Targeted Case Management

Targeted Case Management services are defined as those services which assist the individuals in gaining access to medical, social, educational and other needed services.

Targeted Case Management includes the following elements of services:

Assessment of an eligible individual to determine service needs by:

Development of a specific support/care plan that:

is based on the information collected through the assessment,
specifies the goals and actions to address the medical, social, educational, and other service needs of the individual,
includes activities such as ensuring the active participation of the eligible individual, and working with the individual (or the individual's legal representative) and others to develop such goals, and identify a course of action to respond to the assessed needs of the eligible individual.

Referral and related activities:

Monitoring and follow-up activities including:

activities and contacts that are necessary to ensure the care plan is implemented and adequately addresses the individual's needs, and which may be with the individual, family members, providers, or other entities and conducted as frequently as necessary to determine:
1. whether services are being furnished in accordance with the individual's care plan;
2. whether the services in the care plan are adequate; and whether there are changes in the needs or status of the individual, and if so, making necessary adjustments in the care plan and service arrangements with the providers

Targeted Case Managers

Nikki began working at Twin Rivers in January of 2024 as a Life Skills Trainer.

Support Services Secretary

Catheryn Joyce has been employed at Twin Rivers as Support Services Secretary since November 1996.

Registered Nurse

Lexi began working for Twin Rivers in 2021, as the agency Registered Nurse.

Read More About Lexi

As the agency Nurse she serves as an advocate for the consumers’ medical needs. She is responsible for teaching medication administration training to staff and oversees the medication administration. In addition she completes wellness monitoring and tends to any medical needs of the consumers including communicating with physicians. These are just a few of her job duties.

Most of her school years she attended in Arkansas City, however she graduated from Winfield High School in 2009, and then went on to receive her Associates in General Studies at Cowley College. After having her first sons, she started her journey working with people with disabilities. Pratt Community College has a program in Winfield at a Cowley campus site, which provides on campus nursing programs. There, she attended classes for two more years to receive her Associates of Science in Nursing, as a Registered Nurse.

In 2015 she met her husband, Casey, and together they are raising three beautiful kids between the ages of almost 4 to 11 years old. As a family, they like to spend time on the grandparents farm helping them with the animals, and going to the beach/camping out in the summers. Lexi is excited to be starting this next chapter of her journey with Twin Rivers.