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) focus...