2026-02-19
Hawaii Medical Service Association
Honolulu,HI
Description:
Assessment
Triage member to identify medical, psychological, and social barriers to discharge then transition member to appropriate healthcare professional on their team such as TCN or CHW.
Care Transition Collaboration
Work with healthcare team to ensure safe and smooth member transitions
Education
Inform members and families about appointments and other care plan requirements.
Follow-Up Coordination
Schedule and monitor follow-up appointments with providers and community services.
Post-Discharge Follow-Up
Track member progress and address needs through calls following call cadence
Refers to TCN for medical needs and CHW for community needs.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Associate's degree and two years related work experience; or equivalent combination of education and work experience.
Demonstrated proficiency in both verbal and written communication.
Familiarity with an extensive range of community resources, social services, and support systems (such as housing, income assistance, and legal aid).
Strong dedication to maintaining member confidentiality while strictly adhering to relevant legal and ethical standards.
Basic working knowledge with Microsoft Office (Word, Excel, Outlook).
Reliable home internet.
Must possess reliable transportation for attendance at in-person (face-to-face) meetings.
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