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Complex Case Manager Jobs in Hawaii (NOW HIRING)

Advantage SCI

Program Analyst

Honolulu, HI

... complex tasks related to supporting Counterintelligence Insider Threat Program, such as: conduct ... Case Manager * Conduct weekly and monthly audits on Counter-Insider Threat investigations ...

Advantage SCI

Program Analyst

Honolulu, HI

... complex tasks related to supporting Counterintelligence Insider Threat Program, such as: conduct ... Case Manager * Conduct weekly and monthly audits on Counter-Insider Threat investigations ...

Advantage SCI

Program Analyst

Honolulu, HI · On-site

... complex tasks related to supporting Counterintelligence Insider Threat Program, such as: conduct ... Case Manager * Conduct weekly and monthly audits on Counter-Insider Threat investigations ...

U.S. Courts

Courtroom Manager

Honolulu, HI · On-site +1

$61K - $110K/yr

... case management and filing (CM/ECF) are all highly desired. Paralegal experience or a J.D. would be helpful and welcomed. Candidates must also demonstrate: Experience in dealing with complex ...

AlohaCare

Care Coordinator

Honolulu, HI · On-site

$19 - $25.75/hr

Develops in-depth knowledge of care management services including responding to some complex or ... Ability to identify needs and make referrals to Case Manager or community care organizations ...

AlohaCare

Care Coordinator

Honolulu, HI · On-site

$19 - $25.75/hr

Develops in-depth knowledge of care management services including responding to some complex or ... Ability to identify needs and make referrals to Case Manager or community care organizations ...

AlohaCare

Care Coordinator

Honolulu, HI

$19 - $25.75/hr

Develops in-depth knowledge of care management services including responding to some complex or ... Ability to identify needs and make referrals to Case Manager or community care organizations ...

US Judicial Branch

Courtroom Manager

Honolulu, HI · On-site

$61K/yr

... case management and filing (CM/ECF) are all highly desired. Paralegal experience or a J.D. would be helpful and welcomed. Candidates must also demonstrate: Experience in dealing with complex ...

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Complex Case Manager information

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$44

How much do complex case manager jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for complex case manager in Hawaii is $25.72, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $27.98 per hour, depending on experience, location, and employer.

What is a complex case manager?

A Complex Case Manager is a healthcare professional who coordinates care for patients with multiple or serious health conditions that require comprehensive management. They assess patient needs, develop care plans, and work closely with patients, families, and healthcare providers to ensure optimal outcomes. Complex Case Managers help navigate healthcare systems, address barriers to care, and connect patients with resources, aiming to improve quality of life and reduce hospitalizations. Their role is crucial in managing cases that involve chronic illnesses, behavioral health issues, or social challenges.

What are the key skills and qualifications needed to thrive as a complex case manager, and why are they important?

To thrive as a Complex Case Manager, you need a background in healthcare or social work, typically with a relevant degree and licensure such as RN, LCSW, or CCM certification. Familiarity with case management software, electronic health records (EHRs), and care coordination tools is essential. Excellent communication, critical thinking, and problem-solving skills are vital for building trust with clients and collaborating with multidisciplinary teams. These competencies ensure effective management of complex patient needs, improved outcomes, and efficient resource utilization.

What are some common challenges faced by complex case managers and how can they be addressed?

Complex Case Managers often encounter challenges such as coordinating care across multiple providers, managing high caseloads, and addressing social determinants of health that impact patient outcomes. Effective communication, strong organizational skills, and leveraging interdisciplinary teamwork are key strategies to overcome these challenges. Additionally, staying updated on resources and support services in the community can help ensure clients receive comprehensive care. Regular team meetings and ongoing professional development also support success in this dynamic role.

What other jobs can a complex case manager do?

A complex case manager can transition into roles such as care coordinator, social worker, healthcare administrator, or patient advocate, utilizing skills in case planning, communication, and problem-solving. These positions often require knowledge of healthcare systems, documentation, and sometimes additional certifications or licenses.
Complex Case Manager jobs near you
Infographic showing various Complex Case Manager job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $53,500 per year, or $25.7 per hour.

Case Resolution Specialist II

Hawaii Medical Service Association

Honolulu, HI • Hybrid

Full-time

Re-posted 19 days ago

Job description

  1. Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements.
    • Secures information from internal and external resources to resolve issues.
    • Functions as a liaison with providers, members and internal decision makers in representing HMSA objectives, goals, and expectations for meeting contractual, regulatory, and accreditation requirements.
    • Negotiates/resolves sensitive issues with internal and external parties.
    • Negotiates fees on behalf of members for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information from providers in order to resolve member inquiries.
    • Takes all facts and research from internal and external resources and presents a full explanation of the member's or provider's position and concerns to management and decision makers.
    • Triages cases to resolve them upon initial inquiry to best service the member as well as minimize the number of cases escalated to senior management and executives.
  2. Participates on cross departmental committees and other internal meetings to identify, clarify, research, and resolve inquiries and issues.
    • Identifies when changes to policies and procedures are needed based on case resolutions, statutory or regulatory changes, or accreditation requirements.
    • Proposes changes to management based on identification and analysis.
    • Analyzes and identifies issues that may require multiple department efforts to resolve.
    • Coordinates discussions and meetings to develop processes to resolve those issues.
    • Presents recommendations to internal committees, subgroups and executive management for decision making purposes as it relates to cases.
    • Assists with the implementation of resulting decisions for change/resolution.
    • Assists supervisor/manager in responding to internal investigations, reviews, and audits; regulatory inquiries; and accreditation related audits.
    • Assist internal customers with complex member/physician inquiries.
    • Assists Supervisor and Coordinator with training.
  3. Identifies member problems, member education needs, or trends and report these to manager, as well as recommend resolution. Takes a proactive role in reviewing, digesting and communicating any new regulation, standard, business change, etc. affecting the member advocacy and/or appeals process. Assists in the coordination of changes among departments. Assists in determining internal and external impacts.
  4. Performs quality assurance of case documents and assists Supervisor and Manager with various corporate activities.
  5. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

  1. Bachelor's degree and two years of related work experience; or equivalent combination of education and related work experience.
  2. Effective verbal and written communication skills
  3. Problem identification and resolution skills
  4. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point.

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