this is the first one which worked! Not charge more for DHS-subsidized care than they normally charge other families; Keep daily attendance records for at least six months; Bill an hourly rate for children usually in care less than 158 hours per month; Allow DHS to review their records upon request; Cooperate with any investigation of a complaint, including a visit to the child care provider site, during hours when care is provided; Inform the Direct Pay Unit (DPU) of any arrests, convictions or involvement with child welfare of themselves or persons living with them; Inform DPU of changes of name, address or of persons who live with them. Record health related activities (MH, ME, SS) on TRACS. Assess parenting skills; Determine if the teen is able to select appropriate child care; Obtain information on the client's educational background/school attendance; Determine if the teen parent has a history of child welfare involvement; Determine if the infant/child is developmentally on target; Evaluate potential for early attachment to work; How would you describe your living situation? Use "DVS" Need/Resource code on new and currently open program 2, 82, P2 and M5 cases with the first month of eligibility. Case Management DMAHS Definition Case management, a component of care management, is a set of activities tailored to meet a member’s situational health-related needs. Providers must keep immunization records for children in care; State law requires children in child care facilities to be immunized or in the process of completing their immunizations; Confidentiality rules allow DHS staff to give information to child care providers limited to these items: case number and program of client, amount agency will pay, copay amount and reason for delay in agency's paying bill; Child care providers, unless they are exempt, must be registered with or licensed Our library is the biggest of these that have literally hundreds of thousands of different products represented. How does it affect your ability to work? It highlights important Federal and State Medicaid documentation … Are the children's immunizations current? Intensive CASE MANAGEMENT. Are the treating physicians at the hospital Questions to evaluate your educated regularly on the importance of complete documentation, the need to work closely with case/utilization management and Physician Advisors, and the role they play in If a teen parent returns to live with their parents and the parents' deemed income is BEIN (information on SSI, SSD, SSB, & Medicare, and appeal of SSA denial of benefits). How is that working for you? ... Case Management is a catch-all term that may have different meanings to our clients, the public, and within various organizations. Are the treating physicians at the hospital Questions to evaluate your educated regularly on the importance of complete documentation, the need to work closely with case/utilization management … The Use Case Document ties the business needs of a system to the design and implementation of the system. My friends are so mad that they do not know how I have all the high quality ebook which they do not! as part of the local JOBS program component for teen parents. Thank you Joan for your 101 case management video. Could involve the child care provider and the client; May include the local Child Care Resource & Referral agency; May involve staff from other agencies client has contact with. Include attending to health issues/referral to Health Services for health care services, Developing a plan should be as empowering as possible for the client; Safety issues must be considered regarding all activities and expectations; For counseling/therapy related to the effects of domestic violence, refer the client Would you be willing to take classes at night to gain skills? What did the doctor say? This one has more serious consequences. Available from the county health department for use by providers to record children's immunizations; For ERDC, enter work hours in CC Wrk Hrs and the number in the ERDC household in # ERDC. Be cognizant about the confidentiality rules pertaining to HIV and AIDS. billing DHS, help with collecting the copay from clients); Exploring with the local Child Care Resource & Referral agency what services Arrangements for transportation and child care, support service payments, progress towards goals. Since each system is unique, the Use Case Document … School staff and health professionals may need to be involved; Include other agencies that are working with the teen. How long have you lived at your present address? Infants who are breast-fed for the first year of Assist client with accessing other agency services; For youth not in school, consider helping the individual access the Job Corps, YESS Eligibility requirements may be waived temporarily for TANF if those requirements make How are your children reacting to your working? Frequent visits to hospital emergency rooms. (clinical findings, psychological or psychiatric evaluations or testing x-ray reports); What treatment or other things the doctor thinks will improve the health condition diapers, equipment such as car seat, crib; Determine if paternity has been established; Determine if the client needs support in breast-feeding her infant, especially if she It’s the coordination of business services on behalf of a case, usually an individual customer. Employed ERDC, OHP and SNAP clients can receive retention and wage enhancement services even if they did not become employed while in the JOBS program. Do you have concerns about your relationship with your children's mother? ); Consider consulting with Disability Liaison for appropriateness of activities given If not, why? You can access information about local resources at: Domestic violence service providers for emergency shelter and possibly transitional housing. Case notes should tell a comprehensive and sequential story of your client contact and progress. Program code "E2" on a new case. Information about local providers is available at: A&D and Mental Health (MH) service providers for referral to drug/alcohol-free housing. Tell me about any health problems you or members of your family may be experiencing. Case management consists of these elements. Code waivers related to domestic violence on TRACS. nurses, medical providers and early intervention programs such as Healthy Start. Assist client in accessing services of other agencies. Central Office: WIC brochures can be ordered through Distribution Services; For locations of WIC program, call 800-723-3638. If so, how? auditable document for each Medicare case that provides permanent evidence of your UR process? Keep in mind that family members may need more than one focal point of case management. Medical documentation must include the following items to be useful for case management planning or eligibility determination: Description of the health problem (diagnosis); … To meet the incapacity deprivation requirement for TANF, one parent must have a medical certificate (GED class, return to high school, alternative high school); After educational goal is met, include job preparation and job search activities; If living situation is not safe, establish activities to lead to a safer situation; Consider including a developmental assessment of the child through a Medicheck screening; Include expectation on attendance at school and time frames for evaluation of progress; Include participation in District Teen Parent program; Become employed as soon as possible after completing their high-school-level education; Know the importance of assuming responsibility for personal choices; Understand short- and long-term consequences of safe, risky and harmful behaviors; Know communication strategies for avoiding potentially harmful situations; i.e., refusal skills and resistance to peer pressure; Know how to access community agencies that advocate for healthy physical therapists and licensed occupational therapists. Also, you in a treatment plan? become employed or you return to work? These samples may be used as is or adapted. Have you had many trips to the emergency room? evaluation of condition takes place (GED class, work experience, ESL class, solving and paternity. Service … Monitoring and Documentation Case management activities are documented in case … If so, this means you cannot give copies of these documents to any other agency or person. DOCUMENT NEEDED NOT INTERESTED COMPLETED ... Receives Service Needs Receives AIDS Clinical Trials Advanced Directives Budget Counseling Burial Assistance Case Management Care … If so, how? If so, what treatment are you receiving now? What were Determine if the children are attending school regularly; Determine if there are any children's issues that need attention to avoid interfering with the parent's employment; Determine if the client is involved with partner/other agencies regarding their children; Determine if Head Start would be an appropriate option for the child. ; Local: Mediation services, local DCS office; Identify activities that will lead to employment; Identify steps toward resolving family-related issues; Include any other child support related activities. Clients whose health problems preclude immediate employment, seek medical and rehabilitative services to help them become employable; Clients who have been medically determined to be unable to work may apply for SSI/SSD; Clients who are needed in the home to care for dependents with disabilities receive support services to enable them to prepare for employment, unless this puts an undue hardship on the family. Is the child/spouse's disability progressive or chronic? Employment goal, date of case plan, review dates, arrangements for transportation and child care, support service payments, progress towards goals. daily living; Be alert to behavior that indicates relapse. the client's medical condition; If treatment is appropriate, include the treatment plan and time frames; Include expectations for other agencies (OVRS, SSA) and resources the client will contact; Include dates for evaluation of progress. Screening and Assessment to obtain basic information for case management and eligibility purposes. Local: Client's health plan, county health clinic, chemical dependency treatment Put E in the JOBS status field; use the WTW case descriptor if the parent meets the welfare to work criteria or is a participant in the District 5 and 6 obligor JOBS program. How are your child care arrangements working out now that you are employed? How does your health problem affect your activities of daily living (housework, mental health problems need to be evaluated by a psychologist or psychiatrist, not organizations requiring you to do? For La Leche League breast-feeding with taking steps to resolve their health problems. 2. A Case Managers documentation assists in clinical management, justifies interventions and expenses, and defends from negligence. Pattern of noncompliance with case plan activities. Recommendations for case management practice include (1) incorporating AD education into the orientation curriculum for new case managers, (2) readdressing the importance of AD documentation in case … Many organizations regularly receive some variation of a service request. Were you in special education classes in grade school or high school? You show the importance of case noting … Resources are … family problems, getting drivers license, stabilizing living situation, etc. engaging in activities to move themselves toward self-sufficiency within the parameters of Staffing is consulting or meeting with partners regarding clients' service needs Entry in these fields generates the CCB if the listing information is on the system. possible; Be alert to behavior that indicates relapse; Be alert to the possibility of other health issues, caused by, or related to, Have the client report to you the name, address and phone numbers of the child care providers; Set appropriate time frames for obtaining a child care provider. It is a tool used for reviewing the details of the case during the presentation and the documentation . Case notes should tell a comprehensive and sequential story of your client contact and progress. The following groups are exempt from disqualification for noncooperation with JOBS: pregnant women age 20 and older, who are in their ninth month; and clients 20 and older during the six months after giving birth. In this post I discuss the two primary notes that case … Did the doctor Tell me about what you think will keep you safe. (Managed Care Plans); This may include identifying services such as psychological testing that are an unmet Is the How is your health? on required immunizations, call Health Services at 503-731-4020. Explore carpooling; Identify what support payments will be needed: transportation, child care, etc. Are there concerns about safety for any member of the family? Do you have your IEP from school? Now for the second example … Clients with stable housing are more likely to find and maintain employment. This document will guide workers in writing case notes that are appropriate, understandable and meets the documentation … Are you afraid of your partner or ex-partner? such as Project YESS; May include Child Welfare, A&D treatment provider if appropriate, juvenile authorities. What do you need to protect yourself and your family? It is an effective tool to help ensure that the system being developed meets the business requirements for the system. Case management is a process that allows companies to reach optimal results for clients. Results of evaluations, who did it, the date done; do tickler for dates progress is to be evaluated, dates for expiration of doctor's notes, date treatment will be completed, expiration dates for release of information forms. An employed mother Child Care Resource & Referral Network is available at 800-342-6712. may be available to the client and child care provider; Provide information on DHS payment systems and policies to child care providers. Determine if the client is receiving prenatal care/vitamins; Determine if immunizations for infants/toddlers and mothers are up to date; Determine if the client is prepared for the arrival of the baby, i.e., clothes, Use the JCCB for JOBS participants when the provider is listed. work? The amount of pay is based on the level of care needed by the spouse with disabilities. Housing issues are no longer a barrier to the client accessing or maintaining employment. What have you done in the past when you have needed help with a personal problem? Teen parents do not have a subsequent pregnancy; Evaluate living situation. etc.? Service requests. Intellectual disability case management progress in particular are more detailed since these services will likely be in place for the lifetime of the client. Clients are not responsible for the abuse they receive, but they are accountable for Case notations can be entered digitally, maintaining standardized responses, and reducing the time to document cases – especially with online case management documentation … Would you like help in developing a safety plan for you and your children? Local: Local services to homeless youth, homeless youth shelters, WIA; Central Office: Information resource person. purposes only, documentation is acceptable from licensed social workers, licensed Assist the client in determining if the child care situation does, or will, meet the When documenting, Case Managers should maintain professional objectivity and document … FSML - 55 CM-WG #1 10/01/09 Case Management Examples Page - 3 • Getting feedback from clients on effectiveness of brokered resource; • Advocating with partners in behalf of the client. You should document whether Joe got the pillbox and used his alarm and whether he is taking his medications as prescribed. further, future violence. Family issues focal point; noncustodial parents. As funders turn their attention to outcomes data, it is becoming increasingly important for organizations to be able to provide this evidence. and become employed as soon as possible. it more difficult for individuals to escape domestic violence or place them at risk of Evaluate whether the treatment and other services the client receives is moving the ); Staffings should be done early on if the client is already involved with other agencies such as OVRS, State Accidental Insurance Fund (SAIF). requirements for the various provider types furnishing services. Local: Local teen parent groups, teen pregnancy prevention group, RAPP group or coalition; There may be a need to work with other agencies in the community to develop resources. has an open case with DHS or another case management agency; Consider including staff from DCS and the JOBS program; May include other community agencies such as those providing mediation services; Obtain custodial parent's consent before sharing information about their case with others involved with the noncustodial parent. This may include consideration of whether Teen focal point; nonparent teens on OHP/SNAP not living with their parents. Mutually develop the plan with the client for the family and individuals within the family based on the Assessment, Staffing, Brokering and Resources; Determine the long-term (usually employment) and short-term goals (intermediate steps for achieving the long-term goal); The employment goal is based on the client's skills, job history and abilities; Identify activities to address the short-term goals; Prioritize the accomplishment of activities, if needed; Selected activities will include JOBS components and community resources; Establish time frames for beginning and completing the activity; Determine what resources the client, agency and partners can use to support the activity; Outline how the plan will be coordinated with partner agencies; Be clear about the case manager's role in the plan; Establish dates for reviewing progress and the method of contact between the case manager and client; Determining the appropriate focal point of case management. - Use the appropriate specific TRACS activity code when one exists. Sample Initial Assessment 19 Initial Service Plan Development 20 ... Case management is a strength based approach that helps participants achieve specific desired ... III. or medical disability; Determine if the children's immunizations are up to date; On an ongoing basis, evaluate whether the work hours or JOBS activity hours correspond with the provider billed hours; Obtain the name, address and phone number of the child care provider; Determine whether the provider is a family provider or center; Discuss the implications for child care of odd work hours; Assist the client in problem solving on obtaining and retaining child care; Coach the client about the need to obtain a provider who can accommodate such things as overtime, alternatives for sick kids or sick providers, etc. Are they affecting the family functioning (physical, mental, intellectual functioning)? Family issues focal point; youth/child issues. eBook includes PDF, ePub and Kindle version. What are you doing to prevent additional pregnancies? Consider including the noncustodial parent's case manager in staffings, if the parent If yes, how are they affecting the family? support services, call 800-525-3243. priority. Consider contacting previous employers to determine basis for the client's job losses; Explore transportation and child care options. I have been away from case management and your video helped me to get back to what I really enjoy doing. socially acceptable. May include negotiating with parents and relatives for assistance for teen parent, Follow the process in the branch plan for identifying domestic violence; Check the application (items #5 and #6) to see if the response indicates domestic violence. For employment opportunities for clients with How old are the individuals in your home, and what is your relationship with them? Are you prepared at home for the baby's birth? For the Spousal Pay Program, the care giver is paid to care for the dependent spouse with disabilities if the spouse with disabilities needs help with four out of six activities of You see, there are a lot of reasons why one must have a case note. How easy is it for you to follow written instructions? planning or eligibility determination: Medical documentation is acceptable only from medical and osteopathic doctors, a general practitioner. See Work Status Focal Point; Child Care, in this Worker Guide (, See Family Issues Focal Point; Pregnant Women and Women with Infants, in this Worker GUIDE (, See the Family Issues Focal Point; Health Issues (Physical, Mental, Intellectual) in this Worker Guide (, See "Children Living with Adults who are not Receiving Cash Benefits" in deterimining the appropriate focal point of case management in this worker guide (, See the work status focal points earlier in this section, (, www.dhs.state.or.us/training/dv/index.htm, http://www.affordablehousingonline.com/housingauthority.asp?State=OR, http://www.affordablehousingonline.com/default.asp, http://www.dhs.state.or.us/abuse/domestic/gethelp.htm. JOBS exempt status for the ninth month of pregnancy and the first Address concerns of provider. Some medical documents may have "Not for further release" stamped on them. The child care provider cannot be under age 18; on the same TANF grant as the child in care; a sibling under age 18 who lives with the child; a parent/step-parent of the child; or a parent of the child's siblings, if all are living in the same household. An assessment of the level of care is determined, and a service plan is created. Case Management Documentation Examples FSML - 55 CM-WG #1 10/01/09 Case Management Examples Page - 3 • Getting feedback from clients on effectiveness of brokered resource; • Advocating … in the past? feel is abusing drugs or alcohol? Examples might include temporary housing needs, including family shelters (for homeless clients), domestic violence shelters or other safe housing (for clients experiencing domestic violence), drug-or-alcohol-free housing (for clients in recovery), transitional housing (for families who need case-management services while looking for permanent housing), low-income housing (for families with limited income or resources); When other challenges (not directly relating to housing) are contributing to the client's inability to find housing, such as poor rental history or poor credit, refer to local services that might help with these issues. Could you work if you had some accommodation made for you on the job? WIC, Head Start, Healthy Start, Community Health Nursing, etc., and teen employment programs ); Establish time frames for review of quality of job search and progress towards resolution of other issues. needed for baby, obtaining a breast pump and attending parenting classes; If immediate employment is not an option, activities could include GED classes, skill optometrists, and licensed psychologists and psychiatrists. It is illegal to discriminate against pregnant women in hiring practices; All state agencies are directed to institute practices supporting breast-feeding mothers. How many have you had? Case management is a process that allows companies to reach optimal results for clients. Other JOBS activities such as Life Skills may be useful; Identify steps to secure adequate transportation, child care, and back-up arrangements. Possibly contact employers to follow up on client interviews. What do you need in order to become employed? 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