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Get Department Of Healththe Role Of Case Management
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How to fill out the Department Of Health The Role Of Case Management online
Filling out the Department Of Health The Role Of Case Management form is a crucial step in referring patients to the appropriate case management program. This guide provides comprehensive and user-friendly instructions for completing the online form with ease.
Follow the steps to successfully complete the case management referral form.
- Press the ‘Get Form’ button to obtain the form and open it for editing.
- In Section 1, provide your referring provider information. Fill in your name, facility or clinic name, phone number, and fax number. Indicate your referral source by selecting from the options provided.
- In Section 2, complete the Alliance member information. Enter the member’s last name, first name, Alliance member ID number, and date of birth. Include their phone number, select their sex, and provide their address, city, state, and ZIP code.
- In Section 3, outline the referral information. Clearly state the reason for the referral and remember to attach any supporting clinical documents from the past 30 days as required. For behavioral health referrals, you will need to contact Beacon as stated.
- Review all the filled information for accuracy. Once confirmed, save the changes, download the form, print it if necessary, or share it as required.
Take action now and complete your form online.
Case management goes from the identification and engagement of patients/clients through the assessment and care planning steps and culminating in monitoring the care described in the care plan and ultimately achieving the targeted outcomes in a measurable manner.
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