Senior Compliance Specialist

AlohaCare

AlohaCare is actively seeking a Senior Compliance Specialist to provide ongoing support to the Chief Compliance Officer with compliance monitoring, auditing and reporting to ensure that health plan objectives are met, and business activities related to AlohaCare’s standards and legal regulations are tracked and addressed. This candidate must exhibit superior analytical, communication and collaborative skills, as well as the ability to excel in a dynamic, fast-paced environment. This compliance team member must be adept at working with a variety of internal and external stakeholders. Will promote an enterprise-wide culture of compliance and provide first-rate support within the Compliance Department and across business units.

For detailed information on job responsibilities, requirements and to apply, see the complete position description on http://www.alohacare.org/Careers/Default.aspx

Interested applicants can also send a cover letter and resume to: jgesteuyala@alohacare.org


AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

Service Coordinator

AlohaCare

AlohaCare is actively seeking a Service Coordinator – SW – Hilo/Kona to conduct face-to-face assessments, develop individualized service plans, interact with members, providers, and physicians to coordinate primary, acute, behavioral, and long term services and supports (LTSS) for individuals having special health care needs. Job functions are performed in accordance with requirements of the QUEST Integration contract and health plan goals and quality outcome metrics.

For detailed information on job responsibilities, requirements and to apply, see the complete position description on http://www.alohacare.org/Careers/Default.aspx

Interested applicants can also send a cover letter and resume to: jgesteuyala@alohacare.org

AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

Pharmacy Technician

AlohaCare

AlohaCare is actively seeking a Pharmacy Technician to facilitate all aspects of the Prior Authorization/Coverage Determination process, manages the Pharmacy help desk line, assist Customer Service on drug-related concerns/issues for the AlohaCare QUEST Integrated (QI) and Advantage Plus (ACAP) Plans, and provides administrative support for formulary management and compliance related functions of the AlohaCare Pharmacy Department.

For detailed information on job responsibilities, requirements and to apply, see the complete position description on http://www.alohacare.org/Careers/Default.aspx

Interested applicants can also send a cover letter and resume to: jgesteuyala@alohacare.org


AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

Organizational Quality Improvement & Accreditation Manager

AlohaCare

AlohaCare is actively seeking an Organizational Quality Improvement & Accreditation Manager to manage the development, modification, implementation and coordination of systems and processes necessary to meet all National Committee for Quality Assurance (NCQA) accreditation and certification requirements. The OQIAM is also responsible for the management and coordination of efforts to ensure that quality improvement (QI) programs are developed using a data-driven focus that sets priorities for improvements aligned to ongoing strategic objectives and all regulatory compliance standards related to QI and NCQA. In addition, this position is responsible for management oversight of receipt, investigation and processing associated with member/provider complaints, grievances and appeals.

For detailed information on job responsibilities, requirements and to apply, see the complete position description on http://www.alohacare.org/Careers/Default.aspx

Interested applicants can also send a cover letter and resume to: jgesteuyala@alohacare.org


AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

Nurse Practitioner

Bay Clinic, Inc.

Diagnose, treat, and help prevent diseases and injuries that commonly occur in the general population. Consult with staff Physicians, Pediatricians, and refer patients to specialists when level of care indicates.

  • Maintain accurate, detailed reports and records utilizing electronic health records.

  • Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition.

  • Monitor all aspects of patient care, including diet and physical activity.

  • Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

  • Order, perform and interpret tests, and analyze reports and examination information to diagnose patients’ condition.

  • Monitor the patients’ conditions and progress and re-evaluate treatments as necessary.

  • Collect, record, and maintain patient information, such as medical history, reports, and examination results.

  • Explain procedures and discuss test results or prescribed treatments with patients.

  • Advise patients and community members concerning diet, activity, hygiene, and disease prevention. · Consult with staff Physicians when level of care indicates.

  • Refer patients to medical specialists or other practitioners when necessary.

  • Coordinate work with nurses, students, assistants, specialists, therapists and other medical staff.

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Pediatric Nurse Practitioner

Bay Clinic, Inc.

Diagnose, treat, and help prevent diseases and injuries that commonly occur in the pediatric population. Consult with staff Physicians, Pediatricians, and refer patients to specialists when level of care indicates.

  • Maintain accurate, detailed reports and records utilizing electronic health records.

  • Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition.

  • Monitor all aspects of patient care, including diet and physical activity.

  • Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

  • Order, perform and interpret tests, and analyze reports and examination information to diagnose patients’ condition.

  • Monitor the patients’ conditions and progress and re-evaluate treatments as necessary.

  • Collect, record, and maintain patient information, such as medical history, reports, and examination results.

  • Explain procedures and discuss test results or prescribed treatments with patients.

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Family Practice Physician

Bay Clinic, Inc.

Diagnose, treat, and help prevent diseases and injuries that commonly occur in the general population.

  • Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

  • Order, perform and interpret tests, and analyze records, reports and examination information to diagnose patients' condition.

  • Monitor the patients' conditions and progress and re-evaluate treatments as necessary.

  • Collect, record, and maintain patient information, such as medical history, reports, and examination results.

  • Explain procedures and discuss test results or prescribed treatments with patients.

  • Advise patients and community members concerning diet, activity, hygiene, and disease prevention.

  • Refer patients to medical specialists or other practitioners when necessary.

  • Direct and coordinate activities of nurses, students, assistants, specialists, therapists, and other medical staff.

  • Coordinate work with nurses, licensed clinical social workers, pharmacists, psychologists and other health care providers.

  • Lead a Care Coordination Team that actively manages assigned panel of chronic care patients (high acuity).

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Pediatrician

Bay Clinic, Inc.

Diagnose, treat, and help prevent children's diseases and injuries.

  • Examines diagnoses and treats diseases and injuries of infants, children, adolescents and young adults from birth to age 21.

  • Examines patients and determines need for x-ray examinations and clinical laboratory tests.

  • Interprets examination findings and test results, and implements pediatric treatment plans.

  • Prepares and reviews case histories and obtains data through interviews.

  • Supports health promotion and disease prevention activities to enable each child to reach full potential.

  • Monitors physical and psychosocial growth and development.

  • Conducts age appropriate screening.

  • Provides advice and education for patients and parents regarding appropriate preparation for predictable developmental challenges.

  • Determines need for consultation and assists in medical care treatment provided at the direction of other specialists.

  • May instruct medical students and/or residents in procedures for diagnosis and treatment of diseases and injuries of infants and children.

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Internal Medicine Physician

Bay Clinic, Inc.

Diagnose, treat, and help prevent diseases and injuries that commonly occur in the adult population.

  • Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

  • Order, perform and interpret tests, and analyze records, reports and examination information to diagnose patients' condition.

  • Monitor the patients' conditions and progress and re-evaluate treatments as necessary.

  • Collect, record, and maintain patient information, such as medical history, reports, and examination results.

  • Explain procedures and discuss test results or prescribed treatments with patients.

  • Advise patients and community members concerning diet, activity, hygiene, and disease prevention.

  • Refer patients to medical specialists or other practitioners when necessary.

  • Direct and coordinate activities of nurses, students, assistants, specialists, therapists, and other medical staff.

  • Coordinate work with nurses, licensed clinical social workers, pharmacists, psychologists and other health care providers.

  • Lead a Care Coordination Team that actively manages assigned panel of chronic care patients (high acuity).

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Clinic Manager

Bay Clinic, Inc.

The Clinic Manager is responsible for administrative and clinical over-sight; accountable for leading and managing all assigned staff. Promote and support the Patient Centered Medical Home (PCMH) primary care model. Works to ensure clinic runs smoothly by directing, supervising, and evaluating staff. Oversee day-to-day operations and assist with medical duties as required. Maintain professional and effective work relationships with providers, staff, patients, public and external agencies. Take initiative and exercise independent judgment decision-making and problem solving expertise.

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678

Pediatrician

Hamakua-Kohala Health

Hamakua-Kohala Health desires to employ a Provider experienced in pediatric practice to provide professional medical care and treatment to patients seeking health care services at the Center.

Pediatricians are doctors who manage the health of a child, including physical, behavior, and mental health issues. They're trained to diagnose and treat childhood illnesses, from minor health problems to serious diseases.

Pediatricians have an education that gives them special skills to take care of a child's health. They graduated from medical school and completed a 3-year residency program in pediatrics.

The Center requires the Provider to be “board-certified." That means they've passed rigorous exams given by the American Board of Pediatrics. To stay certified, pediatricians have to meet regular education requirements.

Provider’s scope of practice is defined by the Hawaii State Board of Licensing. The Provider may perform all those assessments, diagnoses, patient management, procedures and treatments within scope of practice as defined by the Hawaii State Board of Licensing according to the Provider level of comfort, expertise, and education. It is the Provider’s professional discretion to determine these with the consideration of ethical medical care, patient safety and level of training.

The Provider shall comply with all applicable state and federal laws and rules relating to practice, medications, and treatments.

For more information, please visit www.hamakua-health.org

Quality / Compliance Manager

Bay Clinic, Inc.

Under the direction of the Clinical Operations Director, The Quality/Compliance Manager is responsible for the overall coordination and implementation of the continuous quality improvement (CQI) initiatives at Bay Clinic Inc. The responsibilities of the Quality/Clinical Compliance Manager include the following areas: Implementation of CQI program, Risk Management, Disease Management and other Quality Assurance (QA) projects. Promote and support the Patient Centered Medical Home primary care model (PCMH).

Associate's Degree (two year college or technical school) required, Bachelor's Degree preferred or an equivalent combination of education and/or experience. At least 5 years working in a healthcare setting, with prior quality management experience preferred.

Bay Clinic, Inc. is a nonprofit, 501(c)3 Federally Qualified Community Health Center. BCI supports a staff of 170, with 27 health care providers in 9 locations serving East Hawai'i. Please visit www.bayclinic.org for further information about the organization.

To view a detailed job description or apply for this position, download an employment application from www.bayclinic.org. Submit resume with application to bcijobs@bayclinic.org or fax to (808) 961-5678


Attending Pediatric Dentist

Kokua Kalihi Valley Comprehensive Family Services

Kokua Kalihi Valley Comprehensive Family Services is seeking a full time Attending Pediatric Dentist. Responsibilities include clinical supervision and mentorship of dental residents through the NYU Langone Dental Medicine - Pediatric Dentistry Residency Program and the Advanced Education in General Dentistry (AEGD) Residency Program.

Requirements: Hawaii Dental License or eligible to apply for a Hawaii Community Service License. Graduate of an ADA accredited Advanced Education in Pediatric Dentistry Program. Board Eligible/Certified. Current DEA Certificate. BLS and PALS certification.

Experienced dentists and recent graduates are equally encouraged to apply. 40 hour work week with a comprehensive benefit package that includes health insurance, PTO, 403(b) employer contribution, reimbursement for dental continuing education, and potential for HRSA student loan repayment.

Review of applications will continue until the position is filled.


Please submit cover letter, resume, and salary requirements for consideration at email jobs@kkv.net

Chief Operating Officer

Hana Health

This position provides leadership, day-to day management and oversight of Hana Health’s clinical and facilities operations. Must be hands on, lead by example and motivate staff to deliver measurable, accountable, cost effective results that further the mission of the organization. Ensures program and corporate compliance with primary health care policies and procedures, as well as those of external regulatory bodies such as FQHC, HIPPA, OSHA, CLIA. Oversees community outreach and healthy lifestyle programs. Reporting to the CEO and working as a key member of Hana Health’s executive team, the COO will be responsible for a broad array of administrative services and operations.

Qualifications. Minimum of six years management and budgetary experience, 5 years of which is in a healthcare setting, preferably in a FQHC. Proven track record of exceeding goals. Evidence of ability to consistently make good decisions through a combination of analysis, wisdom, experience and judgement. Possess thorough understanding and broad experience with the full range of business functions and systems including strategic development and planning; budgeting; business analysis; facilities management; information systems; human resources; marketing and legal affairs. Excellent writing and oral communication skills.

Education. Masters degree in Business Administration, Healthcare Administration, Public Health or related field. Ten years of high level professional experience in an FQHC in lieu of masters degree.

For more information, please visit: http://hanahealth.org/about-us/job-opportunities/

Epidemiologist II

State of Hawaii - Department of Health Chronic Disease Prevention and Health Promotion Division

Exempt, non-civil service appointment. This position will provide technical assistance to the Division staff regarding needs assessment, survey instrument design, analysis and interpretation of data, and program evaluation strategies. This position will, as needed, support grant development, conduct data analysis and provide guidance to support funding initiatives. This position will have primary responsibility for staffing and serving on the Editorial Board of Hawaii Journal of Medicine and Public Health.

For more information, see complete job description and application information: Epi-II

Clinical Operations Officer

WahiawA Center for Community Health

The Clinical Operations Manager ensures day to day practice operations enable the highest level of quality and satisfaction during care of patients/clients as well ensuring systemic and structural support for health center staff to perform their job duties.


ESSENTIAL DUTIES AND FUNCTIONS:

Day to Day Practice Operations: manages all day to day clinical and administrative tasks necessary for successful operation of the health center, including but not limited to staffing and/or patient issues, patient scheduling, supply ordering, vaccine controls and ordering, staff meetings, staff orientation and training.

Departmental Productivity: Create measures in partnership with the Chief Medical Officer (CMO) and Chief Quality Officer (CQO) to assess departmental productivity. Measure and analyze productivity with ongoing solutions with each department.

Patient access: Create measures in partnership with the CMO and CQO to assess patient access in each department. Measure and analyze access with ongoing solutions with each department.

Template and Scheduling: Take over responsibility for oversight of provider template creation and scheduling logic to balance productivity, access, and safe care.

Departmental Supplies: Work with providers and medical assistants to ensure proper daily stocking of supplies to ensure smooth clinical operations and flow.

Patient Flow: Create measures to analyze and improve patient flow, including interdisciplinary referrals, throughout health center system

Facilities: Take the lead on the management team to ensure that facilities are up-to-date and ensure patient safety and uninterrupted clinical operations.

Patient Satisfaction: Collaborate with CQO to address patient satisfaction (including patient satisfaction measurement), patient complaints/grievances.

Strategic Planning: Participate with CMO and CEO (Chief Executive Officer) on preparing Return on Investment analyses while considering optimal clinical staffing, including providers.

Team Based Care, Integrated Health Care, Patient Centered Medical Home (PCMH): Ensures and promotes the practice of team-based care, integrated health care, and PCMH. Will work to ensure measures are created, with frequent reporting, analyses and optimization of these initiatives to CEO (and leadership team).

EHR, and population health tools:

  • Ability to act as super-user for EHR (Athena)

  • Remain current in Healthcare Trends: – Obtain practice management certifications, maintain professional organization memberships, and attend continuing education courses/webinars.

  • Population Health: Remains current in core concepts and practice of population health. Knowledgeable in Population Health software (Azara)

Human Resources and Personnel:

• Supervises Medical Assistants (MAs), Receptionists, and Patient Advocate

Legal compliance: Work with the leadership team to ensure all federal and state laws and guidelines are followed (ie. OSHA, HIPAA, CLIA, FMLA), maintain current licensures and CPR for clinical staff, and ensure that medical records are properly stored and released.

Staff Education: Assist the CMO with education programs and initiatives.


The Wahiawā Center for Community Health (Wahiawā Health) is a Federally Qualified Health Center Look-Alike and a fully integrated primary care and behavioral health system. Our nearly 40 professionals and providers serve the people of Wahiawā, Mililani and Waialua. Our services include Primary Care, Women’s Health, Pediatrics, Gerontology, Behavioral Health, Medical Nutrition Therapy, Podiatry and Health & Wellness Education. In 2018, we served over 5,000 patients of which 97% are living at or below 200% of the federal poverty level. Join our growing team of caring, competent, and committed professionals in serving the underserved communities in Central Oahu and North Shore.

If interested, please contact our management team at info@wahiawahealth.org