Member Care Services Associate-Quest Integration

Company: Kaiser Permanente
Location: Honolulu
Posted on: March 16, 2023

Job Description:

Description: Provides case management services to Kaiser Permanente Quest Integration (QI) members and their families to help navigate personal, social, financial, and medical needs. Works with QI RN Manager to assign QI members (adults, seniors and children) with special health care needs to appropriate care manager(CM)/care coordinator(CC). Works with RN Manager to develop QI processes for successful care management integration. Coordinates monthly collaborative Care Rounds. Develops and implements tracking systems for QI processes including, but not limited to, QI Face to Face Health Functional Assessments (HFA), Early and Periodic Screening, Diagnosis and Treatment (EPDST) including CM/CC member follow-ups. Develops and implements QI care plan summary templates for KP EHR. Develops and implements a tool box for initial HFA and reassessments for CM/CC.Essential Functions:- Develops the QI care management tool box for initial and reassessment materials needed for a home visit. Develops QI check lists and implements them. - Receives and performs initial triage of paraprofessional. Assists with resource development. Networks with other community based services. Works closely with CM/CC for referral regarding Home Community Based Services (HCBS)/Durable Medical Equipment (DME), dental services, Social, Emotional, and Behavioral Difficulties (SEBD)/Severely Mentally Ill (SMI), Child Welfare Services, Adult Protection Services (APS), and Developmental Delayed (DD). - Provides member care services to Kaiser Permanente QI enrollees. Navigates services based on medical, social and psychosocial needs, educates members on QI program and offers assistance as needed. - Navigates transportation and housing needs for members and/or their families for medical services both Inter island and on the Mainland. - Works with RN manager to assign QI member caseloads to RN CM and LSW CC. Develops and implements a HFA tracking form for RN CM/LSW CC in home visits and follow-ups. - Interprets and explains services of Kaiser Permanente QI program to members and families. Acts as QI member and family advocate. Navigates the health care system and health care services available to our members. Acts as liaison to promote Kaiser philosophy and services. Confirms QI coverage to patients and service providers within Kaiser as needed. Basic Qualifications: Experience - Minimum three (3) years of community outreach in healthcare setting, or related experience. Education - High School Diploma or General Education Development (GED) required. License, Certification, Registration - Valid driver's license. Additional Requirements:- Demonstrated knowledge of and skill in adaptability, customer service, interpersonal relations, oral communication, problem solving, teamwork and written communication.- Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications. Preferred Qualifications:- Trauma situation and CTN/Special Processes experience.- Bachelor's degree in health and human services, or related field. Primary Location: Hawaii,Honolulu,Dole Service Center Scheduled Weekly Hours: 40 Shift: DayWorkdays: Mon, Tue, Wed, Thu, Fri, Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-HI-02-NUE-Non Union Employee Job Level: Entry Level Department: Regional Administrative Office - Med Ofc- Quest Medical Mgt - 1208 Travel: No At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing. Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Keywords: Kaiser Permanente, Honolulu , Member Care Services Associate-Quest Integration, Other , Honolulu, Hawaii