150 Beavercreek Road Oregon City, OR 97045. The DHS Forms server contains many DHS forms and publications in Microsoft Word, Excel and Adobe Acrobat Reader formats. There should be a designated person in each DHS office who is responsible for ordering forms through this system. Insurance. Health, Housing, and Human Services (H3S) consists of seven divisions, dedicated to ensuring healthy families and strong communities in Clackamas County. The tool is updated regularly, but may not contain all current information. Adult and Children In-Home Assessment Tool(s), Worker Guides and Instructions for the New ISP. Example for SSP Managers to complete SSP IUP783 authorization request for OR-ACCESS, SSP Training Unit Intranet for staff & partners only, Outlook training and migration schedule now available on Core IT Intranet, Viewing and Updated Case Narratives in Oregon Access- User Guide. Department-wide Support Services Policies. 600 NE 8th St, Rm 100. Rescinding a Notification of Planned Action Worker Guide. 8:30 a.m. - 5: . Income Tax Credit form W-5 (EITC), Eligibility Transformation and ONE System Resources, Oregon Trail (EBT) Card Replacement Line information, Self-Sufficiency Client Information Marketing Materials, SSP Reports: BI (Business Intelligence) Center, State Aprilleholds a Bachelor of Arts in African American Studies and a Master of Social Work, from San Jose State University.. She also was the director of Self-Sufficiency Programs, departing in 2014 to serve as an interim Multnomah County commissioner and later taking on the director of Multnomah County Human Services role. Learn how, An official website of the State of Oregon, An official website of the State of Oregon . OWRD Directory of Services for agency contact information. Subscribe to Receive Emails or Text Alerts, Information Systems Project Manager & Licensing Operations Analyst/Lead Worker, Fiscal Analyst, SPOTS Coordinator, Travel Coordinator, Commodity Commission Oversight Program Manager, Director of Market Access & Certification Program Area, Water Quality Specialist: Mid-Coast and South Willamette Valley Region, Water Quality Specialist: Northwest Oregon Region (Compliance), Agricultural Drainage Channel Maintenance Specialist, Water Quality Specialist: Southwest Oregon Region, Strategic Implementation Area (SIA) Specialist, Water Quality Specialist: Central and Southeast Oregon Region, Director of Natural Resources Program Area, Water Quality Specialist: North and Central Oregon Region, Water Quality Specialist: Northwest Oregon Region (Voluntary Actions and Uplift), Strategic Implementation Areas (SIA) Initiative Lead, Water Quality Specialist: Umatilla and Wallowa Region, Program Disease & Traceability Coordinator, Director of Food Safety and Animal Health, Animal Identification Supervisor, Central Oregon, Animal Identification Supervisor, Eastern Oregon, Animal Identification Supervisor, Western Oregon, Animal Identification Supervisor, Southern Oregon, Livestock Water Quality Specialist, Area 4, Livestock Water Quality Specialist, Area 6, Livestock Water Quality Specialist, Area 3, Livestock Water Quality Specialist, Area 1, Livestock Water Quality Specialist, Area 2, Executive Assistant to Director and Deputy Director, Cannabis Policy Coordinator & Special Projects, Food Safety Inspector & Education Specialist, Portland, Food Safety Inspector & Shellfish Specialist, Tillamook, Food Safety Inspector & HACCP Specialist, Portland, Food Safety Inspector & Dairy Specialist, Grants Pass, Entomologist/Eastern Oregon Field Office Survey Coordinator; Grasshopper Program, Assistant Field Office Logistics Specialist Hawthorne, Assistant Portland Field Office Logistics Specialist, Natural Resource Specialist/Eastern OR Field Office, Entomologist/Field Office Survey Coordinator, Entomologist/Field Office Operations Lead & Data Manager, Entomologist/Eradication & Pest Response Lead, Entomologist/SW Oregon Field Office Survey Coordinator, Assistant Field Operations and Logistics - Portland, Specialty Crop Block Grant Program Coordinator, Grant Program Coordinator & Special Projects Facilitator, NW Oregon IWM Coordinator and Education Outreach Specialist, Horticulturist, North Clackamas/East Multnomah Counties & Northeast Oregon, Horticulturalist, North Yamhill & Tillamook Counties, Horticulturist, Clackamas & Marion Counties, P. ramorum Nursery Program Field Coordinator; Horticulturist -Deschutes County & Central Oregon, Horticulturist, South Yamhill & Polk Counties, Horticulturist, Columbia/Clatsop/Washington Counties, Office Manager & Special Assistant to Oregon Invasive Species Council, Horticulturist, Benton/Lincoln/Lane Counties, Pesticide Registration & Certification Specialist, Pesticide Product Registration Specialist, Pesticide Investigator, Central Oregon, Columbia River Region, Pesticide Investigator, Eastern Oregon Region, Pesticide Investigator, Southwest Oregon Region, Pesticide Registration / Outreach Specialist, Pesticide User Certification & Licensing Specialist, Pesticide Investigator, Central Oregon Region, Pesticide Product Registration Specialist (on extended leave), Pesticide Investigator, Southern Willamette Valley / Mid-Coast Region, District Manager, Shipping Point Inspection, Salem District, District Manager, Shipping Point Inspection, Hood River District, Assistant Manager, Shipping Point Inspection, Hood River District, Administrative Specialist, Shipping Point Inspection, Hood River District, District Manager, Shipping Point Inspection, Klamath Falls/Medford District, District Manager, Shipping Point Inspection, Hermiston. S Rl-bch(``AFq%e7HZ0w\ df]{wgv^{BF#,A63x]/;88%|s0tt Enforces county and state codes and solid waste, planning and land use, state building, grading ordinances. Although not all state employees are listed, all programs of state government are listed along with contact information. . She oversaw ODDS' policy and Medicaid authorities and led many strategic initiatives including the Compass Project and service equity. COUNTY DIRECTORY . Support Service Brokerages employ Personal Agents who help enrolled individuals develop an individual support plan, obtain available resources necessary to implement the plan, select people or organizations to provide specific support services, and monitor and evaluate the outcomes of . Do not include any letters in this field. Oregon Relay TTY or Voice: 711. It has known security flaws and may not display all features of this and other websites. Liesl has served as a technical advisor to the Oregon Department of Justice on the temporary lodging of children and youth in our Child Welfare program. Prior to serving as Director of OEMS, Dion was the Equity and Inclusion Manager of Multnomah County's Human Resources Department. Fariborz came to ODHS from the Oregon Youth Authority (OYA) where he was responsible for the state's juvenile corrections agency. To report any discrepancies or functionality issues, please e-mail OPEN.techassist@odhsoha.oregon.gov. Self-Sufficiency Training Unit - Intranet (for Staff & Partners only), Policy Analyst Resources - Intranet (for Staff and Partners only), DHS Information Systems Training Guidelines, DMAP 1086 - Temporary Oregon Health ID form, Earned Get Directions. Fax: 503-742-4741. Saint Helens, OR. In-Home Program Matrix - July 2016. The Oregon Department of Human Services (ODHS) works to help Oregonians in their own communities achieve safety, well-being and independence. Statutory/Other Authority: ORS 409.050 & ORS 418.005. In order to view it, popups must be enabled in your browser. Dion Jordan is currently the Director of the Office of Equity and Multicultural services where he helps lead the Oregon Department of Human Services to become more equitable, accessible, and racially just. 850 Main Street Dallas, OR 97338 ph. State agencies maintain their employees information. Keith previously served as the workforce and youth manager for Vocational Rehabilitation since 2015, overseeing expanding programs relating to workforce engagement, benefits planning, the Oregon Ticket to Work program and multiple transition programs for students with disabilities. We are hiring an APD Regulatory Deputy Director Posting Closing: 3/21/2023 Salary Range: $8,257 - $12,773 We are seeking an experienced . Find Employee Directories, including: Oregon employee directories Employee directories for different Oregon agencies and departments Government employee contact information The new, rewritten version of the Family Services Manual is available! Welcome to the Brokerage Personal Agent Tools web page. When using the search page: DHS employees who would like to have an existing form revised, or a new one created, should submit their request to the DHS Office of Communications Resources, using the DHS 1001 Project Request Form (Word). The Department of Human Services is Oregon's main agency for helping Oregonians achieve wellbeing and independence through opportunities that protect, empower, respect choice and preserve dignity, especially for those who are least able to help themselves. Our Forms search page offers many options for finding current and past DHS forms. Aprille was published in the Translational Behavioral Medicine journal on her work with engaging community and Tribal partners in practice and system improvement efforts and served as California's Core Practice Model faculty, who have spent the last decade working toward building an integrated practice model for Human Services. Prior to rejoining ODHS in 2021, she served as the Senior Advisor for Equity Initiatives in Oregon's Early Learning Division. Child Welfare policies, rules and guidelines; CASA caseworker tools; ICWA caseworker tools; Child abuse & neglect . Gresham, OR 97030. K-Plan Waiver Service Matrix. Viewing and Updated Case Narratives in Oregon Access- User Guide Telephone Relay Service (TRS): 711. In 2012 Don was awarded the National Council of State Governments annual award for Innovation, Excellence and Ingenuity for his role in creating and implementing a statewide suicide prevention program. How To Apply Volunteer Opportunities Job Descriptions Salary Ranges Insurance Premiums Union . She has volunteered with international nonprofit organizations including theWomen's International League for Peace and Freedom and Heifer International. It can be accessed by clicking here. Call ONE customer service at 1-800-699-9075. Updated: December 2020 . Earlier in her career she worked for APD as the Aging and Disability Resource Connection Coordinator and Interim Manager for the State Unit on Aging. Fariborz came to ODHS from the Oregon Youth Authority (OYA) where he was responsible for the state's juvenile corrections agency. @@`] )Cr>8"*|{%YB>85MkXtcF. - TeqXQ%EPOIDz,. In the form number (Form #) field, use only numbers. Call ONE customer service at 1-800-699-9075. Subscribe to be notified when this site is updated. During his time at OYA, he was honored with the Outstanding Administrator Award from the Council of Juvenile Corrections Administrators for his leadership and contributions in the field of juvenile justice. Tips and online resources you can use without visiting an office: To find services you may qualify for, call 211 or, To find services for older adults and people with disabilities, call 1-855-673-2372 or, Apply for benefits, update information or report changes online at. He has been recognized as an authority on the treatment of post-traumatic stress and trauma informed care and suicide prevention. It is not for use as a mailing list. Search results are limited to 200. Email, Complaints and Concerns - Governor's Advocacy Office, Anna Lansky, Office of Developmental Disabilities Services InterimDirector. Official USDA Information: Click Here. Her other roles with the Division included Director of Grants and Operations and Director of Programs and Cross Systems Integration. Questions, comments or suggestions about this site? Erickson has worked as the Bureau Chief of Behavioral Health Services for the State of Arizona where he implemented evidence-based programs for children's wraparound services, employment and housing services for consumers in behavioral health system, intensive adult case management and peer delivered services. Check out the Main: 503.988.3840. Addeddate 2018-03-17 17:29:10 Identifier DHSEMPLOYEEDIRECTORY Identifier-ark ark:/13960/t0200t315 Ocr ABBYY FineReader 11.0 (Extended OCR) Ppi 300 Scanner Internet Archive HTML5 Uploader 1.6.3. You can narrow your search by entering information into more than one field, or using more words in the "title contains" field. Health Promotion Specialist II, Problem Gambling and Tobacco Prevention. Terminating Case Management Services Worker Guide. How you know Only share sensitive information on official, secure websites. Eric received a BS in Philosophy from the University of Wisconsin - Madison and a Juris Doctorate from Northwestern School of Law at Lewis and Clark. For information on employment policies and tools, go to the Employment First Policy page. Our Divisions. Emergencies: Dial 911. Nakeshia is currently a Ph.D. candidate in Sociology at Portland State University, holds a Master's Degree in Social Welfare and has completed significant graduate studies in health policy, management and behavior at the State University of New York at Albany and has a Bachelor of Science Degree in Psychology from Ohio University. DHS staff can order forms and publications in quantity using the Forms Branch Ordering System (FBOS). We would like to show you a description here but the site won't allow us. This search tool is made available to locate employees of Oregon state governments Executive Branch for state business purposes. DHS staff can order forms and publications in quantity using the Forms Branch Ordering System (FBOS). These functions are coordinated with the Office of . He has served Indian Country in various capacities such as Cultural Coordinator/Tribal Liaison for a Native American youth treatment program, and also worked as an admissions counselor for the University of Colorado. Before joining ODHS, Keith was the executive director of Incight, a Portland-based nonprofit that provides educational and employment services for people with disabilities. Learn epDk Presumptive Medicaid-CMEU Referrals Flowchart. Employee Directory. Erickson is a licensed mental health therapist in several states including Oregon. He began his career in a Western Montana outpatient behavioral health clinic specializing in substance abuse and mental health treatment. To report any discrepancies or functionality issues, please e-mail OPEN.techassist@odhsoha.oregon.gov. Most states offer the ability to apply for food assistance program online or in-person at local county offices. Staff Directory. Please contact Christina Hartman: christina.hartman@dhsoha.state.or.us, Adminstration, Children's, and SACU Assignments, Employment and Eligibility Unit Assignments, Children In-Home Needs Assessment - Version C, Adult and Children In-Home Assessment Manual, SE54 Employment/ATE w/ SE53 Non-Medical Transportation Budget Tool, Foster Care: 2:1 Staffing Authorization Procedure, Assistive Devices and Assistive Technology Worker Guide, Statewide Release of Information Worker Guide, Children's Foster Care Placement Required Actions, Foster Care: 2:1 Support Needs Assessment Profile Exception Process Guidelines, Direct Nursing MMIS Authorization and Payment Worker Guide, Direct Nurse Services-Medicaid Provider Enrollment Worker Guide, Funding Review Request Denials by ODDS Worker Guide, Rescinding a Notification of Planned Action Worker Guide, Terminating Case Management Services Worker Guide, Indirect Case Management monitoring Worker Guide, Independent Provider Termination Worker Guide, Supported Employment Standard of 20 hours per week Worker Guide, PSW Timesheet Requirements Worker's Guide, Funding Review and Exceptions Request Form DHS0514DD, Funding Review and Exceptions Request Form Instructions DHS0514DDi, Waiver Service Requirements Technical Guide, eXPRS Eligibility Determination Summary Instructions, In-Home Services for Children with I/DD Residing in a CW- Paid Foster Care, Transferring Foster Care Funding from CW to ODDS, IM 17-073: September 2017 CDP Guidance & Instructions, 5503 OHP 7210 Application Process Flowchart, CMEU-Presumptive Medicaid Overview Flowchart, Presumptive Medicaid-CMEU Referrals Flowchart, Recommendation to Take Action against PSW Form, Determining Service Rates for ALF and RCF Settings via DD Funding, SPPC Needs Assessment and Service Authorization Plan, Operations: Training and QA Unit Assignments, Annual Level of Care Assessment (SDS 0520) (, Individual Employment Discovery Profile - (, Training for Service Coordinators and Personal Agents - (, Presentation for Self-Advocates and Families - (. 5773 0 obj <>stream There should be a designated person in each DHS office who is responsible for ordering forms through this system. She has more than 25 years of experience with the public sector and has specialized experience in workforce and adaptive leadership development, community and cross-system engagement, technical assistance and implementation support and coaching to leaders in various private and public sector settings. If you don't have a form number, you can use the keyword search to help locate it. Fariborz earned his undergraduate degree in political science from Willamette University and holds a certificate in public management from Willamette's Atkinson Graduate School of Management. Page Aging Disability & Veterans Services Call the Aging and Disability Resource Connection (ADRC): 503-988-3646 for 24/7 support. If you have a disability and need a document on this Web site to be provided to you in another format, please contact the Office of Document Management (ODM) at 503-378-3486 or by e-mail at dhs.forms@state.or.us. Questions, comments or suggestions about this site? ODDS Provider Service Agreement (DHS 4606) Progress Note Worker Guide; Employment Tools. Medicaid - Access to In-Home Services. Cover Oregon Application Assistance (971) 273-9815 Health Insurance application help available at Marion County Health Department, 976 N. Pacific Hwy., Woodburn 97071 2nd, 4th, and 5th Wednesday Feb 27. Funding Review Request Denials by ODDS Worker Guide. 413-015-0601Purpose. Family Services Manual - Please see Chapter 7 Child Care Policy to help DHS staff carry out the child care program. Becenti previously was with the National Indian Child Welfare Association where he was a Portland-based community development specialist. Becenti brings a background in public policy and outreach, strong relationships with Oregon's Tribes and a passion for improving the well-being of Tribal communities. ODHS Leadership Team F ariborz Pakseresht, ODHS Director Fariborz Pakseresht (Fair'-borz Pahk'-ser-esht) became the Director of the Oregon Department of Human Services (ODHS) in September 2017. Don Erickson is the Chief Administrative Officer for the Oregon Department of Human Services. %PDF-1.6 % Human Resources. The new, rewritten version of the Family Services Manual is available! Help us improve! A lock icon ( ) or https:// means youve safely connected to the .gov website. December 2020 County Directory Page 1 of 36 Revised 12/2020 . DHS self-sufficiency and child welfare offices offer help with: Food benefits (SNAP) Oregon DHS: Staff tools AMH AMH For information and resources on the DHS response to the Novel Coronavirus, visit the DHS COVID-19 page. Anna Lansky became the Interim Director of the Office of Developmental Disabilities Services (ODDS) in October 2022. 5722 0 obj <>/Filter/FlateDecode/ID[<9C787773DF20CB42B67520E80C7B2CE1>]/Index[5700 74]/Info 5699 0 R/Length 110/Prev 592189/Root 5701 0 R/Size 5774/Type/XRef/W[1 3 1]>>stream hbbd```b``u A$|fHFC\q,`"&oJ%`N0L^@}#Rh/#eGI7 120 E. Lincoln. Your browser is out-of-date! Questions, comments or suggestions about this site? In addition to counseling, throughout most of his career, Don has taught graduate-level courses, provided clinical supervision and served on licensing and ethics review boards. Welcome to the Brokerage Personal Agent Tools web page. Medical and Service Access Flowchart. 97051. Aprille Flint-Gerner previously served as Child Welfare Deputy Director, over Equity, Training and Workforce Development and became Interim Director on Jan. 1, 2023. Media . OCR form policies He holds a bachelor's degree in psychology and ethnic studies from the University of Colorado at Boulder and a master's degree in public policy from the Ford School of Public Policy at the University of Michigan, Ann Arbor., Have questions or looking for contact information? Phone Numbers (503) 397-3874. A .gov website belongs to an official government organization in the UnitedStates. (503) 623-8173 fax (503) 623-0896 Oregon Relay TTY or Voice: 711 A social justice leader who has served the State of Oregon since 2010, Nakeshia's expertise is in setting the strategic vision for human services organizations in collaboration with the communities they serve. endstream endobj startxref Enter less information to find more forms. Most states offer the ability to apply for food assistance program online or in-person at local county offices. In July 2008 Eric moved to the Children Adults and Families Division of ODHS and became the Chief Financial Officer of ODHS in July 2011. Forms. Monday - Friday. He has authored and implemented policies for behavioral health services for infants and toddlers, children's trauma informed treatment and served as executive sponsor for Arizona's Driving Suicide to Zero program. In 1997 he joined the Oregon Department of Transportation to do personal services contract work. Office of Developmental Disabilities Services (ODDS) 500 Summer Street NE E02 Salem, OR 97301-1073 Phone: 503-945-5811 Toll-Free Phone: 800-282-8096 TTY: 800-282-8096 Email: o dds.info@odhsoha.oregon.gov Email: codeenforcement@clackamas.us. #l\>8: r"g On this page Personal Agents can find much of the information needed to help fulfill their role in the key functions of a Support Services Brokerage. You will notice ongoing updates as this transition occurs; please contact the ODHS Web Systems Team with any questions. She also has worked in Oregon local government and with other non-profits in policy advocacy, community engagement and program management positions, and has held leadership roles with United Way Worldwide. 1:00 pm - 3:30 pm. Training: An official website of the State of Oregon Here's how you know Oregon.gov About the Agency Espaol Assistance Apply for Benefits Log into your ONE Account Food Assistance Cash Assistance Child Care Assistance Domestic Violence Services Information for Child Care Providers COVID-19 Help Center Children and Youth Adoption 5503 OHP 7210 Application Process Flowchart. She served five years as executive director for both the Neighborhood Economic Development Corporation (NEDCO) and Community LendingWorks, its affiliate community development financial institution, which provides coordinated and comprehensive asset building programs to Lane, Marion and Clackamas Counties. Note: This video will open in a new window. Phone: 503-742-4452. CMEU-Presumptive Medicaid Overview Flowchart. She previously served as APD's Equity Strategy Manager, a role in which she established a foundation for APD to systemically embed equity protocols in all policy and rulemaking as well as in its operations. Cottage Grove DHS Office 305 Coop Court Cottage Grove, Oregon 97424 State of Oregon Information: Click Here Official USDA Information: Click Here Phone: 541-942-9186 This is the Cottage Grove DHS Office located in Cottage Grove, OR. Protecting Immigrant Families. With over 15 years of experience in this field, Dion has helped to bring a sense of trust, safety and belonging to all while embedding equity and inclusion within organizations people, places, policies and practices. Claire Seguin joined ODHS as the Deputy Director of Self-Sufficiency Programs in July 2019 and was named Interim Director in December 2022. He was raised in New Mexico and is a member of the Black Streak Wood People Clan, born for the Sleep Rock People of the Din Nation. The purpose of these rules (OAR 413-015-0601 to 413-015-0608) is to describe Child Welfare responsibilities during the screening and assessment of a report of abuse that involves a home certified by Child Welfare. Aprille is considered an expert in many promising practices and equity frameworks in child welfare and human services, having worked in various systems in both California and Nevada prior to Oregon. Increasingly, Erickson's work has focused on the development and implementation of innovative behavioral health and human service programs. If you know of others who need this accommodation, please let them know it is available. OCR will evaluate the request and contact the customer to begin production. For information on employment policies and tools, go to the Employment First Policy page. Before coming to ODHS, Anna was assistant director of the Arkansas Division of Developmental Disabilities Services. She brings experience from both inside and outside the ODHS during her more than 20 years working in the government and non-profit sectors. Direct Nursing MMIS Authorization and Payment Worker Guide. Anna holds a Bachelor of Arts degree in International Relations and Global Studies from Hendrix College, where she graduated with distinction, and a Master of Public Administration from the University of Arkansas at Little Rock. Please contact ODDS at ODDS.INFO@state.or.us, Certification, Endorsement, and Licensing, Developmental Disabilities Provider and Partner Resources, Quality Assurance/Improvement and Licensing, Unlocking secure messages from DHS and OHA. With International nonprofit organizations including theWomen 's International League for Peace and and... In december 2022 in order to view it, popups must be enabled your! 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