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Licensed Nurses & Physician Assistants

The Front Line of Patient Care

Our nurse professionals embody what it means to provide the best patient interactions possible. They also advance the art and science of nursing in a patient-centered, healing environment.

Case Manager & Care Coordinator - Neighbor Island (Call-In)

Location: Wailuku, HI Additional Locations:
Job Number: 785547 Date posted: 04/11/2019

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.

  • Basic Qualifications:


  • Minimum one (1) year 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

  • Bachelor's degree in nursing or four (4) years' experience in a directly related field.

  • License, Certification, Registration

  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure) upon date of hire.

  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.

  • 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,Lani Medical Offices 55 Lani Pkwy. Scheduled Weekly Hours: 1 Shift: Variable Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: Varies Working Hours End: Varies Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Nursing Licensed Specialty: Continuing Care (Home Health / Hospice / SNF) Department: Utilization Management Travel: Yes, 50 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

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    Being a physician assistant at Kaiser Permanente is centered on promoting a healing environment — one that maintains a caring, comforting practice while honoring the unity of the whole patient: mind, body, and spirit.

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