Heat sesame oil in a large skillet over medium-high heat. Add turkey and cook, breaking up, until no longer pink. Drain excess liquid and return to stovetop.
Add diced onion and rice vinegar to the skillet and cook for 3-5 minutes or until onion is tender.
Add garlic, ginger, soy sauce, hoisin sauce, coleslaw mix, and carrots to the skillet. Cook, stirring, for 5-7 minutes, or until cabbage is wilted.
Remove skillet from the heat. Stir in green onions and season with salt and pepper, to taste. Serve over rice, if desired.