Position: Full-Time RN Care Coordinator
Pay Rate: $79,160 annually
Schedule: Monday–Friday, 40-hour work week

Job Summary: The RN Care Coordinator works within a multi-disciplinary team to deliver comprehensive, patient-centered care for complex individuals, including high hospital utilizers and those with Social Determinants of Health (SDOH) needs. Serving as a patient advocate, this role manages chronic conditions through tailored care plans, health education, medication counseling, and follow-up monitoring. By collaborating with interdisciplinary teams and community partners, the Care Coordinator empowers diverse patient populations toward self-management to reduce health disparities and improve overall outcomes.

Qualifications and abilities:

• Graduate of an accredited school or university as a Registered Nurse, or other bachelor’s or master’s level degree with significant clinical experience
• Minimum of five (5) years of experience including chronic disease management is preferred
• Registered Nurse (RN) license is current, valid, and in good standing in the State of Hawaii
• 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:

• Identify and Assess Target Populations: Collaborate with interdisciplinary teams and analyze data (EMR, ER/hospital reports, PRAPARE screenings) to identify high-utilizing, complex, and uncontrolled chronic disease patients requiring PCMH care coordination
• Develop Patient-Centered Care Plans: Conduct comprehensive assessments of patient health literacy, medications, and labs to build tailored care plans utilizing SMART goals that promote self-management
• Deliver Evidence-Based Disease Management: Implement specialized chronic disease protocols, including diabetes self-management support and the American Heart Association’s Self-Monitoring Blood Pressure (SMBP) program
• Coordinate Holistic Continuity of Care: Facilitate internal health transitions (Behavioral Health, Dental, Nutrition) and external community resource linkages to address Social Determinants of Health (SDOH) and manage post-discharge follow-ups
• Manage Quality & Program Compliance: Track clinical quality measures, maintain EMR documentation within 24–72 hours, and support quality initiatives to help maintain the clinic’s PCMH Annual Recognition
• 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). 

Applicants requiring assistance are encouraged to contact our organization at (808) 922-4787.

Waikiki Health is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.