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Nurse manager jobs in East Honolulu, HI - 262 jobs

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  • Assistant Director of Nursing (ADON) (Registered Nurse/RN)

    Life Care Center of Kona 4.6company rating

    Nurse manager job in Kailua, HI

    We have Excellent Benefits Health, Vision, Dental and PTO. All part-time and full-time associates will earn PTO from their date of hire and are able to utilize them after successful completion of a 90 day probationary period. Accruals are based on all hours worked, which includes regular and overtime hours. PTO Benefits are hours earned that can be used for vacation days, sick days, personal days off, or holidays and you can cash out up to 40 hours per paycheck. Position Summary The RN - Assistant Director of Nursing assists the Director of Nursing (DON) in planning, organizing, developing, and directing the overall operation of the Nursing Services department to ensure the highest degree of quality patient care in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements ASN or BSN from accredited college or university Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Two (2) years' geriatric nursing experience preferred, preferably in post-acute care CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Maintains a liaison with patients, families, support departments, etc. to adequately plan for patient needs Expert knowledge in field of practice Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post-acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: nursing care, supervisory responsibilities infection control, patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Assist the DON in planning, developing, implementing, evaluating and directing the Nursing Services department Interview, select, hire, train, evaluate, and supervise nursing staff Assist with overseeing care provided by nursing staff Oversee infection control responsibilities Assume the duties of the DON in his or her absence Provide direct nursing care as necessary Perform functions of a staff nurse as required Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language Must be able to read, write, speak, and understand the English language Benefits for Full-Time Associates medical, dental, vision, life and short-term disability coverage 401(k) paid vacation, sick days and holidays An Equal Opportunity Employer
    $81k-93k yearly est. 1d ago
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  • Travel Cardiac Cath Lab RN - $3,293 per week

    Care Career 4.3company rating

    Nurse manager job in Urban Honolulu, HI

    This travel nurse position is for a Registered Nurse specializing in the Cardiac Catheterization Lab, providing critical support during heart catheterization procedures including angioplasties, stent placements, and pacemaker implants. The job is a 13-week travel assignment in Honolulu, Hawaii, offering 40 hours per week with day shifts. The role involves assisting physicians with diagnostic and treatment procedures for heart conditions in a fast-paced clinical setting. Care Career is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel A cardiac catheterization lab nurse has the primary function of performing work using the heart catheterization tool. This catheter is inserted into the arteries of the heart and used to diagnose heart conditions and sometimes used to provide treatment for certain heart conditions. They also assist physicians with the implant of pacemakers and defibrillators in patients who are suffering from heart conditions and heart disease. Physicians performing angioplasties, valvuloplasties, stent placements, cardiac catheterization, and other catheterization procedures often employ the assistance of a cardiac catheterization lab nurse. Care Career Job ID #. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Cath Lab About Care Career Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen. With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care Career is a modern, transparent staffing firm creating the ultimate community of US. Benefits Referral bonus Weekly pay Medical benefits Continuing Education Dental benefits Vision benefits Keywords: travel nurse, cardiac cath lab RN, registered nurse, cardiac catheterization, heart procedures, angioplasty assistance, pacemaker implant support, travel nursing jobs, nurse staffing, healthcare travel
    $97k-130k yearly est. 1d ago
  • Travel Cath Lab RN - $2,798 per week

    Premier Medical Staffing Services 3.8company rating

    Nurse manager job in Urban Honolulu, HI

    Premier Medical Staffing Services is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN 40 hours per week Shift: 8 hours Employment Type: Travel Premier Medical Staffing Job ID #611419. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Cath Lab RN About Premier Medical Staffing Services Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
    $105k-152k yearly est. 1d ago
  • Travel Nurse RN - Cardiac Cath Lab - $2,751 per week

    TNAA Totalmed RN

    Nurse manager job in Urban Honolulu, HI

    TNAA TotalMed RN is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Duration: 13 weeks 36 hours per week Shift: 8 hours, days Employment Type: Travel We're looking for Cardiac Cath Lab RNs for an immediate travel nurse opening in Honolulu, HI. The right RN should have 1-2 years recent acute care experience. Read below for more requirements. As a Cath Lab RN, you'll work with a highly skilled team of medical professionals in a cardiovascular surgical environment providing assistance to the physician including maintenance and monitoring of EKG equipment, and assisting during angioplasty, cardiac catheterization and electrophysiology. As a Cath Lab Travel Nurse, you should be prepared to perform the following tasks: Learn complex technologies effectively. Assist physicians with cardiac catheterization as a way to diagnose heart conditions or as a treatment. Assist with angioplasties, valvuloplasties and stent placements. Help implant pacemakers and implantable cardioverter-defibrillators (ICDs). Cath Lab Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Cardiac Cath Lab Travel Nurses must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, 2 Years * Additional certifications may be required before beginning an assignment. TotalMed Travel Job ID #. Pay package is based on 8 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Catheterization lab - CathLab RN - Travel Nurse About TNAA TotalMed RN TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience. TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients. Benefits Weekly pay Guaranteed Hours Continuing Education 401k retirement plan Sick pay Wellness and fitness programs Referral bonus Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1
    $81k-124k yearly est. 1d ago
  • Travel Cardiac Cath Lab RN - $3,113 per week

    Voca Healthcare

    Nurse manager job in Urban Honolulu, HI

    This position is for a Travel Registered Nurse specializing in the Cardiac Catheterization Lab, offering a 13-week travel assignment in Honolulu, Hawaii. The role requires a minimum of two years of experience, valid nursing licensure, and the ability to work 40 hours per week on day shifts. Voca Healthcare provides comprehensive benefits, personalized recruiter support, and competitive weekly pay to support travel nurses in growing their careers. Voca Healthcare is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Benefits available on 1st of the month after start: Holiday pay Weekly pay Retention bonus 401k retirement plan Medical benefits Dental benefits Vision benefits Referral bonus Are you an experienced Cardiac Cath Lab RN looking for your next exciting travel assignment, or are you ready to start your travel healthcare career? At Voca, we offer an unmatched experience for healthcare professionals with a travel-first culture that prioritizes your needs and supports your career growth. We understand that every traveler is unique, which is why we provide personalized support from our experienced team of recruiters who are dedicated to matching you with the right assignments. Join Voca today, where you will enjoy a rewarding career and a full suite of benefits designed to ensure your success and well-being. As a Cardiac Cath Lab RN with Voca, you'll have the opportunity to work in dynamic healthcare settings, gaining valuable experience while receiving competitive compensation and support every step of the way. Qualifications: -Minimum of 2 years of recent experience as a Cardiac Cath Lab RN is preferred, but we are open to exceptional candidates with a strong passion. -Valid certification and/or licensure in the state of practice, if applicable. -Demonstrated ability to maintain a high level of professionalism and composure, especially during stressful and fast-paced moments in the healthcare setting. -Valid Driver's License and the ability to travel between assignment locations. -Ability to pass a background check and drug screen to meet healthcare industry standards. Why Choose Voca? -Comprehensive Benefits Package: We offer Health, Dental, and Vision Insurance to ensure that you and your loved ones are well taken care of. -Life and Disability Insurance for added peace of mind. -401(k) options to help you save for your future with employer matching. -Certification and Licensure Reimbursement to support your professional development. -Generous Referral Bonus Program - earn rewards for referring your qualified peers to join the Voca team. -Weekly Direct Deposit ensures timely access to your earnings. At Voca, You Are Our Priority: -Travel-First Culture: We understand that travel assignments offer unique challenges, so we ensure a flexible and supportive work environment that focuses on your success. -Personalized Support: Work with a dedicated recruiter who will be your advocate throughout your journey, helping you navigate each assignment and providing personalized guidance to ensure your goals are met. -Strong Relationships: Voca's culture fosters long-term relationships with our travelers. -We care about your career, your needs, and your future. Whether you're a seasoned Cardiac Cath Lab RN or ready to take the next step in your travel healthcare career, Voca is the perfect place for you to grow, learn, and thrive. Apply today to connect with one of our talented recruiters and begin your next adventure! Apply Now to get started on your next travel assignment with Voca - where your career and well-being come first! Voca Healthcare Job ID #. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Cardiac Cath Lab,08:00:00-16:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals. As a travel health professional, your experience and dedication to patient care is in high demand throughout the United States. Whether you are a veteran traveler looking for your next opportunity, or you are looking to travel for the first time, Voca is here to support you. Voca's experienced and dedicated travel team works in concert with you every step of the way. Our long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. At Voca, we strongly believe a better career results in a happier you. We are here to help you find a position that is professionally and personally rewarding. Benefits Holiday Pay 401k retirement plan Medical benefits Dental benefits Vision benefits Retention bonus Guaranteed Hours Cancelation protection Weekly pay Keywords: Travel Nurse, Cardiac Cath Lab RN, Registered Nurse, Travel Healthcare, Cardiac Nursing, Healthcare Travel Jobs, Travel Nurse Benefits, RN Travel Assignment, Voca Healthcare, Nursing Jobs Honolulu
    $81k-124k yearly est. 1d ago
  • Travel Cath Lab Registered Nurse - $3,175 per week

    Ethos Medical Staffing

    Nurse manager job in Urban Honolulu, HI

    Ethos Medical Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN 40 hours per week Shift: 8 hours, days Employment Type: Travel Ethos Medical Staffing Job ID #. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Cath Lab About Ethos Medical Staffing Nurse Owned and Operated. Ethos Medical Staffing is Truly Focused on Caring for Those Who Care for Our Communities. Benefits Benefits start day 1 Weekly pay 401k retirement plan Guaranteed Hours Mileage reimbursement Medical benefits Dental benefits License and certification reimbursement Referral bonus
    $81k-124k yearly est. 1d ago
  • Travel Cardiac Cath Lab RN - $2,048 per week

    World Nurses

    Nurse manager job in Urban Honolulu, HI

    This position is for a travel Registered Nurse specializing in Cardiac Cath Lab procedures, working 32 hours per week in Honolulu, Hawaii, for a 13-week assignment. The role requires an active Hawaii RN license, at least 5 years of nursing experience with cath lab expertise, and certifications such as BLS and ACLS. The job offers competitive pay, housing stipends, and the opportunity to work in a Level III Trauma Center with a skilled cardiovascular team. World Nurses is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Duration: 13 weeks 32 hours per week Shift: 8 hours, days, on call Employment Type: Travel Now hiring nationwide - opportunities available across the U.S. Access top healthcare facilities with national placement options 24/7 recruiter support - we're here whenever you need us Competitive housing stipends and travel allowances for out-of-state professionals Get paid weekly - fast, reliable, and hassle-free Qualifications • Active Hawaii RN License (required) • Minimum 5 years of nursing experience, with recent Cath Lab experience preferred • Certifications (required or preferred): - BLS / ACLS (Required) - PALS, NRP, CPI, ENPC, TNCC, NIHSS, or other specialty certifications (Preferred) • Strong cardiac monitoring and critical care skills • Ability to work frequent on-call shifts and provide holiday coverage Why You'll Love This Role Opportunity to gain experience in a Level III Trauma Center Work with a skilled cardiovascular team in a supportive environment Competitive compensation and benefits for travelers Live and work in the heart of Honolulu, Hawaii Candidates must meet the minimum qualifications and hold the required certifications to be eligible for application. About World Nurses Travel Care Hawaii specializes in the staffing of non-skilled and skilled healthcare personnel. We love what we do: helping care professionals with opportunities to expand their horizons and build their work experience. We believe in the strength of teamwork. Our employees are at the core of our business and we are happy every day finding the perfect matches in placement. Benefits Medical benefits Referral bonus Relocation bonus Keywords: travel nurse, cardiac cath lab RN, registered nurse, cardiovascular nursing, bachelor of science in nursing, acute care nursing, Hawaii nursing job, travel nursing assignment, critical care nurse, healthcare staffing
    $81k-124k yearly est. 1d ago
  • Travel Cardiac Cath Lab RN - $3,214 per week

    Assured Nursing 4.0company rating

    Nurse manager job in Urban Honolulu, HI

    This travel nursing position seeks a registered nurse (RN) specialized in Cardiac Catheterization Lab procedures for a 13-week contract in Honolulu, Hawaii. The role requires a current RN license and at least two years of recent Cath Lab experience, working 40 hours per week on day shifts. Benefits include weekly pay, holiday pay, retirement plans, referral bonuses, and medical, dental, and vision coverage. Assured Nursing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Assured Nursing is currently seeking a RN for a contract position in Honolulu Hawaii. This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Cath Lab RN. The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a Cath Lab RN. Assured Nursing Job ID #. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Cath Lab,07:00:00-15:00:00 Benefits Weekly pay Holiday Pay 401k retirement plan Referral bonus Medical benefits Dental benefits Vision benefits Keywords: travel nurse, Cardiac Cath Lab RN, registered nurse, travel nursing job, healthcare, nursing contract, cardiac catheterization, hospital RN, Hawaii nursing job
    $97k-131k yearly est. 1d ago
  • Travel Cardiac Cath Lab RN - $2,793 per week

    Anders Group 4.2company rating

    Nurse manager job in Urban Honolulu, HI

    This position is for a travel registered nurse specialized in Cardiac Catheterization Lab procedures on a 13-week assignment in Honolulu, Hawaii. The role involves working 40 hours per week on day shifts with competitive pay and comprehensive benefits including health insurance, licensure reimbursement, and continuing education support. The job is offered by Anders Group, a healthcare staffing agency committed to quality placements and exceptional support for travel healthcare professionals. Anders Group is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Anders Group Job ID #954386. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: HI - Cath Lab RN About Anders Group WHY ANDERS? Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by our commitment to making sure our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates! Anders Group offers rewarding assignments and competitive compensation packages, nationwide! We offer the following benefits from day one: Health Insurance, Including a Buy-up Option Dental Insurance Vision Insurance Life Insurance 401(k) Licensure Reimbursement Premium Pay Packages CEU Reimbursements Daily Per Diems Travel Reimbursements Rental Car Allowances Continuing Education Resources Referral Bonus And Many More! THE ANDERS DIFFERENCE You're committed to providing exceptional healthcare. We're committed to you. Anders Group was founded by a team of healthcare recruiters who had built strong relationships with healthcare facilities and professionals nationwide. As staffing firms shifted their focus to numbers and margins, these recruiters saw a need for a company to take a different approach to staffing. Anders Group was founded in 2010 to do just that. We focus on individual and facility goals to make quality placements. Great people working with great facilities make for the best placements. Through our focus on providing the best experience to Allied and Nursing health care professionals, Anders Group has grown to be a top staffing firm in Healthcare. We look forward to working with you! Benefits Medical benefits Dental benefits Vision benefits Life insurance 401k retirement plan License and certification reimbursement Continuing Education Referral bonus Keywords: travel nurse, cardiac cath lab RN, registered nurse, travel nursing job, healthcare staffing, Cardiac Catheterization, nursing travel assignment, travel nurse benefits, Hawaii nursing job, clinical nursing
    $94k-144k yearly est. 1d ago
  • RN - PCU/Stepdown

    All Medical Personnel 4.5company rating

    Nurse manager job in Urban Honolulu, HI

    Assist physicians with patient management. Identifies irregular telemetry readings and notify appropriate medical team members. Monitor and adjust specialized equipment used on patients and interpret and record electronic displays. Monitor electrocardiograms output. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. Qualifications and Job Info: 2-3 years of recent Telemetry experience BLS, ACLS, and NIHSS certifications required Active state or Compact license Demonstrate the highest level of professionalism when interacting with patients, families, physicians, and hospital staff members. Benefits: Medical, dental, and vision on day one Weekly pay Direct deposit AmpVantage Awards Program (AVA) Earn money for referrals About Us: All Medical Personnel streamlines hiring to get you back to the work you love. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in focusing on and uplifting the hiring process, with a deep understanding of the unique challenges you face. We are here to ensure each experience with us is simplified, elevated, and impactful, for you and your patient. Visit us at https://allmedical.com/travel-nursing/ to learn more or view additional job openings. Listed pay packages are based on weekly gross amounts. Please reference Job number: 272230 Additional Information All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com. Visit our new job board at https://allmedical.com/view-jobs/ and save it to your favorites today!
    $113k-163k yearly est. 5d ago
  • Manager, Provider Research

    HMSA 4.7company rating

    Nurse manager job in Urban Honolulu, HI

    Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. Respond to and oversee staff responding to CMS demand letters. Participate in ad hoc projects to help enhance the provider experience with HMSA. These may include but are not limited to enhancements of provider online resources and development of content for the HealthPro news and Provider Resource Center. Analyze relevant data sources to proactively help identify and resolve issues affecting providers. Oversee training activities and the creation of training materials, workflows, and desktop procedures. Prepare and conduct presentations for staff and management. Develop staff in a manner that ensures continual growth and opportunities while maximizing efficiency for providers and the department. Integrate Claims Adjustment Specialists into the Research and Correspondence unit by implementing a plan for the pend resolutions to be worked and ensuring audit compliance. Lead the Research and Correspondence team in technological initiatives including existing application upgrades, adopting new applications, and ongoing refinement of the team's use of the SalesForce application. Coordinate reporting requirements for the unit including but not limited to inventory management reports and ad hoc claim queries. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid
    $48k-57k yearly est. 2d ago
  • Medical Case Manager

    Hawaii Health & Harm Reduction Center

    Nurse manager job in Urban Honolulu, HI

    Hawai'i Health & Harm Reduction Center (HHHRC) provides harm reduction-focused services to marginalized populations in Hawai'i, including people living with and/or affected by HIV, hepatitis, substance use, homelessness, and the transgender, LGBQ, and the Native Hawaiian communities. HHHRC bridges gaps and helps individuals access essential resources such as housing, health care, entitlements, and treatment. We foster health, wellness, and systemic change in Hawai'i and the Pacific through outreach, care services, advocacy, training, prevention, education, and capacity building. SUMMARY OF POSITION The HIV Medical Case Manager is responsible for providing client-centered medical case management services to clients living with HIV. This position delivers support and advocacy focused in the following areas: (1) medical & dental; (2) medication; (3) financial; (4) emotional & mental; (5) nutrition & food; and (6) housing. The HIV Medical Case Manager must work closely with clients, case management team, patient navigators, clinical staff, partner agencies, advocacy organizations, funders, and other resource providers to support positive client health and wellness outcomes. This is a permanent, full-time, exempt, salaried position with HHHRC located in Honolulu, Hawaiʻi. Expected hours of work are generally between 8:30am and 5:00pm, Monday through Friday, with some evening and weekend attendance for required events. Salary is commensurate with experience. REPORTING RELATIONSHIP: Reports to: HIV Program Manager Supervises: N/A ESSENTIAL DUTIES & RESPONSIBILITIES: Ensure clients are contacted. Contact clients in accordance with HHHRC standards for acuity level and document in e2 Hawaii and EMR. Meet with clients in or out of the office to address their needs. Ensure that all clients have access to medical and dental care. Confirm that all clients have health care coverage via Medicare, Medicaid, or their employer, including COBRA. Link clients to dental services via Waikiki Health (Makahiki Clinic), Queen's Medical Center (QMC), or Department of Health (i.e., state dental). Refer clients to appropriate medical providers and provide medical transportation to appointments if client has no other means of transportation. Attend medical appointments if the client needs support and advocacy during an appointment. Link clients to applicable resources for HIV and other medications. Assist eligible clients in applying for HDAP or other drug assistance programs, if needed. Act as liaison between pharmacies and clients. Ensure that all clients are linked to medical care. Stay abreast of all current HIV treatment practices and work in conjunction with the community-based nurse. Conduct hospital visits for medically acute clients on consultative basis as needed. Establish and maintain relationships with local clinics and hospital facilities (e.g., Clint Spencer Clinic, Waianae Coast Comprehensive Health Center, Waikiki Health Center, Queens Medical Center, Kuakini Medical Center, Straub Medical Center, Castle Hospital, and Kahi Mohala) and HIV specialists. Monitor clients' adherence to recommended medical care, including medications and doctor's visits. Establish and maintain relationships with local prison facilities (e.g., Halawa, OCCC). Establish and maintain relationships with Hawaiʻi State Hospital. Ensure that all clients have access to all applicable financial benefits. Assist eligible clients in applying for Social Security Disability Insurance (SSDI). Assist eligible clients in applying for Supplemental Security Income (SSI), if needed. Assist eligible clients in applying for Department of Human Services' (DHS) monetary benefits and Food Stamps, if needed. Assist eligible clients in applying for unemployment benefits, if needed. Assist eligible clients in applying for Ryan White emergency funding, if needed. Link clients with vocational rehabilitation programs (e.g., Social Security's “Ticket to Work” program). Advocate on behalf of clients for Worker's Compensation benefits, long-term disability, short-term disability, or temporary disability. Provide ongoing emotional support to all clients. Link eligible clients to psychiatric care services. Link clients to other mental health resources, if needed. Refer clients in crisis (e.g., suicidal) to appropriate resources. Provide counseling to clients considering re-entry into the workforce. Visit clients who are hospitalized or link them to the community-based nurse for intensive services. Ensure that all clients have access to nutritious food. Link clients to Food Basket and other meal programs, or other community resources. Link clients to Waikiki Health Center's (WHC) nutritionist. Assist clients in accessing HHHRC food pantry, no more than once per month. Inform clients about meals served at HHHRC (i.e., Wednesday lunch) and at other community resources. Ensure that all clients have access to housing. Assist eligible clients to access emergency or temporary shelter. Assist eligible clients to obtain emergency funding for security deposits, rent, and utilities. Assist eligible clients to obtain furniture and household items from Laulima, Community Clearinghouse, or other resources. Advocate for clients during housing eligibility assessments (i.e., Gregory House). Act as liaison between clients and landlords. Assist eligible clients in navigating Section 8 application if/when Section 8 opens. Follow all administrative procedures/requirements. Document progress notes and batch entries/service deliveries for each and every phone and face-to-face and contact with clients in e2 Hawaii and Emed Practice (EMR) within 24 hours. Complete assessment within thirty (30) days of intake. Review care plan regularly. Revise care plan every six (6) months to determine eligibility. Initiate discharge procedures as needed. Recertify clients for HDAP every six (6) months to determine eligibility. Ensure hours worked are accurately recorded in ADP timekeeping system. Maintain reliable attendance and adhere to scheduled work hours. Attend and participate in meetings and supervisions as required and necessary. Perform other duties as needed and assigned. Duties are subject to change. GENERAL RESPONSIBILITIES: Contribute to a safe, creative, enthusiastic, and cooperative working environment for all. Work as a team with other staff and support team members. Maintain appropriate professional and ethical standards while serving as a representative of HHHRC. Observe and comply with all rules and regulations - such as HHHRC Code of Conduct, Drug-Free Workplace - and other administrative policies of HHHRC. Abide by all policies and procedures of the HHHRC Health & Safety Program and the Quality Management Program. Comply with HHHRC confidentiality policy, HIPAA requirements, cultural competencies, and rights to persons served, as well as CARF standards. Demonstrate steadfast understanding of, and commitment to, the Mission, Vision, and Values of HHHRC. WORKING CONDITIONS/PHYSICAL DEMANDS : Office environment: indoors, air conditioned. Fieldwork: outdoors or indoors, may be subjected to unpredictable environments with extremes in temperature, noise, odors, weather conditions, etc. Regular use of computer keyboards, telephone, and operating office equipment, requiring eye-hand coordination and finger dexterity. Occasional lifting and carrying of supplies, equipment, files, documents, records, etc. Long periods of time sitting using office equipment and computers. Periods of standing and walking. Requires possession of a reliable insured vehicle for traveling to off-site locations and for transporting participants. Requires closed-toe shoes during working hours and comfortable and appropriate business-casual attire (walking shorts, and pertinent tee-shirt for scheduled activities/events of the day). REQUIRED QUALIFICATIONS: Knowledge/Skills/Abilities: Willingness and ability to do outreach and engagement within communities of underserved populations, including but not limited to people living with and/or are affected by HIV, hepatitis, substance use, houselessness, and mental health challenges. Excellent interpersonal, written, and verbal communication skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Demonstrated ability to function as a team member, accept constructive criticism, and provide feedback and support. Ability to work well and thrive professionally in an atmosphere of significant diversity, working with marginalized populations. Good listening skills, non-judgmental, flexible, and able to handle complex situations/clients. Capability to self-regulate when experiencing triggers, trauma responses, or stressors to stay engaged, remain productive, and meet the needs of the team and clients. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, SharePoint, etc.). Education/Experience: Bachelor's degree in Social Work (or comparable degree), or equivalent work experience. PREFERRED QUALIFICATIONS: Master's Degree in Social Work, and/or human services background. Familiarity with principles of harm reduction and the application of motivational interviewing techniques to support patient chronic disease case management. REQUIRED WORK CARDS/CERTIFICATIONS: Valid Hawaii Driver's License and clean three-year (3-year) Driver's Abstract. COVID-19 Vaccination (Recommended) TB Clearance Hep B Clearance and/or Vaccination Must pass Center for Medicare/Medicaid Services eligibility screening. Hawaiʻi Health & Harm Reduction Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
    $53k-69k yearly est. Auto-Apply 38d ago
  • Clinical UM Nurse

    Centerwell

    Nurse manager job in Urban Honolulu, HI

    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non compact licensure + No less than 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting + Comprehensive knowledge of Microsoft Word, Outlook and Excel) + Ability to work independently under general instructions and within a team + Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Must be willing to be in weekend rotation and possible holiday coverage. **Preferred Qualifications** + 3 or more years' experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's degree in a related field + Health Plan experience + Previous Medicare/Medicaid Experience a plus + Call center or triage experience + Bilingual is a plus **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-19-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $71.1k-97.8k yearly 8d ago
  • Clinical Nurse - Labor And Delivery/Post Partum

    Career Portal

    Nurse manager job in Urban Honolulu, HI

    Labor & Delivery Registered Nurse unit areas, caring for high-risk labor, and delivery patients. Coordinate patient care in collaboration with a wide array of healthcare professionals. Perform physical exams and health histories. Provide health promotions, counseling, and education. Hours of Performance: Full-Time Position 40 hours per week Weekends - Yes On-Call - No Compensation: Competitive Salary Company Benefits Paid Vacation, PTO, Sick Leave, Federal Holidays CME Stipend (We will compensate at a rate that meets or exceeds the Department of Labor's established Wage Determination, with the potential for higher pay based on factors such as experience, qualifications, market conditions and contract-specific requirements.) QUALIFICATIONS: Education Nursing Degree Current Nursing License. Basic Life Support, Advance Life Support, Pediatric Life Support, Neonatal Resuscitation Program Certifications Experience 1 year out of the last 5 years in Labor and Delivery Unit as a RN
    $51k-67k yearly est. 60d+ ago
  • Travel Cath Lab Registered Nurse - $3,133 per week

    Coast Medical Service

    Nurse manager job in Urban Honolulu, HI

    Coast Medical Service is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN 40 hours per week Shift: 8 hours, days Employment Type: Travel Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you! Coast Medical Services Job ID #35461944. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Cath Lab,07:00:00-15:30:00 Benefits Holiday Pay Sick pay 401k retirement plan Pet insurance Health Care FSA
    $81k-124k yearly est. 3d ago
  • Travel Nurse RN - Labor and Delivery - $2,083 per week

    Lancesoft 4.5company rating

    Nurse manager job in Urban Honolulu, HI

    LanceSoft is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Honolulu, Hawaii. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel Description: Required Qualifications: 1-year recent (within the last 3 years) full-time equivalent experience Graduate of an accredited nursing program. License, Certification, Registration Registered Nurse License (in the state where care is provided) Basic Life Support Advanced Neonatal Resuscitation Program Preferred Qualifications: Bachelors degree in nursing or related field. Five (5) plus years of recent experience (must have occurred within the last two (2) years) in Labor and Delivery is preferred One (1) year of high-risk labor and delivery experience within the last two (2) years High Risk OB experience preferred About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits
    $75k-92k yearly est. 3d ago
  • Registered Nurse

    U.S. Navy 4.0company rating

    Nurse manager job in Urban Honolulu, HI

    To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field. NURSING CAREERS IN THE NAVY NURSE ANESTHETISTS Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in instructing medical trainees and other Officers. PRIMARY CARE NURSE PRACTITIONERS Provide comprehensive health care and health maintenance for service members and their families. MEDICAL-SURGICAL NURSES Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities. PERIOPERATIVE NURSES Plan, implement and evaluate nursing care of surgery patients. CRITICAL CARE NURSES Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures. MENTAL HEALTH NURSES AND NURSE PRACTITIONERS Provide direct patient care in mental health services, and lead and train other military and civilian personnel. MILITARY-SPECIFIC SPECIALIZATIONS Focus on education and training, manpower systems analysis and nursing research. PAY AND BENEFITS Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage. Competitive salary Free health insurance Free housing A retirement plan 30 days paid vacation per year EDUCATION OPPORTUNITIES Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice. High School Students Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country. Nursing Students If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP). Graduate Students If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance. Practicing Nurses If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay. Speak to a recruiter to learn what you qualify to receive. WORK ENVIRONMENT Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force. QUALIFICATIONS AND REQUIREMENTS To become a Commissioned Officer in the Nurse Corps, qualifications include: U.S. Citizen between the ages of 18 and 41 Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service) In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a Bachelor of Science degree General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before. PART-TIME OPPORTUNITIES There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes. Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors. RequiredPreferredJob Industries Government & Military
    $34k yearly 14d ago
  • RN - Post Operations

    All Medical Personnel 4.5company rating

    Nurse manager job in Urban Honolulu, HI

    Post-operative nurses provide intensive care to patients as they awaken from anesthesia after a surgical procedure. Because they typically have significant experience in a medical-surgical environment or in emergency medicine, they re equipped to identify complications and intervene quickly. Responsible for directing patient care within the OR/GI Lab. Use critical thinking skills while providing safe quality care. Involved in assessments, planning, implementation and evaluation. Qualifications and Job Info: 2-3 years of acute clinical care nursing experience Current BLS and ACLS Must have a current state license Benefits: Medical, dental, and vision on day one Weekly pay Direct deposit AmpVantage Awards Program (AVA) Earn money for referrals About Us: All Medical Personnel streamlines hiring to get you back to the work you love. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in focusing on and uplifting the hiring process, with a deep understanding of the unique challenges you face. We are here to ensure each experience with us is simplified, elevated, and impactful, for you and your patient. Visit us at https://allmedical.com/travel-nursing/ to learn more or view additional job openings. Listed pay packages are based on weekly gross amounts. Please reference Job number: 273327 Additional Information All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com. Visit our new job board at https://allmedical.com/view-jobs/ and save it to your favorites today!
    $113k-163k yearly est. 4d ago
  • Nurse Reviewer - Clinical Review Unit

    HMSA 4.7company rating

    Nurse manager job in Kapolei, HI

    Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to: Demonstrate understanding and application of over 250 Guide to Benefits, Evidence of Coverage, Plan Brochure, and Member Handbook. HMSA annually updated medical and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex, etc. to determine the medical necessity of urgent and non-urgent precertification requests. Urgent requests must be completed within 72 hours and non-urgent requests within 15 calendar days. Use clinical judgment, medical necessity guidelines and plan benefits to determine approval, potential denial or alternative treatment of each urgent or non-urgent precertification request. Settings include inpatient, outpatient, in-state, out-of state and out-of country. Document clinical case summary and review outcome of each review appropriately to meet regulatory and program requirements. Review various types of services, including but not limited to: Transplants Air Ambulance Chemotherapy Clinical trials Genetic testing Cancer treatments/radiation therapy Experimental/Investigational Services/Devices New Technology Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to: Call providers when additional clinical information is required to clarify or complete a complex precertification determination. Approve precertification requests based on clinical judgment using criteria, medical record documentation and other information received from the provider. Consult with Medical Directors on requests which do not meet clinical criteria and offer alternative covered health care options as appropriate. Consult Medical Directors on potential quality issues identified during review of medical records. Refer cases to Integrated Health Management, Pharmacy Department or Benefits Integrity Department depending on the concern. Evaluate suspended claims against medical records to determine the medical necessity and appropriateness of medical services, identify irregularities such as over or under-utilization of services, potential up-coding, over billing, etc. Communicate timely, accurate information either verbally, electronically or in writing using clinical judgment, knowledge of medical/reimbursement policies and plan benefits to providers, members as well as internal MM staff and other internal departments (Claims Administration, Customer Relations, Provider Contracting, etc.). For denied services, ensure the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines. Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate with medical and behavioral case management staff. Identify and refer quality of care issues and suspected fraud, waste or abuse to the appropriate departments. Perform pre-screening assessment of incoming pre-certification requests to ensure appropriateness of review. Advises non-clinical staff on clinical and coding questions to ensure correct system processes and entries. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid
    $57k-65k yearly est. 1d ago
  • Travel Registered Nurse ER Emergency Room - Wahiawa, HI | Anders Group

    Anders Group 4.2company rating

    Nurse manager job in Wahiawa, HI

    Registered NurseER Emergency Room Shift: Unknown Setting:Hospital Apply online or contact us ASAP for more information on this great opportunity! Anders Group is looking for a qualified Registered Nurse ER Emergency Roomto fill a current need. 2+ years of experience is preferred, but not always required. Please contact for details. Requirements Graduate from an accredited school State License required/registration where applicable Additional requirements may also be provided during interview Additional Information Anders Group offers rewarding assignments and competitive compensation packages, nationwide! We offer the following benefits: Health Insurance Life Insurance 401(k) Licensure Reimbursement Premium Pay Packages CEU Reimbursements Daily Per Diems Travel Reimbursements Rental Car Allowances Continuing Education Resources Referral Bonus And Many More! Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by our commitment to making sure our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates. Please call ************ for more information about this travel Registered NurseER Emergency Room job or apply at jobs.andersgroup.org *Please note, weekly pay rates are estimates based on the facility sharing their preferred rate. Actual offered rates may vary based on experience, urgency, etc. If the rate is not included, rate is negotiated upon submission and/or offer.
    $94k-144k yearly est. 3d ago

Learn more about nurse manager jobs

How much does a nurse manager earn in East Honolulu, HI?

The average nurse manager in East Honolulu, HI earns between $72,000 and $104,000 annually. This compares to the national average nurse manager range of $60,000 to $115,000.

Average nurse manager salary in East Honolulu, HI

$87,000

What are the biggest employers of Nurse Managers in East Honolulu, HI?

The biggest employers of Nurse Managers in East Honolulu, HI are:
  1. Kaiser Permanente
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