1.
Community Care assumes case management/coordination services
for clients when one or more of the following conditions exist:
o
The need for case coordination has been identified;
o
No other organization has assumed that responsibility;
o
The type of service, or lack of service coordination by
multiple providers necessitates that the organization assume a central
coordinating role;
o
Community Care is contracted to provide the service;
o
Community Care is not contractually prohibited from
doing so; and/or
o
Community Care is the most appropriate entity to assume
such a role.
When
appropriate Community Care will attempt to partner with individuals and/or
families who are in need of service coordination when it is not being provided
by another organization.
2.
Services may include but are not limited to.
o
Coordination of services between providers and/or
agencies;
o
Establishment of communication between a team of
providers;
o
Ensuring the documentation of the team process;
o
Ensuring that documentation is collected and placed in
a client case record;
o
Ensuring the creation and implementation of the client's
service plans;
o
Ensuring the protection and confidentiality of the
client's case record;
o
Assuring the provision of adequate support to the
client throughout the service provision;
o
Assuring appropriate planning for services; and
o
Assuring appropriate discharge, termination, and
aftercare planning.