Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

Additional Details:

Certifications are required to be included at time of submission.

Required Skills/Experience:

• 1+ year Medicare-certified home health agency experience.

Preferred Skills/Experience:

• Case Manager experience preferred.

Required Credentials:

• Must have own transportation, an active and clear driver's license, and current auto insurance.

Preferred Credentials:

• Bachelor's degree preferred.

Special Requests:

• Housing in central Oahu (Aiea or Pearl City) is requested.

Unit Details:

• Territory will be assigned close to start date based on patient needs.
• Coverage area may include Oahu locations such as Honolulu, Aiea, Pearl City, Mililani, and Wahiawa.
• Provides excellent patient care by assisting in collaboration, development, implementation, revision, and reporting of the case management program.
• Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team, and the patient's healthcare benefactor to optimize outcomes.
• Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
• Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs, and covered services by monitoring diagnostic testing, treatments, procedures, and other aspects of patient care as appropriate for acute care.
• Discusses with physicians the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan.
• Focuses on complex patients, frequent emergency department utilizers, chronic pain and substance abuse patients, and homeless patients.
• Collaborates with acute care case managers to ensure appropriateness on ongoing care.
• Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services.
• Provides oversight and collects data required for regulatory and accreditation compliance.
• Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions.

Shift & Scheduling:

• Rotating weekends as needed (2-3 per month).
• On-call 6 shifts a month as needed, to include weekends.