
• Three years' related experience preferred.
• Motivational experience preferred.

Responsibilities

• Assesses patient needs and develops care plans with physicians and care teams.
• Develops standing orders and protocols with staff and physicians.
• Tracks and reports data to ensure provider reimbursement for quality performance.
• Provides patient and caregiver education and outreach.
• Collaborates in a team-based care environment and cross-trains duties.

Skills

Motivational experience

Related experience

Education

High School Education/GED

Associate's/Technical Degree

Job description

Job Description

Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community.

Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community.

Job Summary

Works with multidisciplinary healthcare teams in assigned physician offices settings. Focuses on coaching and coordination of care for designated patients as well as motivating high-risk patient populations to complete wellness screenings as required by individual health plans. Works alongside the physicians and office staff to identify needs of patients while assisting the practice to develop a process for managing its patient population. Promotes patient-centered care, works side-by-side with physicians and medical home/neighborhood team members, and actively participates in multidisciplinary patient-centered team meetings.

Job Requirements

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Three years' related experience: Preferred
• Motivational experience: Preferred

Essential Functions

• Assesses patient needs and develops care plans in collaboration with the medical home/neighborhood physicians. Works with insurance companies or other organizations to enroll patients in case management services. Serves as liaison between physician offices and other organizations focused on population health initiatives to ensures physicians receive plan of care and status updates on patient progress.
• Works with physician office staff and Patient-Centered Medical Home/Medical Neighborhood physicians to develop standing orders and protocols. Reviews data for populations of patients based on insurance company contracts. Creates patient-centered medical home protocols through workflows and patient outreach. Monitors patient attribution which is vital to capitated based contracts.
• Performs all documentation requirements in accordance with established polices and procedures. Tracks and reports via databases on care provided to ensure provider gets reimbursed appropriately for quality performance.
• Provides patient and caregiver education. Distributes preventative screening education material and makes phone calls to assist with patient outreach.
• Works collaboratively in a team-based care environment with providers, office staff and other care coordinators. Participates in training and/or cross-training of duties and provides backup coverage. Learns programs and provides education for providers to understand programs and measurements and how to implement new workflows.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Job Info

Job Identification : 75082

Job Category : Coordinator

Posting Date : 2026-10-31T02:18:59+00:00

Job Schedule : Full time

Job Shift : Day Shift

Locations :

Kailua, HI, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $24.79 to $32.35. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : Managed Care

Shift Length : 8 Hours