Company

Hawaii Medical Service AssociationSee more

addressAddressHawaii, United States
type Form of workFull-Time
CategoryInformation Technology

Job description

Employment TypeFull-time
Exempt or Non-ExemptExempt
Job Summary

**Hybrid Work Environment - Must reside on Hawaii Island**

Pay Range: $53,996 - $79,258

Note: Individuals typically begin between the minimum to middle of the pay range

To provide care coordination for eligible HMSA members and facilitate a collaborative relationship among members, providers, community agencies and HMSA staff to ensure members receive timely and integrated access to services. Case Managers/Health Coordinators with Implementing the health action plans/care plans.


Minimum Qualifications
  1. Bachelor's degree and three years of case management experience conducting assessments and home/community visits.
  2. Effective communication skills and time management skills
  3. Excellent interpersonal, problem-solving, and organizational skills
  4. Exhibit cultural sensitivity to people of various ethnic origins and socioeconomic backgrounds.
  5. Intermediate working knowledge in Microsoft Word and Outlook.
  6. Basic working knowledge in Microsoft Excel and PowerPoint.
  7. Must have valid driver's license, access to an automobile with current license, registration and no-fault insurance.
  8. Requires safely operating an insured automobile for travel to off-site locations to conduct and accomplish business related activities.

Duties and Responsibilities
  1. Manage members that have been assessed by the LTSS, Event Driven Care, or Complex Case Management Case Managers/Health Coordinators to implement member's health action plans (HAP)/care plans to ensure timely services are in place. This may include initiating the process of ADRC, going home plus, self-directed packets, contacting providers (i.e., follow-up for members, making appointments, finding availability to meet HAP/care plan goals), and submitting/following up on precertification requests to medical management department.
  2. Review Health Action Plans/Care Plans to meet RFP requirements. This may be conducted in person, telephone, email, fax, or video.
  3. Manage patient care by establishing and managing efficient and effective relationships between providers, members, and HMSA to ensure timely access to appropriate medical care.
  4. Document on HMSA's electronic record systems that includes meeting NCQA, CMS, and Med-QUEST Division (MQD) requirements/standards.
  5. Advocate and assist members to navigate HMSA and the health care delivery system.
  6. Attend required trainings and then apply to day-to-day work.
  7. Performs all other miscellaneous responsibilities and duties as assigned or directed.
 
#LI-Hybrid

Refer code: 7602255. Hawaii Medical Service Association - The previous day - 2024-01-03 11:48

Hawaii Medical Service Association

Hawaii, United States
Popular Care Coordinator jobs in top cities
Jobs feed

Human Resources Specialist

The League For People With Disabilities

Baltimore, MD

$49.9K - $63.2K a year

To Go - Florissant Chili's

Chili's

Florissant, MO

Residences Public Area Housekeeping Attendant

Marriott

Portland, OR

Bartender - Lakewood Ranch Chili's

Chili's

Bradenton, FL

Human Resources Generalist

Linwood Center, Inc

Ellicott City, MD

$53.7K - $68K a year

QA/Expeditor - Capitola Mall Chili's

Chili's

Capitola, CA

Housekeeping Supervisor

Marriott

Augusta, GA

Retail Sales Associate - Self Serve

Ikea

Bolingbrook, IL

Human Resources Generalist

Housing Authority Of Baltimore City

Baltimore, MD

$65,460.00 - $70,042.20 a year

Share jobs with friends

Related jobs

Quest Integration Care Coordinator (Keaau)

RN Care Coordinator, Utilization Management -Per diem - Days

Hackensack Meridian Health

$81.2K - $103K a year

Hackensack, NJ

just now - seen

Office / Care Coordinator

Tlc Care Services

$17 - $20 an hour

Fairbanks, AK

4 hours ago - seen

Wound Care Coordinator - RN

Cypress Cove Center

$32 - $40 an hour

Muscle Shoals, AL

13 hours ago - seen

Care Coordinator - Remote in Dearborn County Indiana and surrounding areas

Unitedhealthcare

$57.2K - $72.5K a year

Lawrenceburg, IN

14 hours ago - seen

Temporary Staffing Coordinator

Home Care Agency

$31.6K - $40K a year

Marion, SC

14 hours ago - seen

Resident Care Coordinator

Wolverton Glen Assisted Living

$19 - $23 an hour

Ripon, WI

15 hours ago - seen

Patient Care Coordinator

Mountain Ridge Dentistry

$20 - $28 an hour

Berthoud, CO

16 hours ago - seen

Front Desk Care Coordinator

Lagrange Family Dentistry

From $15 an hour

Lagrange, IN

19 hours ago - seen

Patient Care Coordinator

Sycamore Veterinary Hospital

$17 - $20 an hour

Midlothian, VA

yesterday - seen

Patient Care Coordinator

Hearing Life

$16.50 - $19.00 an hour

Saratoga Springs, NY

yesterday - seen

Pharmacy Care Coordinator

Cornerstone Staffing

Irving, TX

yesterday - seen

Patient Care Coordinator

Seabert Eye Care

$14 - $16 an hour

Burleson, TX

2 days ago - seen

Patient Care Coordinator

Real Performance Physical Therapy

$15 - $16 an hour

Cleburne, TX

2 days ago - seen

VOLUNTEER COORDINATOR

Cooper University Health Care.

Camden, NJ

2 days ago - seen

RN Care Coordinator, On Call (Days)

Kaiser Permanente

Clackamas, OR

2 days ago - seen

RN Care Coordinator, On Call (Days)

Kaiser Permanente

Clackamas, OR

2 days ago - seen

RN Care Coordinator, On Call (Variable)

Kaiser Permanente

Clackamas, OR

2 days ago - seen