Waikiki Health is seeking a full-time RN Care Coordinator

Pay rate for this role is $79,160.16 annually.

Schedule: M-F, 40-hour work week

The RN Care Coordinator works within a multi-disciplinary health care team in the delivery of comprehensive services for patients who are identified as high utilizers of the ED or Hospital and/or diagnosed with chronic diseases such as, but not limited, to diabetes, hypertension, obesity, chronic pain, or Hepatitis C. The RN Care Coordinator is a patient advocate and facilitator of the Patient Centered Medical Home (PCMH) and its target population of Diabetics and Emergency Room / Hospital Utilizers through the provision of health education, medication adherence counseling, follow-up monitoring, improvement of access to care, and guiding patients through problem focused clinical visits.

Qualifications and abilities:

• Registered Nurse in the State of Hawaii. RN license is current, valid & in good standing.
• Familiarity with common software programs, (i.e. Windows-based programs) an ability to quickly learn new systems.
• Ability to communicate effectively with patients, community members, and staff members.
• Proficient in computer skills: typing, navigating through the internet and emails.
• OSHA training.
• BCLS biannually.

General Duties include but are not limited to:

• Collaborates with medical providers and staff members to identify patients via referral from a target PCMH population who clinically demonstrate (i.e. high ER utilizer, uncontrolled A1c) need of care coordination.
• Assists health care team and patient to develop person-centered care plans tailored to patient centered needs and primary social support system.
• Assesses patients for care coordination by asking and receiving consent to have care coordination, assessing disease and treatment comprehension, depression, labs, medications, and patient’s health related goals.
• Complete ER/Hospital follow-up calls in a timely manner. The goal is to get the patient in to the clinic to be seen by a provider within 7 days of discharged.
• Assess patient’s social determinants of health (SDOH) and provide information on community resources.
• Other duties as assigned.

Interested candidates should apply through our ADP interface: CLICK HERE TO APPLY.

Waikiki Health requires proof of the following immunization, with or without reasonable accommodation: TB skin test or chest X-ray, and Hepatitis B (optional).