STEPS to Success with Your Homecare Worker - The Arc Oregon
|Case |Name: | |
|Manager | | |
| |Branch #: | |Date: |
| |Phone: | |Fax: |
| |Email: |Call Case Manager before contacting |
| |Task List attached Two Weeks total hours |Voucher Warning 1 2 |
|Consumer-Em|Name: | |
|ployer | | |
| |Address: | |
| |Primary Language: | |
| |Primary Contact: | Consumer | |
| | |Representative: | |
| |Phone/email: | |
| |Prime Number: |Consumer-Employed Provider |OPI |ICP |
| | |State Plan Personal Care |Spousal Pay |
| |Employer Responsibilities Review | |Contact Case Manager for Details, send form 0737, etc. |
|Recommended|Overview/Review | |Other/details: |
|Topics | | | |
|(check all | | | |
|that apply)| | | |
| |New to in-home services | | |
| |New Representative | | |
| |Hiring | | Terminating |
| |Consumer requests workers to provide services not listed on | | |
| |the Task List. | | |
| |Communicating needs and expectations | | |
| |Boundaries | | |
| |Back-Up planning | | |
| |Emergency planning and safety | | |
| |Assist consumer creating schedule regarding worker ADA | | |
| |requests. | | |
| |Transitioning from NF/AFH/other: | | |
| |Scheduling multiple HCWs | | |
| |Voucher > 10% of authorized hours. | | |
|Send with |Training Consultant: | |
|Task List | | |
|to: | | |
| |Phone | |
| |Email: | |
Employer Resource Connection is a program of the Oregon Home Care Commission
For more information, call 877.867.0077; and listen for the option or email OHCC.ERC@state.or.us
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