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Case Manager Community Support Program (CSP) About MACRO Mission Values Position Title Position Objective Job Classification Location Reporting Relationship Direct Reports Key contacts of the role
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How to fill out case manager - community:

01
Start by gathering all the necessary information about the individual or family who will be receiving case management services. This includes their personal details, background information, and any relevant documentation.
02
Identify the specific needs and goals of the individual or family. This could include areas such as housing, employment, healthcare, education, or social support.
03
Create a comprehensive and detailed assessment of the individual or family's strengths, challenges, and resources. This assessment should consider their physical, mental, and emotional well-being, as well as their social and financial situation.
04
Based on the assessment, develop a personalized care plan that outlines the specific services, interventions, and supports that will be provided by the case manager and the community. This plan should be tailored to address the identified needs and goals, and should include clear action steps and timelines.
05
Coordinate and connect the individual or family with the relevant community resources and services. This may involve referrals to housing programs, healthcare providers, educational institutions, job training programs, support groups, or other social services. The case manager should facilitate the access to these resources and provide ongoing support and guidance throughout the process.
06
Monitor the progress and outcomes of the care plan, regularly reviewing and updating it as needed. The case manager should keep in close communication with the individual or family, ensuring that they are engaged and actively involved in their own care. Regular check-ins, evaluations, and adjustments are necessary to ensure that the desired outcomes are being achieved.
07
Evaluate the effectiveness of the case management services provided and make any necessary adjustments or improvements. This may involve seeking feedback from the individual or family, as well as other involved stakeholders, to continuously improve the quality and impact of the services.
08
Maintain accurate and up-to-date documentation of all interactions, assessments, care plans, referrals, and outcomes. This information is essential for accountability, program evaluation, and future reference.

Who needs case manager - community?

01
Individuals or families facing complex challenges or multiple needs, such as homelessness, mental health issues, substance abuse, domestic violence, or chronic illness.
02
People who require ongoing support and coordination of services to navigate the complex healthcare or social service systems.
03
Individuals or families who lack the necessary knowledge, skills, resources, or networks to access and utilize available community resources and supports.
04
Those who would benefit from a holistic and comprehensive approach to their care, where various aspects of their well-being are considered and integrated.
05
Individuals or families who may be at risk for further crisis or deterioration without appropriate support and intervention.
06
People who would benefit from advocacy and empowerment, as case managers often act as intermediaries and supporters, ensuring that the individual or family's voice is heard and their rights are protected.
07
Those who require ongoing monitoring and follow-up to ensure that the desired outcomes are being achieved and that any emerging needs or challenges are addressed in a timely manner.
08
Individuals or families who can benefit from the expertise, knowledge, and connections of a professional case manager to navigate complex systems, access resources, and make informed decisions.
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Case manager - community is a professional who coordinates services for individuals with complex needs in a community setting.
Case manager - community is typically filed by social workers, healthcare providers, or agencies providing support services.
Case manager - community is typically filled out by documenting the individual's needs, goals, current services, and coordinating new services.
The purpose of case manager - community is to ensure individuals with complex needs receive the appropriate support and services in their community.
Information such as the individual's medical history, current services, goals, and any changes in their needs must be reported on case manager - community.
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