- 1
- open role, live count
- 3.7
- Google rating
The city
Living in Honolulu, HI
Honolulu pairs Pacific island beauty with urban convenience, where palm-lined streets meet hospital corridors. Waikiki's shoreline and Diamond Head's slopes frame a compact capital city. Nurses relocating here trade mainland commutes for ocean views, though island living brings unique logistics worth weighing.
Browse roles in Honolulu- State price level · Hawaii
- 110
- 10% above the national average
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities
Who they are
You would be joining Navian Hawaii, a nonprofit on Oahu that spent decades as Hospice Hawaii and now offers both end-of-life hospice and earlier palliative care.
More about Navian Hawaii
Most of the nursing work is in the field: RN case managers travel to patients’ homes, supervise hospice aides, manage caseloads, sit with the interdisciplinary team, and take on-call that can include evenings, weekends, and holidays. When home is not enough, there is a five-bed inpatient hospice home in Kailua meant to feel like a home away from home. The Keiki program has grown from a handful of medically fragile children to about fifty under concurrent hospice and palliative care, working with Kapiolani to get kids home. The stated philosophy is Na Hoa Malama — The Caring Friends — with care aimed at the home or whatever setting the family chooses. Colleagues talk about caring coworkers and meaningful relationships with patients. They also describe short staffing under high demand and a real burnout risk, so the pace is part of the picture you should weigh.
Na Hoa Malama (The Caring Friends); nonprofit community mission focused on hospice and earlier palliative care in the home or the family’s chosen setting.
Why nurses stay
How they describe the culture
What nurses say in reviews
Nurses and aides describe a caring culture, supportive coworkers, and meaningful patient relationships. Reviews also report short staffing, burnout risk, limited growth support, and criticism of newer leadership for micromanagement; no aggregate star rating or recommend percent appears in the validated facts.
The good
- Meaningful hospice relationships and a caring colleague culture
- RN case manager role with full caseload ownership, aide supervision, and IDT work
- Keiki concurrent care program grown to ~50 children with Kapiolani partnership
- Continuum from earlier palliative care through end-of-life hospice after rebrand
- Five-bed inpatient home in Kailua when patients need a home-away-from-home
- About 47 years serving Oahu families as a community nonprofit
The hard parts
- Short staffing and high patient demand with reported burnout risk
- On-call for RN case managers includes evenings, weekends, and holidays
- Field travel across Oahu required; no home-office option noted
- Reviews cite limited empowerment and leadership support for career growth
“I came for the sign-on bonus. I stayed because on my hardest night, my whole team stayed with me.”
The reality check
Before you decide
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
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