Nursing Manager Jobs in Hawaii

Job Title: Utilization Mgmt Nurse Company: UnitedHealth Group Location: Honolulu, HI Description: AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.   If you';re ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.   We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.   This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.   The Utilization Management Nurse is responsible for utilization management and utilization review.  Determines medical appropriateness of Outpatient Services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and not prescribed.  The Utilization Management Nurse works under the direct supervision of an RN or MD.   Primary Responsibilities: Works with less structured, more complex issues.Serves as a resource to others.Assesses and interprets customer needs and requirements.Provides authorizations and/or denials based on clinical documentation review and medical necessity.Collaborates closely with the Medical Director for complex cases. Develops expertise in a managed care plan Utilization Management process.Identifies solutions to non-standard requests and problems.Solves moderately complex problems and/or conducts moderately complex analyses.Works with minimal guidance.Translates concepts into practice.Provides explanations and information to others on difficult issues.Coaches, provides feedback, and guides others.Acts as a resource for others with less experience.Other duties as assigned. You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.SKILLS REQUIRED Qualifications: Unrestricted RN license required for the State of HawaiiUndergraduate degree or equivalent experience2 yrs Managed Care and/or Clinical experience requiredStrong computer proficiency, must be able to type and talk at the same timeStrong communication skills, written and verbal   Additional Assets Preferred: Pre-Authorization experienceStrong Excel skillsExperience working with DME providersExperience working with Milliman and/or InterqualICD 9 codesCase Management experienceCertified Case Manager (CCM)Certified in Utilization Management   Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Title: Manager Nursing - EE Health, Wellness, and Work-Related Disability Management Company: Kaiser Permanente Location: Honolulu, HI Description: Here in Hawaii, the spirit of aloha permeates our daily actions and interactions. It’s a welcoming spirit, and one that’s alive and well at Kaiser Permanente Hawaii. Since 1958, we have proudly served our island communities as ohana. Today, each of us—from our allied health professionals to our RNs—contributes to that ongoing mission. If you’re looking to be a part of our rich heritage of care, this is the place to put your beliefs into practice.Develops, implements, coordinates, and evaluates employee health, wellness, workers compensation, and work-related disability management programs. Coordinates daily operations of department/unit/clinic to ensure appropriate quality of care. Serves as liaison and facilitates communication between administration, physician, staff, patients and other departments. Participates in development and implementation of department goals and objectives. Supervises assigned nursing staff.Essential Functions:• Develops, designs, implements, and evaluates and establishes employee health, wellness, workers compensation, and work-related disability management program plans, priorities, goals and objectives• Oversees the regional workers compensation, employee health, and wellness programs• Refines and implements program design and creates communication plans • Reviews and monitors the financial impact of workers compensation cases • Develops and revises regional policies, procedures and protocols• Identifies best practices and benchmarks with other organizations. Recommends new and alternative practices• Chairs or participates on committees as it relates to areas of responsibility• Leads or participates on special projects to promote the strategic goals of the region• Supervises and coordinates daily operations of assigned operational area. Ensures high quality care services at optimal controllable cost• Functions as liaison between administration, physician, staff, patients and other departments • Participates in or coordinates/leads various leadership, multidisciplinary teams and task forces meetings to improve patient care and services, control costs and/or meet other needs across continuum• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff• Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed• Perform other duties and accepts responsibility as assigned

Job Title: Nursing Supervisor Company: Kaiser Permanente Location: Honolulu, HI Description: Here in Hawaii, the spirit of aloha permeates our daily actions and interactions. It’s a welcoming spirit, and one that’s alive and well at Kaiser Permanente Hawaii. Since 1958, we have proudly served our island communities as ohana. Today, each of us—from our allied health professionals to our RNs—contributes to that ongoing mission. If you’re looking to be a part of our rich heritage of care, this is the place to put your beliefs into practice.Coordinates daily operations of department/unit/clinic to ensure appropriate quality of care. Serves as liaison and facilitates communication between administration, physician, staff, patients and other departments. Participates in development and implementation of department goals and objectives. Supervises assigned nursing staff.Essential Functions:• Supervises and coordinates daily operations and staffing. Ensures high quality patient care services at optimal controllable cost• Assess and monitors clinical nursing practice for optimal patient care. Designs and evaluates processes to improve systems and patient care results across the continuum. Follows-up on all clinical issues• Functions as liaison between administration, physician, staff, patients and other departments. Facilitates communication between physicians, staff and patients. Acts as patient advocate• Participates in or coordinates/leads various leadership, multidisciplinary teams and task forces meetings to improve patient care and services, control costs and/or meet other needs across continuum• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff• Provides direct patient care on an as needed basis; Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed• Performs other duties and accepts responsibility as assigned

Job Title: Utilization Mgmt Nurse: Determine Medical Appropriateness of Outpatient Services! Company: UnitedHealth Group, Inc Location: Honolulu, HI Description: AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.If youre ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.The Utilization Management Nurseis responsible for utilization management and utilization review. Determines medical appropriateness of Outpatient Services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and not prescribed. The Utilization Management Nurse works under the direct supervision of an RN or MD.Primary Responsibilities:Works with less structured, more complex issues.Serves as a resource to others.Assesses and interprets customer needs and requirements.Provides authorizations and/or denials based on clinical documentation review and medical necessity.Collaborates closely with the Medical Director for complex cases.Develops expertise in a managed care plan Utilization Managementprocess.Identifies solutions to non-standard requests and problems.Solves moderately complex problems and/or conducts moderately complex analyses.Works with minimal guidance.Translates concepts into practice.Provides explanations and information to others on difficult issues.Coaches, provides feedback, and guides others.Acts as a resource for others with less experience.Other duties as assigned.You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.

Job Title: Utilization Mgmt Nurse: Determine Medical Appropriateness of Outpatient Services Company: UnitedHealth Group Location: Honolulu, HI Description: Job Description - Utilization Mgmt Nurse: Determine Medical Appropriateness of Outpatient Services! (321544) Job Description Utilization Mgmt Nurse: Determine Medical Appropriateness of Outpatient Services!-321544 Description AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice. We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country. The Utilization Management Nurse is responsible for utilization management and utilization review. Determines medical appropriateness of Outpatient Services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and not prescribed. The Utilization Management Nurse works under the direct supervision of an RN or MD. Primary Responsibilities: Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Provides authorizations and/or denials based on clinical documentation review and medical necessity. Collaborates closely with the Medical Director for complex cases. Develops expertise in a managed care plan Utilization Management process. Identifies solutions to non-standard requests and problems. Solves moderately complex problems and/or conducts moderately complex analyses. Works with minimal guidance. Translates concepts into practice. Provides explanations and information to others on difficult issues. Coaches, provides feedback, and guides others. Acts as a resource for others with less experience. Other duties as assigned. You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. Qualifications Qualifications: Unrestricted RN license required for the State of Hawaii Undergraduate degree or equivalent experience 2 yrs Managed Care and/or Clinical experience required Strong computer proficiency, must be able to type and talk at the same time Strong communication skills, written and verbal Additional Assets Preferred: Pre-Authorization experience Strong Excel skills Experience working with DME providers Experience working with Milliman and/or Interqual ICD 9 codes Case Management experience Certified Case Manager (CCM) Certified in Utilization Management Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing. Job Clinical Utilization Managemen Primary LocationUS-HI-Honolulu Organization Hawaii Schedule Full-time Number of Openings 2

Job Title: Supervisor Nursing Company: Kaiser Permanente Location: Kailua, HI Description: Here in Hawaii, the spirit of aloha permeates our daily actions and interactions. It’s a welcoming spirit, and one that’s alive and well at Kaiser Permanente Hawaii. Since 1958, we have proudly served our island communities as ohana. Today, each of us—from our allied health professionals to our RNs—contributes to that ongoing mission. If you’re looking to be a part of our rich heritage of care, this is the place to put your beliefs into practice.Coordinates daily operations of department/unit/clinic to ensure appropriate quality of care. Serves as liaison and facilitates communication between administration, physician, staff, patients and other departments. Participates in development and implementation of department goals and objectives. Supervises assigned nursing staff.Essential Functions:• Supervises and coordinates daily operations and staffing. Ensures high quality patient care services at optimal controllable cost• Assess and monitors clinical nursing practice for optimal patient care. Designs and evaluates processes to improve systems and patient care results across the continuum. Follows-up on all clinical issues• Functions as liaison between administration, physician, staff, patients and other departments. Facilitates communication between physicians, staff and patients. Acts as patient advocate• Participates in or coordinates/leads various leadership, multidisciplinary teams and task forces meetings to improve patient care and services, control costs and/or meet other needs across continuum• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff• Provides direct patient care on an as needed basis; Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed• Performs other duties and accepts responsibility as assigned

Job Title: Field Nurse Case Manager (RN) Company: GENEX Services, Inc. Location: Honolulu, HI Description: GENEX Services, Inc. (www.genexservices.com) is the premier provider of cost-containment and fully integrated care management services in the occupational, auto and group healthcare markets. Our 2,200 medical and business professionals provide comprehensive care solutions to more than 1,200 clients from 120 locations throughout the United States, Puerto Rico and Canada. We are currently seeking a Field Nurse Case Manager (RN) for a part-time caseload in the Honolulu, HI area. GENEX offers a comprehensive compensation and benefits program including a competitive salary and incentive program, 401 (k) with company match and 100% vesting after 90 days of employment, flexible work schedule and a Continuing Education Program accredited by the certifying boards for CCM, CRC and CDMS. EOE M/F/D/V Responsibilities: Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees, you will closely monitor the progress of the injured worker and report results back to the employer and insurance carrier. This will ensure appropriate and cost-effective healthcare services leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning. Qualifications: Diploma, A.S. degree or B.S. degree in nursing required. 2+ years clinical nursing experience required. Case Management and/or Workers’ compensation-related experience strongly preferred. Registered nurse with current, valid state licensure required. Must be eligible to sit for CCM certification and must have a valid driver’s license. Excellent interpersonal skills, phone manners and organizational skills are essential. Must be proficient in Microsoft Office suite with such programs as Word and Excel as well as have experience with internet searches and a comfort level with other software programs. Ability to set priorities and work independently is essential. Spanish speaking ability a plus!

Job Title: Perinatal Nurse Manager Company: Kaiser Permanente Location: Honolulu, HI Description:   Want to know more about what it's like to work at Kaiser Permanente? Click here to listen to what our employees and leader have to say.   Job ID:   005619 Company Name:   Kaiser Permanente Job Category:   Healthcare Location:   Honolulu, HI Position Type:   Full-Time, Employee Experience:   5-10 Years Experience Date Posted:   January 13, 2010 (Reposted Mar 11) Perinatal Nurse Manager Under general supervision, plans, develops, and implements provisions of quality nursing care for efficient operation of 24-hour, 7-days-a-week unit. Serves as manager, practitioner, educator, mentor, and consultant. Guides nursing leadership toward excellence in practice. Supervises assigned staff. Serves as role model. Demonstrates compliance and Principles of Responsibility. Maintains confidentiality. Protects organizational assets. Exhibits ethics and integrity. Adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance.Essential Functions:- In collaboration with Clinical Nurse Specialist, develops implements, reviews, and revises standards, policies, and procedures according to department policy and accreditation standards- Responds to patient/family complaints. Fulfills role of advocate for patients and families- Monitors and coordinates patient care provided by nursing on 24-hour basis- Provides nursing consultation to unit staff, peers, other hospital personnel, adjunct staff and nursing students and instructors- Responds to unit emergencies. Directs staff in crisis situation- Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate- Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff- Fulfills role of nursing staff advocate. Listens to staff concerns. Responds in clear, calm, consistent and timely manner- Ensures staff development. Coordinates unit in-services to meet identified core and unit focused competencies. Ensures staff completion of mandatory training according to nursing policy. Monitors and assesses competencies- Promotes flexible scheduling system that meets patient care needs and staff needs in timely fashion- Collaborates with staffing office and house supervisor to fill unexpected core vacancies due to illness, family leave, or termination- Prepares and conducts performance appraisals. Recommends promotions and staff recognition- Schedules and assigns staff in accordance with patient care, budget guidelines, and current unit acuities. Promotes effective use of resources- Attends and participates in nursing department and other assigned meetings- Develops and implements plans/projects to improve operational efficiency and effectiveness. Monitors and reports status and progress to supervisor- Monitors and evaluates quality and appropriateness of patient care, quality control items and patient satisfaction through formal feedback systems, patient surveys, picker survey, Quality Assurance measures and reports, Care Map reports and utilization management rounds- Maintains safe environment. Tracks status of identified problems or areas of non-compliance to ensure effectiveness of corrective action- Serves as resource, technical expert/spokesperson in area of specialization assuring provision of safe patient care- Maintains knowledge of various job descriptions and scope of responsibility for licensed staff. Ensures staff assignments are appropriate- May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit- Performs other duties and accepts responsibility as assigned- Additional essential functions as listed in the complete job descriptionQualifications:Basic Qualifications:- Two years of acute care or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty- Bachelor's degree in Nursing or RN license with three years nursing management experience- Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure)- Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification- Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, decision making, customer service, group process facilitation, influence/leadership, interpersonal relations, mentoring, oral communication, problem solving, quality management, systems thinking, team building, teamwork, and written communication- Talking to co-workers, customers, outside vendors, and on the telephone- Reading, writing, speaking, understanding English- Training/giving and receiving instructions- Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertnessPreferred Qualifications:- Two years of management experience- Master's degree in nursing administration or public health administration- Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications

Job Title: Dialysis Clinical Manager - RN -Honolulu, HI Company: Liberty Dialysis, LLC. Location: Honolulu, HI Description: .ugDivBody_hj.ugFrame_hj.ugHeader_hj.ugColWrap_hj.ugLeftWrap_hj.ugLeftCol_hj.ugRightCol_hj.ugNoBord_hj.ugHeadPad_hj .ugHeaderTopBg_hj .ugLeftDiv_hj .ugJobDispTable_hj .ug2Pad_hj .ugJobLeft_hj .ugJobRow_hj .ugJobRight_hj .ugFontMed_hj .ugZMarg_hj .ugBlackText_hj .ugDivTextIndent_hj .ugRightCol_hj a:link .ugFooter_hj .ugFooterInner_hj .ugRightAlign_hj .ugFooterLink_hj:link, .ugFooterLink_hj:visited Company: Liberty Dialysis Location: Honolulu HI USA Category: Healthcare Job Title : Dialysis Clinical Manager - RN -Honolulu, HI Job Type : Full Time Benefit Eligible (30+ Hrs/wk) Job Description : Giving you the Liberty to provide extraordinary leadership! Quotes from Liberty employees: "As a Nurse Manager there is never a dull moment. If you love a challenge and are passionate about people's well being, this job is right for you." "Our leaders are nurses. They have a fire to get things done efficiently and to get it right the first time. It reflects their actual experience in dialysis and shows their commitment and credibility." " I like the Liberty model: Experienced and compassionate staff, an excellent staff to patient ratio, and state of the art clinics." " I worked for another dialysis company for almost nine years. I loved my co-workers and my job but felt like the company just got too big. The focus was so often on the profits, not the patients. It was scary to make the switch to Liberty but I haven't regretted it for a second! So many employees at Liberty are just like me - dialysis veterans who want to find a place where the patients come first and the employees are truly valued." Opportunity Description: Liberty Dialysis Hawaii is looking for the right person to lead our clinic in Honolulu! This is a full time (40 hr / week) position. You will be responsible for maximizing clinical performance measures and ensuring the highest standards of patient care. You will make sure we comply with all existing laws and regulatory agencies. And of course you will be responsible for personnel management in the areas of recruitment, hiring, scheduling, completing performance evaluations, and supervising bargaining / non-bargaining clinic staff. This is an excellent opportunity to join a very solid, dedicated team! Requirements: Current Hawaii RN license A minimum of 12 months nursing experience including 6 months of dialysis nursing CNN strongly preferred Experience as a dialysis clinic administrator may be considered in lieu of RN license / RN work experience Company Description: Liberty Dialysis and our affiliates own and operate over 100 kidney dialysis clinics and programs throughout the United States. With some of the highest employee satisfaction ratings and lowest employee turnover rates in the industry, we have received the Torchbearer’s Award from the National Association of Nephrology Technicians for the third year in a row! Our mission is to achieve both exceptional quality outcomes for our patients and a rewarding career experience for our care-givers, all in a nurturing atmosphere of compassion, professionalism, empathy and respect. Our name says it all! Liberty means freedom, autonomy and independence. If you are looking for a work environment where autonomy and independent thinking are valued, you'll find it at Liberty Dialysis! Our care-givers enjoy the liberty to: Give each patient the quality time they deserve with high care-giver to patient ratios! Work in an environment designed for care-givers and their patients. Liberty has won wide acclaim for building the most beautiful, comfortable and patient-focused dialysis clinics in the United States. Work with outstanding physicians who also enjoy the liberty to make a difference. Local Medical Directors, NOT BUSINESS MANAGERS, dictate our clinical policies. Have their voice heard! Our local, regional and national leaders are veterans in the dialysis industry. They listen and respond to the feedback from our caregivers because they truly understand the day-to-day operations of our clinics and programs. Apply now and discover just how high Liberty Dialysis is setting the bar in dialysis care! Experience the satisfaction of working for a company dedicated to providing extraordinary care for its patients as well as extraordinary opportunities for its caregivers. *HJ – Honolulu, HI Liberty Dialysis, LLC.7650 SE 27th Street, Suite 200 · Mercer Island, WA 98040 · phone: Register to View · fax: Register to View New York · Pennsylvania · Maryland · Virginia · West Virginia · Texas · Oklahoma · Utah · Idaho · California Hawaii · Indiana · New Jersey · North Carolina · Wisconsin · Connecticut

Job Title: Charge Nurse (Dialysis RN) Company: Fresenius Medical Care Location: Lanai City, HI Description: Fresenius Medical Care North America (FMCNA) has been a global leader in dialysis for over 25 years. With over 2,000 clinics located in communities all across North America, servicing over 161,000 patients, we have a singular focus on dialysis and a determination to help our patients live their lives to the fullest. If you are passionate about your profession and are looking to begin or continue a successful career that will truly make a difference then FMCNA is the place for you. Description Ensure provision of quality patient care on a daily basis and supervise the direct patient care staff. In this position you will maintain overall shift operation in a safe, efficient, and effective manner, conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient needs or operations to improve delivery of care. Meet routinely with the Director of Nursing Services to discuss personnel and patient care status, issues, and information. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Perform written staff evaluations in conjunction with the Director of Nursing. Recommend and initiate disciplinary action in conjunction with the DON Services. Act as a resource person for staff members. Requirements Graduate of an accredited school of Nursing (R.N.) Current, appropriate state licensure Minimum of six months experience in Hemodialysis One-year experience in medical surgical nursing preferred Supervisory or management experience preferred Certified in CPR or successfully complete course in CPR certification BENEFITS: We offer a generous compensation and benefits package that includes medical and dental, 401K match, profit sharing, short and long term disability, tuition reimbursement, and 5 weeks paid time off! Fresenius Medical Care North America is an Equal Opportunity Employer.