Kaiser Permanente·Wailuku, Hawaii
Provides Quest Integration care coordination for members with special health needs through in-home assessments and collaborative service planning. Coordinates medical care, community-based services, and resource referrals while maintaining electronic health records.
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.
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.
One (1) year of care coordination/case management experience preferred. Home health experience preferred. Healthcare experience working with medical diagnoses preferred. Demonstrated ability in networking with community agencies preferred.
Requires a Master's degree in Social Work or six years of related experience, along with a Hawaii LSW or LCSW license. Basic Life Support certification from the American Heart Association is required at hire.
Market context
Behavioral health roles in Hawaii often reflect steady demand across community, outpatient, and school-linked settings, with employers looking for candidates who can support clients with complex needs and collaborate across care teams. These roles can be competitive because schedules, caseloads, and local cost of living matter, and this posting’s requirements and benefits are AI-summarized from the original job description to save you research time. Review the credentialing details carefully and confirm how the listed medical, dental, vision, life insurance, and sick leave fit your needs before applying.