Demo

Nurse Case Manager-Principal Care Management,

Hawai'i Island Community Health Center
Waikoloa, HI Full Time
POSTED ON 2/2/2025
AVAILABLE BEFORE 4/30/2025

Job Description

Job Description

JOB TITLE :

Nurse Case Manager-Principal Care Management, RN

FLSA STATUS : Exempt

DEPARTMENT : Medical Services

SUPERVISED BY :

Care Coordination Manager

  • POSITION FUNCTION SUMMARY

Under the direction of the Care Coordination Manager the Nurse Case Manager- Principal Care Management (PCM), RN will oversee enrollment and management of patients needing case management services from a licensed nurse. The Nurse Case Manager is responsible to the HICHC clients for rendering a variety of skilled nursing care in assigned areas in terms of individualized client needs; according to dependent and independent nursing functions and conformance with recognized nursing techniques, procedures, and established standards based on the scope of nursing, under the direction / delegation of the Care Coordination Manager.

  • ESSENTIAL DUTIES AND RESPONSIBILITIES
  • This position may have various work assignments within HICHC. This description is intended to be generic in nature, and as such it does not detail all duties and responsibilities of the particular job assignment. Various duties, responsibilities and accountabilities may be assigned to an incumbent in this position depending on the specific job assignment, and may include but not be limited to the following :

    Principal Care Management

  • Assesses the physical, functional, social, psychological, environmental, and financial needs of patients.
  • Identifies a cost-effective comprehensive care plan to meet the patient’s needs as well as the families’ service needs and implement the plan. Ensures that services are being delivered.
  • Collaborates care with provider and integrates services with Behavioral Health specialists and other specialty services.
  • Provides referrals to appropriate community resources; facilitates access and communication when multiple services are involved; monitors activities to ensure that services are being delivered and meet the needs of the client; coordinates services to avoid duplication. Works with HICHC referral specialist to provide appropriate services.
  • Assesses the client’s formal and informal support systems.

  • Maintains a case-management tracking system that focuses on high-risk populations.
  • Acts as patient advocate; identifies and develops new community resources; assists with problem solving.

    Provides or assists in providing appropriate medical, nursing, or other health care in the home and / or clinic setting as needed.

    Maintains accurate patient records; maintains patient confidentiality.

    Provides and / or arranges for education in disease management; provides knowledge and tools so patients can manage their disease effectively including self-management goal counseling, assists in scheduling regular patient visits, and conducting periodic evaluations and knowledge updates.

  • Helps maintain data and update flowsheets on specific disease management charts.
  • Maintains records by observing and recording changes, progress, reactions, and treatments of assigned patients; suggests possible alterations and additions to the patient’s treatment plan.
  • Educates patients by disseminating patient information and literature relating to health education programs including but not limited to family planning, pre-natal care, and health promotion / disease prevention for all age categories.
  • Maintains compliance of clinic with state licensure by enforcing Quality Assurance protocols in the pharmacy, laboratory, medical supply, and nursing / patient care areas of HICHC for quality patient care.
  • Maintains patient files by updating pertaining to medication refills, laboratory reports / results, patient medical visits, and other patient data / information required by the physician.
  • Maintains and updates professional knowledge and skills and maintains clinical proficiency by attending continuing education or seminars related to job responsibilities, including Age Specific Training (care giving, treatment, and assessments specific to the age of populations served).
  • POSITION SPECIFICATIONS
  • Requirements of Position

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education and Experience

  • High School graduate or GED certificate and completion of an accredited RN program.
  • Degree in Nursing (RN) required.
  • One year of experience as a nurse required. Preferred experience in a community health center and working within a managed care environment.

    Must possess sufficient prior work experience in progressively responsible positions during which the skills and abilities to perform all the essential functions have been amply demonstrated at a consistently competent level.

    Licenses and Certifications

  • Current RN Nursing license for the State of Hawaiʻi is required, and documentation of education, experience and licensure is required and must be maintained; incumbent must be insurable under the policies and requirements of HICHC.
  • Current BLS certification is required and must be maintained.

    Knowledge, Skills and Abilities

  • Advanced knowledge of clinical patient intake procedures, laboratory, and pharmacy protocols.
  • Ability to use a computer to enter and retrieve patient data to complete a discharge plan.
  • Ability to work on multiple tasks within established deadlines.
  • Ability to work independently under the general direction of a provider and follow instructions for work completion.

    Ability to take the initiative to resolve patient concerns and problems.

  • Ability to work independently and autonomously in the absence of supervision.
  • Language Skills

  • Ability to read and interpret documents such as medical records, safety rules, operating and maintenance instructions, procedure manuals, accreditation standards and guidelines, etc.
  • Ability to write at a moderate level of competence, including internal reports and memoranda.

  • Ability to communicate with diverse groups of people to include staff and providers and patients.
  • Ability to communicate effectively with patients and their families to make their visit a pleasant experience.

  • Knowledge and sensitivity to the multicultural nature of the service area population. When doing so, such communication must be accurate and understandable by the recipient. If unable to do so, employee is required to secure the assistance of translation services with the appropriate language skill.
  • Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.
  • Personal Characteristics

    Personal characteristics to include : a team player, high integrity, communication and customer relations skills, regular work attendance, courteous and friendly, able to work well with diverse groups of people, and gain and maintain respect of others, both inside and outside HICHC.

  • Performs the essential functions and elements of this position following a training and orientation period of 3 months, which may be extended if necessary.
  • Must be able to maintain complete confidentiality of medical records, patient interviews, and office memoranda.

    Confidential and Sensitive Information

    Because the employee has access to personal and professional data regarding individual employees and their families, personal data regarding individual patients and the families, and / or sensitive company financial data, an essential job result is the maintenance of a high level of confidentiality of the information processed by the employee. Violation of this confidence may result in disciplinary action, up to and including termination of employment.

  • PHYSICAL CHARACTERISTICS / WORKING CONDITIONS
  • General Remarks : The work environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential tasks and functions.

    Environment : The noise level in the work environment is usually moderate. There are no known environmental hazards on the premises. Work environment is often stressful. Work is mostly inside, and normal office worker safety precautions and practices are required. Incumbent will be exposed to patients' conditions and some-unpleasant sights, smells and contagious diseases including virus, disease and infection from patients and specimens in working environment. All employees are offered the opportunity to receive the Hepatitis B vaccination series.

    OSHA : This position performs tasks that involve exposure to blood, body fluids, or tissues; normal medical safety precautions and practices are required

    Work Hours : Eight- or Ten-hour work days. Incumbent will be scheduled based on operational need (rotate shifts, standby, on call). This position is exempt under the provisions of the Fair labor Standards Act (FLSA) and is not subject to the policies and procedures pertaining to overtime hours and premium pay. The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. In order to ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.

    Mental Demands : Duties require attention to detail, alertness, problem solving, tolerance to stress and exercising sound judgment. Duties require high tolerance and adequate coping skills for dealing with loss, grief and bereavement. Good stress reduction and management skills are essential.

  • REMARKS
  • The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. To ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.

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