Ramona continues to meet most expectations of her position by maintaining a working knowledge of policy and procedure. If Ramona is not familiar with a policy she will independently research that policy until she has a better understanding of it. Ramona consults with me about her investigations if there are things that she is unsure of. Ramona has demonstrated a working knowledge of policy and procedure by being able to incorporate those policies and procedures into her investigations. Ramona has continued to be able to recognize vulnerable adults and their unmet needs. Ramona goes out of her way to assist our clients with filling out Medicaid applications and ensuring that the application is turned in to the proper dept. Ramona is able to explain our program requirements and their criteria to our clients in the community. With explaining our HCBS programs comes notice of confidentiality and …show more content…
Ramona doesn’t request OT unless she has 20+ cases. I can rely on Ramona to complete cases in a timely manner and if she has an overdue case she provides me with a reason why it is overdue and the expected close date of the case. Ramona maintains good attendance, she rarely requests leave. Ramona shows up for work on time as scheduled and is always prepared to perform her job duties within the realms of policy. If Ramona does need to take leave, she does so in a manner where she gives an advance notice and makes sure that her cases are stable before she goes out on leave. Ramona utilizes her outlook calendar to organize her day and keep up with timeframes such as plans of action, case closings, and exceptions. Ramona comes to her conferences prepared with pen and paper as to write down any feedback that I give or to keep up with what cases are okay to close. Ramona struggles with her DELTA sometimes and I have to send an email reminding her of when to submit. Ramona submits her expense reports before the 5th of every
The evaluation stage will help to discover any problems that have developed through the implementation process and changes in the policy by helping to solve any of the problems if necessary. Below is a picture that will show you and indicate the six processes of evaluation that will help identify the probability of the policy that
In recent years our newspapers, televisions, and radios have been inundated with news stories about sexual offenders and sexual predators. Stories such as the kidnapping and murder of Polly Klass, Carlie Brucia, Amber Hagerman, and Jessica Lunsford have shocked the nation. Sex offenders and predators commit despicable acts; however, their acts seem more despicable when they are committed upon the most venerable members of our society, our children. Even with the new Jessica Lunsford legislation in Florida some citizens feel that it is not enough to keep their communities safe. Many cities are now looking at limiting the areas in which sex offenders and predators can live in hopes of protecting children. Many
Aaron, you have demonstrated knowledge of Department policies and procedures and pose questions when concerns arise. You have demonstrated an understanding and practice of HIPAA laws as is evident in your ability to remain confidential with all investigations despite ongoing inquiries from those that are not authorized including Reporters and various family members. Aaron, you have demonstrated knowledge of the Department’s goals and also Division programs as evidenced by your investigative plans including requests for HCBS, assistance with Medicaid applications and reinvestigations, and care plan or provider changes. Many of these cases required follow up after case closure which you completed thoroughly. Throughout your hotline investigations,
In the United States, Veteran’s health care at an economical rate is a continuous debate. It is warranted that the health care should improve at a constant rate to uphold the health needs of veterans, new and old. Government has the veterans association (VA) and with all the help it has available for veterans there are still times when that care is not enough. There are so many individuals that are without health care because of one reason for another and it leaves many injured and hurt veterans without the care they need and deserve. Better access to health for veterans, men and women is important since many new problems such as PTSD have become better understood and need more focus and to be better
Her responsibility as a medical necessity coder is to approve physician orders. When physicians order tests for their patients, Ms. Williams has to verify that CMS will pay for the specific test. In the event the order is rejected, she will contact the physicians. This could be the most difficult part of the job for her. Before she contacts the physicians, several steps would have to be taken. CMS requires a very high level of specificity when submitting orders. The majority of the time when providers are filling out order forms, they are not abiding by the strict guidelines CMS has. It is her job to help the providers reach the level of specificity with out disclosing exactly what CMS wants. This can frustrate the providers when there is a copious amount of hither and thither to get an approval. Providers are vocal about their annoyance and they feel like this is getting in the way of caring for the patients. Observing her in her element, I can conclude that she loves what she does and that she thrives under pressure. Witnessing the medical necessity coding process was a wonderful start to my day; the last area I will be in is Vital Stats, Death Certificates after my
This paper explores a psychological case study on the character of Max from the film Where the Wild Things Are. By using various sources, it is asserted that Max may have suffered from a Brief Psychotic Break. This paper examines common diagnoses for children (ADHD, early acute schizophrenia), as well as treatment options. It will discuss making a diagnosis based on the DSM-IV criteria, as well as the importance of interviewing family members when it comes to childhood onset psychological disorders. It also discusses the various motivations for prescribing medication for children,
Carla you did not meet expectations regarding documentation from Sept. thru Dec. 2016 and you had a total of 29 overdue cases during this time period. Carla when you do enter your case notes your documentation is organized and understandable in Case Compass. Carla, you have shown the ability to independently connect with collateral contacts and/or external stakeholders during an investigations and maintain working relationship with these contacts; however, your customer service skills could show some improvement as complaints have been received from families, community partners and other outside entities. You have an understanding of when it is appropriate to open a Protective Services case; you consult with your supervisor on a minimum of a monthly basis to address concerns or questions, review your caseload and to discuss significant issues. Carla I would like to see you show improvement in meeting the time frames for face to face and requesting postponements, delays and waiver of face to face visits
Tobacco use and the effects of second hand smoke have been an ongoing issue for many years. Looking at the attitude of the 1950’s and 1960’s when smoking was thought of as cool, suave, mature, etc., there has been a major turnaround in the way society looks at the use of tobacco. Now the issue is not just smoking and the damage to health that it causes, but now there is the additional awareness of what second hand smoke can do to individuals.
The statement that “Working at the policy level is natural to our profession is summarized in the quote below. ‘ Involvement in policy decisions and the political process is an integral part of the role because of our history, practice, education, and professional organizations. (Milstead, 2016, P.4) Let’s take a closer look at these topics.
Once we completed the assessment, her paperwork was over to the Medical Team, where a representative from the team contacts the client to schedule an appointment to complete a different assessment. The Medical Team sends someone out to relieve the caregiver from their duties. Mrs. Johnson from the Medical Team called Mrs. Smith several times to set up an appointment but she never returned her calls. Finally, after several attempts, an appointment was scheduled.
As defined, “Executive orders are official documents through which the President of the United States manages the operations of the federal government. Presidential directives guide the federal rulemaking policy and are signed or authorized by the President” (Tehan CRS). While not specifically described in the Constitution of the United States, every president has used them. Article II of the U.S. Constitution states that “executive power shall be vested in a President of the United States,” and “he shall take care that the laws be faithfully executed.” While Congress is understood to be the primary institution in the policy-making process, ambiguity about the meaning of “executive power” and “faithfully execute” has opened the door for
In my paper I will analyze the court’s decision to strike down social policy. Some key considerations will be whether the court is a dispute-resolving, or policy making institution. How much discretion should be given to the Court to interpret/apply the law? I will explore these considerations and how they gain significance through landmark decisions in the past. In particular, I will cite Rodriguez and the narrow 5-4 decision to uphold the illegality of euthanasia. This will develop into a discussion on morals and ethics…who has the right to say what is ethical? Also, how does Public opinion change the Charter?
Choose a current policy issue. Discuss this issue in terms of the stages of the policy-making process: Economy (Outsourcing)
Ramona continues to meet timeframe requirements per policy and does so by managing her time wisely. Ramona keeps a good record of her cases and their dispositions. Ramona is a diligent worker who goes out of her way to assist our clients. For Example even if Ramona doesn’t have an open case on a client she will still go out of her way to assist that client with resources or services. Ramona remains organized and completes her plans of action within two weeks of receiving a report. Ramona accepts feedback and makes the necessary changes. Ramona consults with me but not as much as she used to b/c she works more independently now which demonstrates her thorough knowledge of her job duties and requirements. Ramona has maintained a great working
A case study is a specific instance that is frequently designed to illustrate a more general principle (Nisbet and Watt, 1984). Hitchock and Hughes (1995) further suggest that the case study approach is particularly valuable when the researcher has little control over evens. Case studies strives to portray ‘what it like’ to be a particular situation, to catch up reality and ‘thick description’ (Geertz, 1973) of participants’ lives experiences of, thoughts about and feelings for a situation. They involve looking at a case or phenomenon in its real-life context, usually employing many types of data (Robson, 2002). It is important in case studies for events and situations to be allowed to speak for themselves, rather than to be largely interpreted, evaluated or judged by the researcher. In this respect the case study is akin to the television documentary. Case studies can make theoretical statements, but, like other forms of research and human sciences, these must be supported by the evidence presented.