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Insurance Case Manager Jobs in Hawaii (NOW HIRING)

Kaiser Permanente

CASE MGR&CARE CD-N.I.

Wailuku, HI · On-site

$121K/yr

Makes clinic/location-specific adaptations as necessary to insure successful implementation of model. Monitors and evaluates outcomes. * Provides case management services to targeted patients ...

BRISTOL HOSPICE LLC

RN Case Manager

Honolulu, HI · On-site

$45 - $47/hr

We're seeking dedicated RN Case Managers who are passionate about walking beside their patients ... Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability * 401(k) & HSA ...

AlohaCare

Case Management Supervisor

Honolulu, HI · On-site

$70K - $83K/yr

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... manager, and members of their team. * Provides candid peer-review feedback to leadership team or ...

AlohaCare

Case Management Supervisor

Honolulu, HI · On-site

$19.75 - $25.50/hr

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... manager, and members of their team. * Provides candid peer-review feedback to leadership team or ...

AlohaCare

Case Management Supervisor

Honolulu, HI · On-site

$19.75 - $25.50/hr

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... manager, and members of their team. * Provides candid peer-review feedback to leadership team or ...

AlohaCare

Case Management Supervisor

Honolulu, HI · On-site

$19.75 - $25.50/hr

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... manager, and members of their team. * Provides candid peer-review feedback to leadership team or ...

Bristol Hospice

Hospice RN Case Manager

Honolulu, HI · On-site

$46 - $48/hr

We are seeking a compassionate RN Case Manager to provide exceptional, patient-centered hospice ... Medical, Dental, Vision, Life & Disability Insurance * HMSA or Kaiser Health Plans * Flexible ...

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Insurance Case Manager information

See Hawaii salary details

$33.8K

$52.8K

$76.9K

How much do insurance case manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for insurance case manager in Hawaii is $52,822.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $61,300.00 per year, depending on experience, location, and employer.

What is an insurance case manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

What does an insurance case manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

What are the key skills and qualifications needed to thrive as an insurance case manager?

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

How does an insurance case manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.

What is the difference between Insurance Case Manager vs Claims Adjuster?

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

Is an insurance case manager a stressful job?

Insurance case managers often handle complex cases involving claims, requiring strong organizational and communication skills. The job can be stressful due to tight deadlines, high workload, and the need to manage multiple stakeholders, but it also offers opportunities for problem-solving and professional growth. Stress levels vary depending on workload, employer support, and individual resilience.
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The top searched job categories for Insurance Case Manager jobs in Hawaii are:

What cities in Hawaii are hiring for Insurance Case Manager jobs?

Cities in Hawaii with the most Insurance Case Manager job openings:

Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $52,822 per year, or $25.4 per hour.

Case Manager & Care Coordinator - Maui Lani

Kaiser Permanente

Wailuku, HI • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 927 frontline employees who took The Breakroom Quiz

55th of 898 rated healthcare providers

Job description

Job Summary:

Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members hospitalized at community hospitals. Incorporates Risk Management, Quality Management and Utilization Management concepts into daily hospital and clinic activities.

Essential Responsibilities:

  • Implements Continuing Care programs and initiatives with Continuing Care providers and PCP Team. Assists with integrating programs and initiatives into daily practice. Makes clinic/location-specific adaptations as necessary to insure successful implementation of model. Monitors and evaluates outcomes.
  • Provides case management services to targeted patients/families by interviewing and evaluating their needs. Develops work plans to assist patients/families in meeting identified needs. Coordinates resources and services to assure continuity and quality of care. Maintains working knowledge of community resources. Interprets Kaiser Permanente benefits/services to patients, families, and members of community.
  • Monitors high-risk members and assists them with access to care. Integrates patients into existing programs/services. Evaluates outcomes and makes recommendations for change.
  • Assists patients/families with identified problems/concerns.
  • Meets with Continuing Care providers and PCP Team to monitor targeted patients. Assists Team by coordinating community care. Explores options to assure that quality, cost-efficient care is provided.
  • Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or alternate facility.
  • Reports any Risk/Quality/Utilization Management issues to Neighbor Island Management Team.
  • Acts as contact person for MOA/Oahu discharges. Assists patients with smooth transfer to home.
  • Participates in community hospital interdisciplinary team meetings.
  • Maintains confidentiality of all patient information.
  • May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
  • Develops and maintains collegial and consultative working relationship with Government Programs office staff to assure that all regulatory requirements are met and necessary changes are implemented.
  • Attends community seminars and workshops specific to professional needs. Participates in approved educational programs.
  • Assists in developing, implementing, maintaining, evaluating, and enhancing Total Quality Management activities within organization. Makes suggestions for change/improvement as indicated.
  • Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.

Basic Qualifications:

Experience

  • Minimum one (1) year of working with low income/high risk patients, preferably in healthcare setting, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable.

Education

  • Bachelors degree in nursing OR four (4) years of experience in a directly related field.

License, Certification, Registration

  • Registered Nurse License (Hawaii) required at hire
  • Basic Life Support from American Heart Association

Additional Requirements:

  • Case management/community outreach experience.
  • Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, change management, multi-task and problem solving.
  • Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.

Preferred Qualifications:

  • Program development and operations level implementation.
  • Geriatric experience in outpatient clinic setting.
  • Supervisory/lead experience.

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