Are you ready to make a difference for Hawai`i’s businesses and their workers? Do you want to replace “business as usual” with creating better, innovative solutions for tomorrow? Join us at HEMIC!
Voted one of Hawai`i Business’ Best Places to Work (2019), and Pacific Business News’ Best Workplaces (multiple years), we believe our kuleana is to bring Hawai`i workers back to work and back to life.
It’s a big calling and our team is passionate about delivering on this mission.
We’re looking for the inspired — those who understand the importance of our purpose and won’t settle for less than excellence. We seek caring, energized professionals committed to improving the status quo with integrity. We hire industry leaders who embrace best practices, believe in a brighter future, and seek to raise the bar for all of us.
- Insurance doesn’t have to be boring! We work hard, but have fun doing it. We kick off the year with an All Employee Rally and follow up through the year with fun holiday activities, monthly birthday celebrations and participation in local sports leagues. Participation in Casual Fridays helps us raise money for local charities and we coordinate an annual charity golf tournament.
- We’re passionate about your development. Whether it’s achieving a formal certification or attending a workshop to improve your communication skills, we’re committed to your growth. We partner with local vendors and attend mainland conferences to ensure your skills stay up-to-date, and we’re continually on the leading edge of best practices in our industry.
- We offer competitive salary and progressive benefits, including a best-in-class 401k match, flex time, and a great wellness program.
- We are committed to proudly taking care of Hawai`i. We have endowed a scholarship at UH Manoa’s Shidler College of Business, and our employees demonstrate this commitment by giving back through employer charitable contribution matches and participation in dozens of community organizations.
If you’re interested in working for HEMIC, please email your resume, references and a cover letter explaining why you’re excited to join our team to firstname.lastname@example.org and we’ll be in touch soon.
Did You Know?
In 2018 HEMIC was instrumental in establishing Hawai`i’s chapter of Kids’ Chance, a 501 c3, non-profit organization that provides scholarships to children whose parent has been injured or killed in the line of work. By bringing together a unique coalition of groups with the workers’ compensation system, Kid’s Chance provides educational opportunities that make a difference in the lives of effected children.
HEMIC seeks an experienced case manager with excellent communication, customer service, decision-making, time management and organizational skills. Must be pro-active, resourceful and diplomatic, possess discretion and solid judgment, work well in a team environment, and embrace HEMIC’s Best Practices and Service Standards. The ultimate goal of this position is to help injured workers successfully recover and return to productive capacity.
This role provides telephonic case management (TCM) services for workers’ compensation claims, including triage. The TCM will assess, evaluate, plan, implement, and oversee the treatment appropriateness for occupational injuries based on Official Disability Guidelines (ODG) and the Hawaii State Medical Fee Schedule (HSMFS), while actively coordinating early return-to-work (RTW) efforts. The TCM utilizes clinical knowledge, positive communication skills, problem solving, and conflict resolution techniques. The TCM engages the claimant, physician and claim specialist, working collaboratively in an effort to provide focused claim resolution and return-to-work driven outcomes.
- Provides telephonic nurse case management (TCM) – medical care coordination and facilitation of early return to work (RTW) in a workers compensation environment.
- In accordance with TCM Guidelines, make timely contacts, complete initial, status and closing reports, and document all information in Tropics Notebook. In accordance with clinical protocols, assess and document the treating physician’s initial and ongoing treatment plan for diagnosis, symptoms, history, diagnostic testing, medication, specialty referral, therapies, next appointment date, anticipated length of disability, physical status, and expected MMI.
- Conduct periodic task assignments (field) as deemed necessary and approved by Manager.
- Develop medical case management plans that ensure a balance of quality of care and cost-effectiveness while making recommendations that are specific, action-oriented and target-dated.
- Review medical reports and treatment plans, identify barriers to recovery and formulate a medical case management plan to overcome these barriers. Coordinate approved treatment when appropriate, as well as diagnostics, durable medical equipment, FCEs, and transportation.
- Address RTW capability with the injured worker and provider after each visit. Update the claim specialist once information obtained and document a brief summary in Guidewire claim system.
- Calculate and monitor the estimated length of disability and expected course of medical treatment based on Official Disability Guidelines (ODG), and communicate this to the claim specialist.
- Works with departmental colleagues in a “team concept” — sharing ideas, knowledge, expertise and experience. The team concept enhances the department’s overall knowledge and work quality.
Successful candidates will have:
- Valid RN or CCM license required. BSN preferred, but not required. ADN may apply.
- CCM, CDMS, CIRSC and/or COHN preferred.
- Current Hawaii state driver’s license.
- One to three years’ experience in nurse case management, preferably in areas of occupational medicine, rehabilitation, managed care, or acute hospital setting.
- Be able to maintain a caseload between 45-65.