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Kaiser Utilization Management Jobs in Hawaii (NOW HIRING)

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Kaiser Utilization Management information

What is Kaiser Utilization Management?

Kaiser Utilization Management refers to the process within Kaiser Permanente that evaluates the necessity, appropriateness, and efficiency of healthcare services provided to members. Utilization management professionals review medical cases to ensure that treatments and procedures are medically necessary and align with established guidelines. Their goal is to optimize healthcare outcomes while controlling costs and preventing unnecessary services, ensuring members receive the right care at the right time.

What are the key skills and qualifications needed to thrive as a Kaiser Utilization Management professional?

To thrive in Kaiser Utilization Management, you need a solid background in clinical healthcare (often as an RN or other licensed clinician), understanding of medical necessity criteria, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of guidelines such as Milliman or InterQual are typically required. Excellent communication, critical thinking, and organizational skills set standout professionals apart in this role. These competencies ensure effective resource management, regulatory compliance, and quality patient care within the healthcare system.

How does a Kaiser Utilization Management professional typically collaborate with healthcare providers to ensure appropriate patient care?

Kaiser Utilization Management professionals work closely with physicians, nurses, and other healthcare team members to review patient cases and ensure that treatments and services are medically necessary and align with organizational guidelines. This collaboration often involves case discussions, care planning meetings, and providing recommendations for alternative care options when appropriate. Open communication and a collaborative approach help ensure patients receive high-quality care while also managing resources efficiently. Professionals in this role regularly interact with both clinical and administrative staff to resolve issues and support optimal patient outcomes.

What is the difference between Kaiser Utilization Management vs Kaiser Case Manager?

AspectKaiser Utilization ManagementKaiser Case Manager
Primary RoleReview and authorize healthcare services based on medical necessityCoordinate and manage patient care plans and services
CertificationsTypically requires medical or nursing credentials, possibly certifications in utilization reviewOften requires nursing or social work credentials, with case management certifications
Work EnvironmentUtilization review departments within health plans or hospitalsDirect patient interaction, care coordination teams, healthcare facilities
Industry UsageCommonly employed by health insurance providers like KaiserEmployed in healthcare settings, insurance companies, or integrated health systems

While both roles are integral to healthcare management at Kaiser, Utilization Management focuses on reviewing services for appropriateness, whereas Case Managers actively coordinate patient care and services. Understanding these differences helps clarify career paths and job expectations within Kaiser’s healthcare system.

What are popular job titles related to Kaiser Utilization Management jobs in Hawaii?

For Kaiser Utilization Management jobs in Hawaii, the most frequently searched job titles are:

What job categories do people searching Kaiser Utilization Management jobs in Hawaii look for?

The top searched job categories for Kaiser Utilization Management jobs in Hawaii are:

Kaiser Utilization Management jobs near you
Infographic showing various Kaiser Utilization Management job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Family Peace Center Program Coordinator - Full Time Honolulu

Parents And Children Together

Honolulu, HI • On-site

Full-time

Medical, Life, Retirement, PTO

Re-posted 13 days ago

Key responsibilities

  • Manage and coordinate the administrative and office operations of the Family Peace Center program.

  • Oversee client intake processing, referral tracking, and ensure timely and accurate record keeping for program compliance and reporting.

  • Handle financial administrative tasks including collecting client program fees, managing purchase orders, reimbursements, and supporting contractual reporting requirements.

Job description

Parents And Children Together is a statewide company that works with Hawaii’s children, individuals, and families to create safe and promising futures.  Our vision is for Hawaii to be a peaceful, safe, and vibrant community with opportunities for all to fulfill their dreams. 

Our company culture is deeply embedded by our Core Values of Respect, Collaboration, Informed Approach, Excellence, Holistic Care and Future Focused.  

If our mission and core values resonate with you, please consider us an organization to join.  You’ll be joining one of Hawaii Business Magazine’s recognized Best Places to Work recipient for 2026 and for the previous 12 years.  

Job Title: Program Coordinator

Location/Work Status: Honolulu, Hawaii 

Job Type: Regular Full Time, Non-Exempt

Compensation: $21.93 / hour with competitive benefits package

Benefit Highlights:

  • 21 Paid Vacation Days, 12 Paid Sick Days, and 14 Paid Holidays
  • Medical Coverage through Kaiser or UHA – you chose the best option for your family
  • 401K or Roth with 4% Employer Match
  • Life Insurance
  • Pet Insurance

Summary of Position: 

Family Peace Centers teach non-violent problem-solving skills for families struggling with adult aggression and behavioral dysfunction, emphasizing partnership, equality and respect among families. 

The primary responsibility of the Program Coordinator is to manage and coordinate the administrative and office operations of the Family Peace Center (Oahu) Program. This position provides high-level support to program leadership and staff, serving as the central hub for office efficiency and the program’s electronic client record system. The Program Coordinator oversees key systems including client intake processing, referral tracking, and the production of contractually required reporting to ensure all funder deliverables are met. 

This position manages data integrity and assists in the preparation of contractual reports. Additionally, the Program Coordinator handles essential financial tasks, including the collection and processing of client program fees as well as managing purchase orders and reimbursements. The Program Coordinator also acts as the primary liaison for facility maintenance and site safety. This position is under the direct supervision of the Program Director.

Essential Job Functions: 

1. Behave in a manner that supports the agency's mission and follows personnel policies and procedures.

2. Assume responsibility for the efficient and well-coordinated functioning of the office, including managing office supplies, equipment inventory, and coordinating repairs and facility maintenance

3. Assist program leadership in managing the program’s electronic client record system by monitoring programmatic functions, training staff on system utilization, and ensuring the timely maintenance of accurate record keeping for appropriate quality and presentation.

4. Oversee financial administrative tasks, including the collection and logging of client program fees and the reconciliation of purchase orders, travel forms, and mileage reimbursements.

5. Coordinate the production and submission of contractually required reporting by identifying and collecting and inputting data needed for funder reports in conjunction with program leadership.

6. Manage administrative intake and referral processes, including tracking referrals from agencies and scheduling appointments for assessments and orientations. Foster a welcoming and supportive environment by providing daily in-person and telephone assistance to clients, collecting program fees, coordinating donations, and connecting individuals with appropriate program resources and services.

7. Facilitate the coordination of quarterly case record reviews to ensure program compliance and supports program leadership during monitoring visits and satisfaction survey processes

8. Assist the Senior Program Director in tracking budget expenditures and ensuring the timely spend down of funds in alignment with grant or contract requirements.

Minimum Requirements

Education / Training:

1. High School diploma, required. Associates degree, preferred.

Experience:

1. Two (2) years’ experience in an administrative or clerical position, required.

2. One (1) year experience in human services, preferred.

Other:

1. Must be at least 18 years old.

2. Possess and maintains a valid driver’s license.

3. Has daily access to an automobile.

4. Possess and maintains proof of no-fault insurance.

5. Can obtain an acceptable pre-hire driver’s abstract upon initial hire.

6. Can obtain an acceptable Fingerprint (FBI) Background Check upon initial hire and as requested.

7. Can obtain a State Criminal History check upon initial hire, one year later, and every other year thereafter or as requested.

8. Can obtain an acceptable CWS child abuse registry check upon initial hire, one year later, and every other year thereafter or as requested.

9. Can obtain an acceptable National Sex Offender registry check upon initial hire, one year later, and every other year thereafter or as requested.

10. Must have a cell phone for use in emergencies at off-site locations.