Get the free Referral for Care Coordination Services

This form is used to refer MHS/NHP members to a team of social workers, nurses, and behavioral health specialists for care coordination services.

How to fill out referral for care coordination

How to fill out Referral for Care Coordination Services

1. Gather patient information including name, date of birth, and contact details.
2. Identify the specific care coordination services needed for the patient.
3. Fill out the referral form with accurate details of the patient's medical history relevant to the services.
4. Include the referring physician's details and their reason for referral.
5. Submit the completed referral form to the designated care coordination service provider.
6. Follow up with the service provider to confirm receipt of the referral and discuss next steps.

Who needs Referral for Care Coordination Services?

1. Patients with complex medical needs requiring multidisciplinary care.
2. Individuals transitioning between different levels of care or facilities.
3. People needing assistance in managing chronic conditions.
4. Patients referred by healthcare providers for specialized support services.

People Also Ask about

What is a care coordinator in English?

A patient care coordinator, also known as a care coordinator or patient navigator, helps manage a patient's healthcare and treatment needs while also maintaining open lines of communication between a patient and their healthcare providers.

What is another name for a care coordinator?

For example, some employers may refer to a Care Coordinator as either a Care Manager or a Service Coordinator.

What is the role of a care coordinator?

Care co-ordinators help to co-ordinate and navigate care across the health and care system, helping people make the right connections, with the right teams at the right time. They can support people to become more active in their own health and care and are skilled in assessing people's changing needs.

What is the difference between a caregiver and a care coordinator?

Unlike care coordinators, caregivers are not responsible for managing medical treatments or scheduling appointments, though they may communicate with family members about any concerns.

What is another name for care coordination?

Several terms have often been used synonymously or in conjunction with care coordination: collaboration, teamwork, continuity of care, disease management, case management, care management, Chronic Care Model, and care or patient navigator.

What is the role of care coordination?

Care coordination in the primary care practice involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care.

For pdfFiller’s FAQs

What is Referral for Care Coordination Services?

Referral for Care Coordination Services is a formal request to connect a patient with resources that can help manage their healthcare needs, ensuring they receive appropriate and timely services.

Who is required to file Referral for Care Coordination Services?

Typically, healthcare providers such as doctors, nurses, or social workers are required to file a Referral for Care Coordination Services on behalf of patients needing assistance with their care management.

How to fill out Referral for Care Coordination Services?

To fill out a Referral for Care Coordination Services, one must provide patient information, details of the specific services required, the reason for referral, and any other relevant medical history or context that aids in care coordination.

What is the purpose of Referral for Care Coordination Services?

The purpose of Referral for Care Coordination Services is to streamline the process of connecting patients with appropriate services, improve healthcare outcomes, and enhance collaboration among various healthcare providers.

What information must be reported on Referral for Care Coordination Services?

The information that must be reported typically includes the patient's demographics, medical history, specific needs for care coordination, the referring provider's details, and any urgency associated with the referral.