LSW-Quest Integration Care Coordinator

Job Summary :

Provides Quest Integration (QI) care coordination to identified members (Adult, Senior and Child) with special health care needs, using face to face / in home Health Functional Assessment (HFA). Develops a client focused QI service plan collaboratively with primary care physician (PCP) and other decision makers. Assists with access to medical care and services.  Coordinates Home Community Based Services (HCBS) as needed. Communicates and coordinates health care services needed with Care Management Associates, professional health team members and community agencies. Assists families in crisis. Promotes Early and Periodic Screening, Diagnosis and Treatment (EPSDT) compliance.

Essential Responsibilities :

• Provides care coordination across the continuum, by assessing health care and appropriate HCBS by performing a comprehensive face to face / in home Health Functional Assessment within 15 days of notification. Completes a client (member) focused Service Plan within 15 days of the assessment.
• Maintains required documentation using KPHC electronic health record. Updates members service plan progress, documents assessments and medical care to indicate progress, changes and continuity of care.
• Provides information, resource identification and referral services including but not limited to dental for preventative and restorative care, Social, Emotional, and Behavioral Difficulties (SEBD) / Severely Mentally Ill (SMI), child welfare services, Adult Protection Services (APS), and Developmental Delayed / Intellectual Disability (DD / ID).
• Serves as resource person to members, families, physicians, staff and community agencies and institutional facilities, for matters pertaining to health care services, community living, appropriate placement setting, and / or request for self-directed services.
• Works closely with Member Care Services Associate to navigate HCBS, supplies and equipment for our members.
• Conducts social work consultation and resource development.

Basic Qualifications :

Experience

Education

License, Certification, Registration

Additional Requirements :

Preferred Qualifications :

Home health experience preferred.

Healthcare experience working with medical diagnoses preferred.

Demonstrated ability in networking with community agencies preferred.

PrimaryLocation : Hawaii,Wailuku,Wailuku Medical Offices

HoursPerWeek : 40

Shift : Day

Workdays : Mon, Tue, Wed, Thu, Fri

WorkingHoursStart : 08 : 00 AM

WorkingHoursEnd : 05 : 00 PM

Job Schedule : Full-time

Job Type : Standard

Employee Status : Regular

Employee Group / Union Affiliation : NUE-HI-01|NUE|Non Union Employee

Job Level : Individual Contributor

Job Category : Behavioral Health, Social Services & Spiritual Care

Department : Regional Administrative Office - Med Ofc- Quest Medical Mgt - 1208

Travel : Yes, 50 % of the Time

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.