Care Coordinators •
Plan Coordination and Documentation: – Serve as the primary liaison between the client, family, and the interdisciplinary team. – Ensure that assessment data, feedback, and clinical recommendations are accurately integrated into the ISP. • Service Scheduling: – Manage the timeline for service start dates, periodic reviews, and plan revisions. • Communication: – Keep all parties informed of changes, upcoming reviews, and any additional service requirements.
Clinical and Therapeutic Teams • Assessment and Evaluation: –
Complete comprehensive assessments, develop clinical recommendations, and evaluate service effectiveness.
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Collaborative Input: – Participate in interdisciplinary meetings and contribute evidence-based recommendations for inclusion in the ISP. • Outcome Monitoring: – Document therapy sessions, progress measurements, and modifications to clinical care plans.
Support Specialists and Direct Care Staff • Daily Implementation: –
Deliver services in alignment with the ISP’s prescribed schedule and service components.
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Documentation of Interactions: – Maintain daily logs of service delivery, noting any deviations or significant observations. • Client Advocacy: – Communicate any concerns, emergent needs, or observations that may necessitate a plan update to care coordinators in a timely manner.
Management and Supervisory Staff • Oversight and Authorization: –
Conduct final reviews of ISPs before formal adoption by the client and service team.
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Quality Assurance: – Monitor adherence to regulatory standards, coordinate internal audits, and authorize any major plan revisions. • Resource Allocation:
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