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CARE MANAGEMENT DEPARTMENT NETWORK REFERRAL REQUEST FORM PHONE #: (818) 8761566 / FAX#: (818) 5912147 PLEASE NOTE: To process your request timely, please complete this form legibly and provide all
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How to fill out care management department

01
Step 1: Gather all necessary forms and documents required for care management.
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Step 2: Carefully read through and understand the purpose of each form.
03
Step 3: Fill out personal information such as name, contact details, and demographic details accurately.
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Step 4: Provide detailed medical history, including any underlying conditions or ongoing treatments.
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Step 5: Specify the reason for seeking care management and any specific concerns or goals.
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Step 6: Complete any additional sections or forms related to insurance, financial information, or consent.
07
Step 7: Double-check all the filled information for accuracy and completeness.
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Step 8: Submit the filled-out forms to the care management department either in person or through mail.
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Step 9: Follow up with the department to ensure that your forms have been received and processed.
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Step 10: Attend any scheduled appointments or meetings as instructed by the care management department.

Who needs care management department?

01
Individuals with chronic medical conditions requiring ongoing care and coordination.
02
Patients with complex healthcare needs or multiple specialists involved in their treatment.
03
Individuals transitioning from hospital care to home or another care setting.
04
Elderly individuals who require assistance with managing their healthcare and coordinating various services.
05
Patients with mental health or behavioral issues requiring specialized care management.
06
Anyone seeking support and guidance in navigating the healthcare system and accessing appropriate resources.
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Care Management Department is a specialized department within a healthcare organization that focuses on coordinating care for patients and ensuring they receive the appropriate services.
Healthcare organizations and providers that offer care management services are required to file care management department.
Care management departments can be filled out by documenting the services provided to each patient, including assessments, care plans, interventions, and outcomes.
The purpose of care management department is to improve patient outcomes, reduce costs, and enhance the overall quality of care by coordinating services and resources.
Information related to patient assessments, care plans, interventions, outcomes, and utilization of services must be reported on care management department.
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