RN Care Coordinator

Job Description

Job Description

RN Care Coordinator

Founded in 1967, Waikiki Health is a nonprofit, Federally Qualified Health Center (FQHC) that offers a Patient-Centered Medical Home targeting our community’s most vulnerable populations. Our clinical and program sites provide holistic care in welcoming, supportive, and nonjudgmental environments. Waikiki Health’s mission is to provide quality medical and social services that are accessible and affordable for everyone, regardless of ability to pay.

Our Values

• We are committed to providing the highest quality care and services to our island community.
• We believe that respect is the foundation of our interpersonal relationships.
• We maintain empathy and kindness, treating everyone as ohana.
• We are creative and flexible in meeting community needs.
• We will help empower others to reach their highest potential.
• We are accountable to the community we serve and to each other.

Waikiki Health is seeking a full-time RN Care Coordinator.

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

Schedule: Monday – Friday, 40 hours work week

Benefits

• Health insurance (Employee only) 100% premium paid once eligible.
• 13 Paid holidays
• Parking included
• 403(b) Retirement Plan Participation effective within 4 weeks of employment
• Matching is offered once eligible with a 3-year vesting period

Perks

• HOLO Bus Pass benefits
• BIKI bike rental benefits
• Company Shirt

Summary of position: 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

• Graduation from an accredited school or university as a Registered Nurse, or another bachelors or masters level degree with significant clinical experience.   
• A minimum of five years of experience including chronic disease management is preferred 
• Registered Nurse in the State of Hawaii. RN License is current, valid and 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

• 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

*Waikiki Health requires proof of the following immunization; with or without reasonable accommodation: TB skin test or chest x-ray, Hep B (optional).

Interested candidates should apply through our ADP Workforce Now interface:

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Those requiring assistance are encouraged to reach out to our organization at View phone number on us.fitly.work. Visit our website for more information:

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.