Care Planning: Utilize information obtained from completed assessments, client input, and multidisciplinary team to formulate and develop comprehensive, individualized, and person-centered care plans that are based on the needs and desires of each client and that incorporates each client's physical health needs, behavioral health needs, social service needs, including any community-based LTSS; Monitor status and completion of care plan objectives; and. The CC is accountable for assessing clients' needs, coordinating with indicated entities in order to facilitate authorization as required, and ensuring access to identified needed physical health care, behavioral health care, and community-based supportive services, as necessary to support the achievement of individualized health goals.