Develop preventative wellness plans for clients new to the system to preclude the development of chronic health conditions i.e. weight management, nutrition, health screenings, exercise, and smoking cessation; communicates regularly with individual consumers, caregivers, families, county representatives and local health care providers to establish priorities, identify training opportunities, and identify problem areas and needs. Identify individuals who have extensive co-morbid physical and behavioral health conditions; Analyze individual and aggregate physical and behavioral health care utilization data Managed Care Organizations on these individuals; Identify and provide- whenever possible through Case Managers-outreach to individuals who are over utilizing behavioral and physical health care services and offer them assistance in developing an individualized wellness plan.