Care Coordinator Utilization Agent

Care Coordinator Utilization Agent at Kaiser Permanente

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campaign-Variable hours_per_week-1 industry-NUE-HI-02|NUE|Non-Union-Employee job_level-Entry-Level job_status-Regular job_type-Standard salary_relocation-Call-in/On-Call travel-No custom_fields.EEO-Kaiser-Permanente-is-an-equal-opportunity-employer-committed-to-fair,-respectful,-and-inclusive-workplaces.-Applicants-will-be-considered-for-employment-without-regard-to-race,-religion,-sex,-age,-national-origin,-disability,-veteran-status,-or-any-other-protected-characteristic-or-status. custom_fields.ReqID-1419435 custom_fields.Shift-Variable custom_fields.Field1-QA-/-UR-/-Case-Management custom_fields.Field2-Mon,-Tue,-Wed,-Thu,-Fri,-Sat,-Sun custom_fields.Reindex-2 custom_fields.MHSTheme-No custom_fields.PayBasis-Hourly custom_fields.PayRange-$21.73---$28.08-/-hour custom_fields.Department-Moanalua-Medical-Center---Hosp-Admin-Opertns-Support-Svs---1201 custom_fields.jobtitleLI-Care-Coordinator-Utilization-Agent---1419435 custom_fields.leadership-no custom_fields.CFSalaryLow-21.73 custom_fields.HawaiiTheme-QA-/-UR-/-Case-Management custom_fields.JobSchedule-Call-in/On-Call custom_fields.PostAddress-Hawaii,Honolulu,Moanalua-Ancillary-Building custom_fields.ShiftFilter-Variable custom_fields.customtheme-QA-/-UR-/-Case-Management custom_fields.CFSalaryHigh-28.08 custom_fields.LocationName-Hawaii custom_fields.SchemaHiring-Kaiser-Permanente custom_fields.LocationValue-Hawaii custom_fields.employeegroup-NUE-HI-02|NUE|Non-Union-Employee custom_fields.WorkerLocation-Onsite custom_fields.employeestatus-Regular custom_fields.WorkingHoursEnd-11:59-PM custom_fields.JobScheduleField-Call-in/On-Call custom_fields.WorkingHoursStart-12:01-AM custom_fields.PrefQualification1-

• Basic-Qualifications:
• -Experience
• -
• Minimum-six-(6)-months-of-administrative-experience-in-a-health-care-facility-or-related-experience.--
• Education
• High-School-Diploma-or-General-Education-Development-(GED)-required.
• License,-Certification,-Registration
• N/A
• Additional-Requirements:
• Experience-applying-analytic-techniques-and-computer-skills-to-hospital-data.
• Strong-analytic-and-verbal-skills.
• Expertise-with-tracking,-spreadsheets-and-graphic-computer-systems-operating-on-PC-mainframes.
• Knowledge-of-health-plan-benefits.
• Understanding-of-medical-center-operations,-complex-health-systems,-with-the-ability-to-quickly-grasp-regional-policies,-contractinterpretation-of-out-of-plan-medical-services.Must-be-able-to-work-in-a-Labor/Management-Partnership-environment.
• Preferred-Qualifications:
• Associate-of-Arts-or-Bachelors-degree-preferred.

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Quality Assurance, UR & Case Management

Focus on excellence

With an emphasis on continuous improvement, you will foster an environment that ensures the highest ethical standards across our organization.

custom_fields.customtheme-QA-/-UR-/-Case-Management

Care Coordinator Utilization Agent

Primary Location Honolulu, Hawaii Schedule Call-in/On-Call Shift Variable Salary $21.73 - $28.08 / hour

Job Number 1419435 Date Posted 04/13/2026

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Job Summary:

Responsible for hospital bed management at Moanalua Medical Center, including assistance with outside ED and hospital coordination for the repatriation of Kaiser Health Plan members, air and ground transportation, messaging and other duties, as necessary. Also, responsible for providing timely response to all inbound phone calls for the Care Coordination Center (CCC), including receiving initial patient information and demographics, eligibility information, request for service, and triaging calls to the appropriate provider (CCC Medic, RN or Physician). Documentation of member/ patient information into computerized data management systems and in manually maintained data files. Answers inquiries and educates member/ patient, physicians and hospitals, as necessary. Collaborates with the House Supervisor and Emergency Room team to ensure appropriate and timely patient hospital throughput.

Essential Responsibilities:

• Maintains bed tracker for Moanalua Medical Center.
• Collaborates with House Supervisor, Emergency Room, etc. for bed placement and patient throughput.
• Assigns beds at Moanalua Hospital for patients requiring an inpatient admission.
• Outreach to non-Kaiser Permanente hospitals for coordination and repatriation of Kaiser Health Plan members.
• Assist with coordination of Air & Ground Transportation.
• Assist with referral entry in Tapestry for Kaiser Health Plan members admitted to non-Kaiser Permanente facilities.
• Provides timely response to incoming calls and triages calls to appropriate provider.
• Initiates data collection from incoming call, to include: patient information and demographics, eligibility, and reason for call. May also document in the Kaiser Permanente electronic medical record.
• Assists with data entry in electronic medical record, computerized data management systems, and manually maintained data files.
• Collaboration with other services, e.g. membership services, to answers inquiries and educate patients, physicians and hospitals on covered benefits and charges.

Basic Qualifications:

Experience

• Minimum six (6) months of administrative experience in a health care facility or related experience.

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• N/A

Additional Requirements:

• Experience applying analytic techniques and computer skills to hospital data.
• Strong analytic and verbal skills.
• Expertise with tracking, spreadsheets and graphic computer systems operating on PC mainframes.
• Knowledge of health plan benefits.
• Understanding of medical center operations, complex health systems, with the ability to quickly grasp regional policies, contractinterpretation of out-of-plan medical services.Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

• Associate of Arts or Bachelors degree preferred.

Primary Location: Hawaii,Honolulu,Moanalua Ancillary Building Scheduled Weekly Hours: 1 Shift: Variable Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 12:01 AM Working Hours End: 11:59 PM Job Schedule: Call-in/On-Call Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-HI-02|NUE|Non Union Employee Job Level: Entry Level Department: Moanalua Medical Center - Hosp Admin-Opertns Support Svs - 1201 Pay Range: $21.73 - $28.08 / hour Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente. Travel: No On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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