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WV Targeted Case Management Form 2015-2025 free printable template

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Chapter 538 Schooled Health Services Appendix 538H Targeted Case Management Form Effective Date: August 1, 2015, Student name Page 2 * Must be identified on the Service Plan Date: Progress Notes School
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How to fill out WV Targeted Case Management Form

01
Start by gathering all necessary personal information including name, address, phone number, and date of birth.
02
Indicate the client's diagnosis and any relevant medical history.
03
Fill out the sections related to the client's needs and the services they require.
04
Specify any barriers the client faces in accessing services.
05
Detail the goals and objectives for the client's case management.
06
Review the form for accuracy and completeness before submission.
07
Submit the form to the appropriate local health department or agency.

Who needs WV Targeted Case Management Form?

01
Individuals who require assistance coordinating care for physical or mental health issues.
02
People with disabilities or chronic illnesses that necessitate comprehensive support services.
03
Families seeking help for their loved ones in navigating healthcare and social services.
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Medicaid Mental Health Targeted Case Management services provide case management to adults with a serious mental illness and children with a serious emotional disturbance to assist them in gaining access to needed medical, social, educational, and other services.
Case management nurses often specialize in a specific group or type of patient; for example, working with patients suffering from cancer, diabetes, HIV/AIDs, Alzheimer's disease, or physical disabilities.
The following are examples of Targeted Case Management Activities: Assisting a consumer in obtaining needed services. Coordinating with other agencies to obtain services for consumers. Completing and regular review of a written functional assessment.
Targeted Case Management (TCM) is a set of services provided to a Target Population that helps our clients gain access to needed medical, clinical, social and educational services to improve the quality of their lives.
Case notes must include the name of the client, the date and time of the meeting or visit as well as the location of the meeting. If the encounter with the client occurred via phone, the case note must include whether or not the client was contacted or if the client made contact.
Four Types of Case Management Models The Brokerage Model Case Management. The Clinical Case Management Model. The Strengths-Based Clinical Case Management Model. The Intensive Case Management (ICM) Model.
Case notes must include the name of the client, the date and time of the meeting or visit as well as the location of the meeting. If the encounter with the client occurred via phone, the case note must include whether or not the client was contacted or if the client made contact.
This position is responsible for the managing as assigned caseload of consumer having long-term mental illness and for assessing consumer needs, developing, implementing and reviewing service plans, and working with other community resources in meeting/achieving consumer service needs.

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The WV Targeted Case Management Form is an official document used in West Virginia to help coordinate the delivery of services for individuals who need assistance in accessing various resources and support in their community.
The WV Targeted Case Management Form must be filed by case managers who are responsible for assisting individuals in accessing services and ensuring that their needs are met according to their plans.
To fill out the WV Targeted Case Management Form, a case manager must provide detailed information about the individual being served, including their personal details, the services requested, and the outcomes desired. The form should be completed in accordance with the guidelines provided by the state.
The purpose of the WV Targeted Case Management Form is to document the individual's needs and services, ensure access to appropriate resources, and track progress towards achieving specific objectives outlined in the individual's care plan.
The WV Targeted Case Management Form must report information such as the client's demographic details, assessment of needs, goals, services to be provided, and any necessary documentation related to the case management process.
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