Member Care Services Associate-Quest Integration
Not Disclosed•Full-TimeOn-site
location_onKahekili Highway, Paukukalo, Wailuku, Maui County, Hawaii, 96793, United States
About the Role
The Member Care Services Associate for Quest Integration (QI) serves as a vital advocate and navigator for Kaiser Permanente members and their families, specifically those with special health care needs. This role exists to bridge the gap between complex medical, social, financial, and personal challenges by providing comprehensive case management services. You will work directly with the QI RN Manager to ensure that adults, seniors, and children are matched with the appropriate care managers and coordinators, fostering a seamless integration of care.
In this position, you will act as the primary liaison between members, families, and the broader Kaiser Permanente system. Your day involves interpreting QI program services, confirming coverage, and guiding members through the healthcare landscape. Whether navigating transportation and housing needs for medical services across islands or on the mainland, or addressing social and behavioral difficulties, you will ensure that every member receives the support they require to thrive.
Beyond direct member interaction, you will play a key role in shaping QI processes. This includes coordinating monthly collaborative Care Rounds, developing tracking systems for health functional assessments, and creating care plan summary templates for the Kaiser EHR. You will also build and maintain a "toolbox" of resources for initial and reassessment home visits, ensuring that care managers and coordinators have the necessary materials to deliver high-quality, consistent care.
Hiring Process
Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance. External hires must pass a background check and drug screen.
Equal Opportunity
Kaiser Permanente is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, or disability status.
Work location
Work model: On-site
Kahekili Highway, Paukukalo, Wailuku, Maui County, Hawaii, 96793, United States
Wailuku, Hawaii
Key Responsibilities
- check_circleNavigate transportation and housing needs for members and families
- check_circleCoordinate monthly collaborative Care Rounds with the RN Manager
- check_circleDevelop and implement tracking systems for health functional assessments and follow-ups
- check_circleAct as a liaison to promote Kaiser philosophy and confirm QI coverage to patients
- check_circlePerform initial triage of paraprofessionals and assist with resource development
- check_circleDevelop and implement QI care management toolboxes and checklists for home visits
- check_circleAssign QI member caseloads to care managers and care coordinators
Requirements
- verifiedThree (3) years community outreach in healthcare setting or related experience
- verifiedHigh school diploma or GED
- verifiedDriver's License (from any state) required at hire
- verifiedDemonstrated knowledge of word processing, spreadsheet and database PC applications
Nice to Have
Trauma situation and CTN/Special Processes experience. Bachelors degree in health and human services, or related field.
Similar Job Opportunities
Skills, education and keywords
Skills: Word Processing, Spreadsheet, Database, PC Applications, Trauma Situation, Ctn/special Processes.
Education: High school diploma or GED required; Bachelor's degree in health and human services preferred.
Frequently asked questions about Member Care Services Associate-Quest Integration at Kaiser Permanente
What does a Member Care Services Associate-Quest Integration at Kaiser Permanente do?expand_more
In this Member Care Services Associate-Quest Integration at Kaiser Permanente role, you will navigate transportation and housing needs for members and families; coordinate monthly collaborative care rounds with the rn manager; develop and implement tracking systems for health functional assessments and follow-ups; and act as a liaison to promote kaiser philosophy and confirm qi coverage to patients.
What are the requirements for this Member Care Services Associate-Quest Integration role?expand_more
To qualify for the Member Care Services Associate-Quest Integration at Kaiser Permanente position, applicants should have: Three (3) years community outreach in healthcare setting or related experience; High school diploma or GED; Driver's License (from any state) required at hire; and Demonstrated knowledge of word processing, spreadsheet and database PC applications.
Where is the Member Care Services Associate-Quest Integration role at Kaiser Permanente located?expand_more
Member Care Services Associate-Quest Integration at Kaiser Permanente is based in Kahekili Highway, Paukukalo, Wailuku, Maui County, Hawaii, 96793, United States. This is a on-site role.
Is this Member Care Services Associate-Quest Integration job remote, hybrid, or on-site?expand_more
Kaiser Permanente has listed this Member Care Services Associate-Quest Integration role as on-site.
How much experience is required for this Member Care Services Associate-Quest Integration role?expand_more
Member Care Services Associate-Quest Integration at Kaiser Permanente typically requires 3+ years of relevant experience at the mid level level.
What skills do you need for the Member Care Services Associate-Quest Integration role at Kaiser Permanente?expand_more
Key skills for Member Care Services Associate-Quest Integration at Kaiser Permanente include Word Processing; Spreadsheet; Database; PC Applications; Trauma Situation; and Ctn/special Processes.
What education is required for Member Care Services Associate-Quest Integration at Kaiser Permanente?expand_more
Educational requirements for this role: High school diploma or GED required; and Bachelor's degree in health and human services preferred.
What category does the Member Care Services Associate-Quest Integration role belong to?expand_more
Member Care Services Associate-Quest Integration at Kaiser Permanente is part of the healthcare & nursing job category on Recrutus.