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Clinical Associate Jobs in Hawaii (NOW HIRING)

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Clinical Associate information

See Hawaii salary details

$13

$32

$57

How much do clinical associate jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for clinical associate in Hawaii is $32.77, according to ZipRecruiter salary data. Most workers in this role earn between $21.97 and $43.22 per hour, depending on experience, location, and employer.

What is a clinical associate?

A clinical associate works with medical facilities to optimize policies and operating procedures to better serve the health needs of patients. As a clinical associate, your job duties include observing a medical facility to identify areas for improvement, revising clinical documentation, recommending changes to comply with federal and state laws, and collaborating with subject matter experts when necessary. The qualifications for a career as a clinical associate typically include a bachelor’s degree in a relevant scientific field and experience in the healthcare industry. Some employers also require a license and training as a registered nurse or another medical professional for senior-level positions. Additional qualifications include strong analytical, interpersonal, and communication skills.

What are the key skills and qualifications needed to thrive as a clinical associate, and why are they important?

To thrive as a Clinical Associate, you need a solid background in healthcare, patient care techniques, and basic medical knowledge, usually supported by a relevant degree or certification. Familiarity with electronic health records (EHR) systems, clinical documentation tools, and sometimes specific certifications like Basic Life Support (BLS) are typically required. Strong interpersonal skills, attention to detail, and the ability to work effectively in a team are important soft skills for this role. These abilities are crucial for ensuring accurate patient care, efficient clinical operations, and effective collaboration within healthcare teams.

What are some common challenges clinical associates face when balancing administrative tasks with patient care responsibilities?

Clinical Associates often juggle a mix of direct patient care and administrative duties such as updating medical records, coordinating appointments, and communicating with other healthcare professionals. One common challenge is efficiently managing time to ensure that patient needs are met without delaying essential documentation or follow-ups. To address this, many Clinical Associates utilize digital health record systems and work closely with nurses or administrative staff to streamline workflows. Strong organizational skills and the ability to prioritize tasks are essential for success in this role.

What is the difference between Clinical Associate vs Medical Assistant?

AspectClinical AssociateMedical Assistant
Required CredentialsPost-secondary education, certification often preferredHigh school diploma or equivalent, certification optional
Work EnvironmentHospitals, clinics, outpatient facilitiesDoctor's offices, clinics, outpatient settings
Employer & Industry UsageHealthcare providers, hospitals, clinicsMedical practices, outpatient clinics
Common Search & Comparison IntentUnderstanding roles, qualifications, job dutiesEntry-level healthcare support, job responsibilities

Clinical Associates typically have more advanced training and work in diverse healthcare settings, often performing clinical procedures and patient assessments. Medical Assistants usually support physicians with administrative and basic clinical tasks. Both roles are vital in healthcare but differ in education requirements and scope of practice.

Do you need a degree to be a clinical associate?

A clinical associate typically needs at least a relevant healthcare-related degree, such as a bachelor's or master's in a health sciences field, depending on the specific role and employer requirements. Certification or licensing may also be required to practice legally and effectively in clinical settings.

What are the duties of a clinical associate?

A clinical associate provides healthcare services under the supervision of a licensed healthcare professional, which may include conducting patient assessments, assisting with procedures, documenting medical information, and supporting treatment plans. They often work in clinical settings such as hospitals or clinics and may need relevant certifications or training depending on the specific role and location.
More about Clinical Associate jobs

What are the most commonly searched types of Clinical jobs in Hawaii?

The most popular types of Clinical jobs in Hawaii are:

What are popular job titles related to Clinical Associate jobs in Hawaii?

For Clinical Associate jobs in Hawaii, the most frequently searched job titles are:

What job categories do people searching Clinical Associate jobs in Hawaii look for?

The top searched job categories for Clinical Associate jobs in Hawaii are:

What cities in Hawaii are hiring for Clinical Associate jobs?

Cities in Hawaii with the most Clinical Associate job openings:

Clinical Associate jobs near you
Infographic showing various Clinical Associate job openings in Hawaii as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 19% Part Time, and 7% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $68,159 per year, or $32.8 per hour.

Nurse Reviewer - Clinical Review Unit

Hawaii Medical Service Association

Kapolei, HI • On-site

Full-time

Posted 17 days ago

Job description

  1. Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to:
  2. Demonstrate understanding and application of over 250 Guide to Benefits, Evidence of Coverage, Plan Brochure, and Member Handbook. HMSA annually updated medical and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex, etc. to determine the medical necessity of urgent and non-urgent precertification requests. Urgent requests must be completed within 72 hours and non-urgent requests within 15 calendar days.
  3. Use clinical judgment, medical necessity guidelines and plan benefits to determine approval, potential denial or alternative treatment of each urgent or non-urgent precertification request. Settings include inpatient, outpatient, in-state, out-of state and out-of country.
  4. Document clinical case summary and review outcome of each review appropriately to meet regulatory and program requirements.
  5. Review various types of services, including but not limited to:
    • Transplants
    • Air Ambulance
    • Chemotherapy
    • Clinical trials
    • Genetic testing
    • Cancer treatments/radiation therapy
    • Experimental/Investigational Services/Devices
    • New Technology
  6. Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to:
    • Call providers when additional clinical information is required to clarify or complete a complex precertification determination.
    • Approve precertification requests based on clinical judgment using criteria, medical record documentation and other information received from the provider.
    • Consult with Medical Directors on requests which do not meet clinical criteria and offer alternative covered health care options as appropriate.
    • Consult Medical Directors on potential quality issues identified during review of medical records. Refer cases to Integrated Health Management, Pharmacy Department or Benefits Integrity Department depending on the concern.
  7. Evaluate suspended claims against medical records to determine the medical necessity and appropriateness of medical services, identify irregularities such as over or under-utilization of services, potential up-coding, over billing, etc.
  8. Communicate timely, accurate information either verbally, electronically or in writing using clinical judgment, knowledge of medical/reimbursement policies and plan benefits to providers, members as well as internal MM staff and other internal departments (Claims Administration, Customer Relations, Provider Contracting, etc.). For denied services, ensure the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines.
  9. Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate with medical and behavioral case management staff. Identify and refer quality of care issues and suspected fraud, waste or abuse to the appropriate departments.
  10. Perform pre-screening assessment of incoming pre-certification requests to ensure appropriateness of review. Advises non-clinical staff on clinical and coding questions to ensure correct system processes and entries.
  1. Associates Degree in Nursing
  2. Current, unrestricted Nursing License in the state of Hawaii as an RN or LPN
  3. Two years clinical, case management or utilization management related experience
  4. Knowledge of current standards of care to be followed for a given diagnosis and the normative values of medical tests and procedures.
  5. Strong organizational skills
  6. Good communication skills both verbally and written
  7. Multi-tasking skills
  8. Critical thinking skills
  9. Analytical skills
  10. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
  11. Currently licensed in Hawaii as an RN or LPN
    (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)

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