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Caseload
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Consultant Name
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Title/Position
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Year
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Average Workload/Caseload (1st Quarter)
Previous Month
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Previous 2 Quarters
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Average Workload/Caseload (2nd Quarter)
Previous Month
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Previous 2 Quarters
Your answer
Average Workload/Caseload (3rd Quarter)
Previous Month
Your answer
Previous 2 Quarters
Your answer
Average Workload/Caseload (4th Quarter)
Previous Month
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Previous 2 Quarters
Your answer
Case Definition
Individual
Family
Sibling
Group
Caseload Mix
High Risk
Low Risk
Mixed
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Does any other staff assist, or provide a component of this worker’s caseload (e.g. a case aide, case manager)? Explain.
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Are there Other factors that permit a higher caseload for this staff person? If yes, please specify.
Your answer
For more information,
OOH Training Department : 443.805.8927
OOH Main Office 1.855.9. OOHHOPE (1.855.966.4467)
PW@OrganiationOfHope.org
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