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Job description
Overview
Job Title: Registered Nurse (RN) Case Management Reviewer/Service Coordinator
Company: Acro Service Corp
Duration: Through June 30, 2027 (With possible extension)
Hours: 7:45 am - 4:30 pm, Monday through Friday. Flex time may be approved by supervisor.
Base pay range: $45.00/hr - $52.00/hr
Job duties / Responsibilities
Receive and triage case management referrals from internal and external sources (providers, hospitals, community agencies, payers, consumers, etc.).
Conduct utilization reviews of clinical information to determine eligibility and appropriateness of services.
Apply standardized criteria and clinical judgment to match individuals to the correct intensity of case management (e.g., intensive, moderate, or supportive).
Collaborate with service coordinators, case managers, providers, and interdisciplinary teams to ensure smooth referral handoffs and timely service initiation.
Document review outcomes, level-of-care determinations, and referral assignments in compliance with organizational policies and regulatory requirements.
Monitor referral patterns, service capacity, and utilization trends to support continuous quality improvement.
Provide consultation and clinical expertise to service coordination staff regarding case complexity, level-of-care needs, and treatment planning.
Participate in training, audits, and quality assurance activities related to utilization management and case management processes.
Perform other duties as assigned.
Equipment to be used
Computer
Telephone
Fax
Copy machine
Minimum knowledge, skills, and education and/or experience
Current, unrestricted Hawaii license as a Registered Nurse (RN).
Graduation from an accredited four (4) year college or university with a bachelor\u2019s degree.
Minimum 2-3 years of experience in case management, utilization management, or related clinical setting.
Strong knowledge of case management models, medical necessity criteria, and community-based care systems.
Excellent assessment, critical thinking, and decision-making skills.
Strong communication and interpersonal skills for interdisciplinary collaboration.
Ability to manage multiple referrals, prioritize workload, and meet time-sensitive deadlines.
Experience with electronic health records and utilization management software preferred.
Minimum computer software skills/knowledge to be used
Microsoft Office Suite, especially Word, Excel, Outlook. Drafting and editing contracts, using templates, formatting legal documents. Managing emails, scheduling meetings, and tracking communications.
Basic PDF Software. Creating, editing, combining, annotating, and securing PDF documents.
E-Signature Tools. Sending documents for signatures, tracking sign-off status, storing signed documents.
Expected length of assignment
Now through June 30, 2027.
EEO Statement
The Company is an Equal Opportunity Employer and is committed to creating an equitable and inclusive environment for all.
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Worksite address
honolulu, HI, 96814, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.