Housing Coordinator AlohaCareHousing CoordinatorHonolulu, HI$50,000–$65,000 / yearThe housing coordinator will work with local housing resources, non-profit and for-profit housing providers, and other agencies to develop housing resources necessary for moving individuals from the streets and shelters into permanent housing and ensuring successful transition and community tenure of people leaving nursing facilities and other institutional settings. Outcomes of this initiative include the development of a scalable and sustainable housing referral and support program, increased number of individuals placed in affordable, independent housing and the provision of supportive services that will enable these individuals to remain in stable housing.
Health Coordinator, RN or SW AlohaCareHealth Coordinator, RN or SWHonolulu, HI$80,000–$85,000 / yearThe Health Coordinator is responsible for conducting face-to-face assessments, developing individualized health action plans, interacting with members, providers, and physicians to coordinate primary, acute, behavioral, and long-term services and support (LTSS) for individuals having special health care needs. Interacts with members, family, physician(s), and other providers utilizing clinical and social knowledge and expertise to determine the member’s current status and capacity and to assess the options for service delivery including use of health plan benefits and community resources to update a Member’s Health Action Plan.
Psychiatric RN Coordinator AlohaCarePsychiatric RN CoordinatorHonolulu, HI$65,000–$83,000 / yearInteract with members, families, physicians, and other providers utilizing clinical knowledge and expertise to determine medical history and current status and to assess the options for care including use of benefits and community resources to update the Care Plan. Takes the lead of the care coordination team on all islands, assuring MD orders for medication administration are performed as ordered, and develops educational material for the care coordination team to utilize.
SOCIAL SERVICE ASSISTANT IV - CORRECTIONAL FACILITIES - OAHU State of HawaiiSOCIAL SERVICE ASSISTANT IV - CORRECTIONAL FACILITIES - OAHUHI$3,606–$4,563Specialized Experience: Three years of experience in providing supportive services to social workers, vocational rehabilitation specialists, public housing managers, or other professional workers in such programs as public welfare, family court, vocational rehabilitation, and public housing; e.g., performing clerical tasks in processing various documents, transporting clients and materials to and from various destinations, explaining to clients or tenants the services available, assisting in overseeing group activities such as bowling and swimming. Participating employees may increase their take-home pay by having the State deduct qualified transportation expenses (i.e. eligible parking fees, monthly bus passes for TheBus, fare coupons for The Handi-Van, Vanpool Hawaii participation fee, etc.) through pre-tax payroll deductions.
Social Worker - Community, Social Services Hawaii Pacific HealthSocial Worker - Community, Social ServicesHonolulu, HI$80,725–$100,901 / yearSpecialty services for patients throughout Hawaii and the Pacific Region include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport and high-risk perinatal care. The hospital is home to the Kapiolani Women's Center and the Women's Cancer Center, and offers numerous community programs and services, such as specialty pediatric clinics, the Kapiolani Child Protection Center and the Sex Abuse Treatment Center.
ELIGIBILITY WORKER IV - DEPARTMENT OF HUMAN SERVICES - OAHU State of HawaiiELIGIBILITY WORKER IV - DEPARTMENT OF HUMAN SERVICES - OAHUHonolulu, HI$4,742–$6,003by serving as a group or team leader, or in similar work in which opportunities for demonstrating supervisory capabilities exist; or by completion of training courses in supervision accompanied by application of supervisory skills in work assignments, and/or favorable appraisals by a supervisor indicating the possession of supervisory potential. Examples of qualifying work experience include: (1) a para-professional who maintained close and continuing relationships with clients; (2) customer service representative who interfaces with the public to resolve problems; and (3) para-legal assistant or life insurance salesperson who has established a positive relationship with clients in providing and eliciting information and in providing advice/guidance.
Behavioral Health Case Management Liaison AlohaCareBehavioral Health Case Management LiaisonHonolulu, HI$70,000–$83,000 / yearOversees CCS contract compliance of the CBCM agencies (i.e. Behavioral Health Assessment (BHA)/Individualized Treatment Plan (ITP) received within specified timeframes, quarterly BHS reports, post hospitalization follow-up, etc.) including onsite trainings and audits. The Behavioral Health Case Management Liaison manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability.
Network Contracting Specialist - Temporary AlohaCareNetwork Contracting Specialist - TemporaryHonolulu, HIThe Network Contracting Specialist is essential to providing excellent customer service to our providers by performing tasks accurately and timely in accordance to Network Contracting and other pertinent AlohaCare policies and procedures. These activities impact the provider’s ability to be included in AlohaCare’s provider network and ability to render services to AlohaCare members.
Site Coordinator - Dole Middle School YMCA of HonoluluSite Coordinator - Dole Middle SchoolHonolulu, HI$22–$28.50 / hourThe Site Coordinator is responsible for designing, directing, and supporting the development and operations of 21st Century Community Learning Centers (21CCLC) programs at Dole Middle School , including afterschool and summer initiatives funded through the 21CCLC grant. The Site Coordinator serves as the on-site supervisor and plays a critical role in fostering a positive, inclusive environment for students, while managing staff, coordinating with school personnel, and building relationships with community partners.
Customer Service Representative - Kauai, Hilo or Oahu AlohaCareCustomer Service Representative - Kauai, Hilo or OahuHonolulu, HI$17–$19.50 / hourThe Customer Service Representative is a customer-focused, detail-oriented service representative that supports customers through inbound and outbound phone, digital, and occasional face-to-face service channels, using the highest degree of expertise, courtesy, and professionalism with the objective of retaining the customer's business and ensuring their on-going satisfaction. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members.
SOCIAL WORKER OR HUMAN SERVICES PROFESSIONAL III - HAWAII YOUTH CORRECTIONAL FACILITY - KAILUA, OAHU State of HawaiiSOCIAL WORKER OR HUMAN SERVICES PROFESSIONAL III - HAWAII YOUTH CORRECTIONAL FACILITY - KAILUA, OAHUKailua, HI$5,107–$6,221BASIC EDUCATION: Social Worker: In accordance with Act 238, SLH 2005, applicants must possess a bachelors or masters degree in social work from a program of study accredited by the Council on Social Work Education, or a doctoral degree in social work from a college or university accredited by the Western Association of Schools and Colleges, or a comparable regional accreditation body. Social Workers and Human Services Professionals seek to improve the overall quality of life of people within the context of their environment through the remediation and prevention of their problems, and by improving accessibility, accountability and coordination of service delivery among a variety of professionals and/or agencies tasked with providing appropriate services to clients.
NewTransitions of Care (TOC) Supervisor, RN, LCSW or LSW AlohaCareTransitions of Care (TOC) Supervisor, RN, LCSW or LSWHonolulu, HI$95,000–$105,000 / yearThe role supports the TOC Program’s focus on safe, cost-effective, high-quality care after hospitalization and contributes to quality and value-based outcomes such as reduced 30-day readmissions, improved emergency department utilization, and improved care coordination for members with chronic conditions, behavioral health needs, and social determinants of health needs. The TOC Supervisor works under the direction of the Health Coordination Director, alongside the Health Coordination Managers, and is responsible for supervising day-to-day team activities, coaching staff, reinforcing workflows, monitoring productivity, supporting audit readiness, and serving as a subject matter expert for TOC processes.
Case Management Manager AlohaCareCase Management ManagerHonolulu, HI$81,000–$110,000 / yearThe Case Management Manager manages the case management team and the care coordination of behavioral health members to develop and assess high-quality, cost-effective healthcare outcomes related to mental and behavioral health needs. Direct the daily activities of case management staff including reviewing and approving the caseloads of case management staff based on state requirements, case management staff experience, and member needs.
Case Management Supervisor AlohaCareCase Management SupervisorHonolulu, HI$70,000–$83,000 / yearThe Care Management Supervisor Supervises the case management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs.
Pharmacy Technician - Oahu or Maui AlohaCarePharmacy Technician - Oahu or MauiHonolulu, HI$20–$26 / hourThe Pharmacy Technician will support the oversight of Medicare operations delegated to our Pharmacy Benefit Manager (PBM), proactive Medicare rejected claim outreach, the processing and/or review of Prior Authorization/Coverage Determination, appeal and grievance requests, participate in the Medicare annual plan build implementation and testing, manage the Pharmacy help desk line, assist Customer Service on drug-related concerns/issues for the AlohaCare QUEST and Advantage Plus (ACAP) Plans, and provide administrative support for formulary management and compliance related functions of the AlohaCare Pharmacy Department. Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for Medicare & Medicaid Services (CMS), Med-QUEST (Hawaii Medicaid), and National Committee for Quality Assurance (NCQA).
Program Manager AlohaCareProgram ManagerHonolulu, HI$81,000–$110,000 / yearParticipate in/Lead key MQD/MCO initiatives, including the current BH Performance Improvement Project, and which may include other efforts such as expansion of Medication Assisted Treatment (MAT) services, efforts to widen the implementation of SBIRT services, enhanced collaboration with Hawaii CARES, and as prioritized by AlohaCare and/or MQD. Provides consultation, education, and training to providers in conjunction with AlohaCare’s CCS Provider Network Development Department, and provides or arranges for the provision of consultation, education, and training to staff to support the provision of services to CCS members.
Medical Director AlohaCareMedical DirectorHonolulu, HI$110–$135 / hourProvides clinical oversight and guidance for AlohaCare on Substance Use Disorder issues, including issues such as the use of ASAM or other evidence-based assessments and treatment protocols, the use of MAT and is active in teaching or training staff and, upon approval, students or professional trainees. The Medical Director of CCS (Medical Director) is a key operational and strategic leader who assists the Director, Behavioral Health to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
NewUtilization Management Review Nurse - Temporary AlohaCareUtilization Management Review Nurse - TemporaryHonolulu, HI$70,000–$85,000 / yearReview the following: Outpatient Prior Authorizations, Inpatient Authorizations, Long Term Care Authorizations, Home and Community Based Services Authorizations, Outpatient Behavioral Health Authorizations, Inpatient Behavioral Health Authorizations, and 30-day readmissions. Participate in internal inpatient clinical rounds in collaboration with AlohaCare’s internal clinical teams and Medical Director to discuss the current admissions, discharges, and complex cases.
NewQuality Improvement Nurse - Part Time AlohaCareQuality Improvement Nurse - Part TimeHonolulu, HI$78,000–$85,000 / yearThis role performs provider and member outreach, coordinates interventions for targeted quality measures, supports HEDIS, Medicare Stars, Med-QUEST Pay for Performance, population health, and other quality improvement initiatives, and helps ensure that members receive timely preventive, chronic condition, and follow-up care. The Quality Improvement Nurse serves as a clinical resource for quality measure improvement activities, including outreach to members and providers, review of clinical information, coordination of services, education on care gap closure opportunities, and documentation of outreach outcomes.
NewSenior Financial Analyst AlohaCareSenior Financial AnalystHonolulu, HI$67,000–$81,500 / yearThe Senior Financial Analyst is responsible for directly supporting the overall financial success of the organization by providing senior level, actionable analysis of financial and operating results, as well as other routine and ad hoc retrospective and prospective financial and operational analysis. Lead the development, maintenance, and optimization of the Finance data warehouse, ensuring the integrity, availability, and accessibility of financial data to support reporting, forecasting, budgeting, regulatory requirements, and strategic decision-making.