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Request for Service
Region 3
Ashtabula
Athens
Belmont
Carroll
Columbiana
Coshocton
Guernsey
Harrison
Hocking
Holmes
Jefferson
Mahoning
Meigs
Monroe
Morgan
Muskingum
Noble
Perry
Portage
Stark
Summit
Trumbull
Tuscarawas
Washington
Wayne
Ashtabula Athens | Request for Service | | Posted | 11/10/2009 | | County | Athens | | Request ID | R30513581 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7am to 7pm | 7am to 7pm | 7am to 7pm | 7am to 7pm | 7am to 7pm | 7am to 7pm | 7am to 7pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Jean Dishong, Case Manager
Phone: 216-532-8652
| | Complete by | 11/20/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Athens | | Request ID | R30522962 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 9am- 5pm | 9am- 5pm | | | | 9am- 5pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Andrea Gogel, Case Manager
Phone: 216-446-0248
| | Complete by | 12/3/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Athens | | Request ID | R30522962 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 9am- 5pm | 9am- 5pm | | | | 9am- 5pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Andrea Gogel, Case Manager
Phone: 216-446-0248
| | Complete by | 12/3/2009 |
Belmont Carroll Columbiana | Request for Service | | Posted | 11/17/2009 | | County | Columbiana | | Request ID | R31529436 | | Sex | Male | | Age | Young Adult | | Program | Waiver | | Service Codes | G0154 (Skilled Nurse in a Home Health Setting), T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 4x week from 11pm-7am SN | 3x week from 11pm-7am PCA | This is a consumer who is residing at the Univeristy of Pa for school | looking for someone who is willing to provide care while | he is at school. There for need to be Ohio provider but also have | needed paperwork to provide care in Pa. | any questions email CM do not call | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Cheryl Russell, Case Manager
Phone: 216-446-0278
| | Complete by | 11/27/2009 |
Coshocton Guernsey | Request for Service | | Posted | 11/12/2009 | | County | Guernsey | | Request ID | R33016677 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 2pm-530pm | 2pm-530pm | 830am-12pm and 2pm-530pm | 2pm-530pm | 2pm-530pm | | 730pm-1130pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting | | Contact | Cheryl Grim, Case Manager
Phone: 216-446-0274
| | Complete by | 11/27/2009 |
| Request for Service | | Posted | 11/13/2009 | | County | Guernsey | | Request ID | R360JL5 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 2p-530p | 2p-530p | 830a-12p, 2p-530p | 2p-530p | 2p-530p | | 730p-1130pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Cheryl Grim, Case Manager
Phone: 216-446-0274
| | Complete by | 11/23/2009 |
Harrison Hocking | Request for Service | | Posted | 11/12/2009 | | County | Hocking | | Request ID | R33712847 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | 10am-5pm | | | Special Considerations | Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Therapy eval needed for home modifications or equipment only, Consumer requires nurse with ventilator experience | | Contact | Anne Klingler, Case Manager
Phone: 216-446-0286
| | Complete by | 11/27/2009 |
| Request for Service | | Posted | 11/19/2009 | | County | Hocking | | Request ID | R33714994 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 11-4pm | | 11-4pm | | 11-1pm every other weekend | 11-1pm every other weekend | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Jolene Godenschwager, Case Manager
Phone: 216-446-0250
| | Complete by | 11/29/2009 |
Holmes Jefferson | Request for Service | | Posted | 11/12/2009 | | County | Jefferson | | Request ID | R34128577 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 5 hours | 5 hours | | 5 hours | 5 hours | | | | Special Considerations | Consumer requests only independent providers, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Shari Staten, Case Manager
Phone: 216-446-0288
| | Complete by | 11/22/2009 |
Mahoning | Request for Service | | Posted | 11/16/2009 | | County | Mahoning | | Request ID | R35016316 | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 3:30pm to 8pm | | | 3:30pm to 8:30pm | 8am to 4pm | | | Special Considerations | Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience | | Contact | Ted Hughes, Case Manager
Phone: 216-446-0275
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/17/2009 | | County | Mahoning | | Request ID | R35030749 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 8a-12p | 8a-12p | 8a-12p | 8a-12p | 8a-12p | | | | Special Considerations | Consumer has pets, Consumer requires transportation, Consumer requires assistance with ADLs | | Contact | Beverly Davis, Case Manager
Phone: 216-446-0277
| | Complete by | 11/27/2009 |
Meigs Monroe | Request for Service | | Posted | 11/17/2009 | | County | Monroe | | Request ID | R356143sj | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 5:30a-9:30a and 2:30p-5:30p | 5:30a-9:30a and 2:30p-5:30p | 5:30a-9:30a and 2:30p-5:30p | 5:30a-9:30a and 2:30p-5:30p | 5:30a-9:30a and 2:30p-5:30p | | | | Special Considerations | Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Shelly Long, Case Manager
Phone: 216-532-8380
| | Complete by | 12/2/2009 |
Morgan Muskingum | Request for Service | | Posted | 11/13/2009 | | County | Muskingum | | Request ID | R360JL5 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 2p-530p | 2p-530p | 830a-12p, 2p-530p | 2p-530p | 2p-530p | | 730p-1130pm | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Cheryl Grim, Case Manager
Phone: 216-446-0274
| | Complete by | 11/23/2009 |
Noble Perry | Request for Service | | Posted | 11/10/2009 | | County | Perry | | Request ID | R36417121 | | Sex | Female | | Age | Geriatric | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | | 3.5 hours day shift | | Special Considerations | Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Anne Klingler, Case Manager
Phone: 216-446-0286
| | Complete by | 11/25/2009 |
| Request for Service | | Posted | 11/11/2009 | | County | Perry | | Request ID | R22339609 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | G0153 (Speech and Language Pathologist in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | ST 1 hr/wk Bremen area | | | | | | | | Special Considerations | Consumer requests only agencies, Consumer requires nurse with ventilator experience | | Contact | Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Perry | | Request ID | R36418338 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7am-8:15am and 3pm-6pm Additional 33 HOURS MONTHLY/9 BASE HOURS/MONTHLY SHORT-TERM RELIEF. | 7am-8:15am and 3pm-6pm | 7am-8:15am and 3pm-6pm | 7am-8:15am and 3pm-6pm | 7am-8:15am and 3pm-6pm | | | | Special Considerations | Consumer requests only non-smoker providers | | Contact | Carol Palmer, Case Manager
Phone: 216-446-0293
| | Complete by | 12/3/2009 |
| Request for Service | | Posted | 11/19/2009 | | County | Perry | | Request ID | R22339609 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | G0152 (Occupational Therapist in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 1 hr/wk Bremen area | | | | | | | | Special Considerations | Consumer requests only agencies, Consumer requests provider with MRDD experience, Consumer requires nurse with ventilator experience | | Contact | Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
| | Complete by | 12/4/2009 |
Portage | Request for Service | | Posted | 11/19/2009 | | County | Portage | | Request ID | R367TV136 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 7-11pm group visit | | | | | | | | Special Considerations | Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Esther Davis, Case Manager
Phone: 216-446-0270
| | Complete by | 12/4/2009 |
Stark | Request for Service | | Posted | 11/11/2009 | | County | Stark | | Request ID | R37634302 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 9a-12n Agencies Only | 9a-12n | 9a-12n | 9a-12n | 9a-12n | 9a-12n | 9a-12n-Consuner in Beach City | | Special Considerations | Consumer requests only agencies, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Monica Starkey, Case Manager
Phone: 216-532-8639
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/11/2009 | | County | Stark | | Request ID | R37631374 | | Sex | Female | | Age | Young Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | Evaluation for wheelchair ramp | | | | | | | | Special Considerations | Therapy eval needed for home modifications or equipment only | | Contact | Monica Starkey, Case Manager
Phone: 216-532-8639
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/12/2009 | | County | Stark | | Request ID | R37615344 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | Consumer is in need of PCA generally from 8pm-8am | Lives near Aultman hospital in Canton | | | | | | | Special Considerations | Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Cheryl Russell, Case Manager
Phone: 216-446-0278
| | Complete by | 11/22/2009 |
| Request for Service | | Posted | 11/12/2009 | | County | Stark | | Request ID | R37615344 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | Consumer is in need of PCA generally from 8pm-8am | Lives near Aultman hospital in Canton | | | | | | | Special Considerations | Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Cheryl Russell, Case Manager
Phone: 216-446-0278
| | Complete by | 11/22/2009 |
| Request for Service | | Posted | 11/17/2009 | | County | Stark | | Request ID | R3768888 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | EMAILS ONLY PLEASE! NO CALLS | | | | | 6 hours | 6 hours | | Special Considerations | Consumer requests only independent providers, Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Tawny Burkhardt, Case Manager
Phone: 216-532-8645
| | Complete by | 11/22/2009 |
Summit | Request for Service | | Posted | 11/7/2009 | | County | Summit | | Request ID | R37712608 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | 10p-12m | 10p-12m | 10p-12m | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Monica Starkey, Case Manager
Phone: 216-532-8639
| | Complete by | 11/22/2009 |
| Request for Service | | Posted | 11/11/2009 | | County | Summit | | Request ID | R37712480 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | | | | Special Considerations | Therapy eval needed for home modifications or equipment only | | Contact | Monica Starkey, Case Manager
Phone: 216-532-8639
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/16/2009 | | County | Summit | | Request ID | R377JR160 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | Non agency providers only please | 5-7:15pm | 8-10:30am | | Special Considerations | Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Esther Davis, Case Manager
Phone: 216-446-0270
| | Complete by | 11/26/2009 |
| Request for Service | | Posted | 11/16/2009 | | County | Summit | | Request ID | R37730872 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | | | | | | | | Special Considerations | Therapy eval needed for home modifications or equipment only | | Contact | Monica Starkey, Case Manager
Phone: 216-532-8639
| | Complete by | 12/1/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Summit | | Request ID | R37729541 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | PT evaluation needed for Stair lift | | | | | | | | Special Considerations | | | Contact | Charissa Duffy, Case Manager
Phone: 216-532-8376
| | Complete by | 11/28/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Summit | | Request ID | R377pp317 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 9a-12n | | | 9a-11a | | | | | Special Considerations | Consumer requests only agencies, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Amy Snell, Case Manager
Phone: 216-446-0281
| | Complete by | 12/3/2009 |
Trumbull | Request for Service | | Posted | 11/13/2009 | | County | Trumbull | | Request ID | R37812715 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | 11a-5pm | 11a-5pm | 11a-5p | 11a-5p | 11a-5p | 11a-5p | resides in warren | | Special Considerations | Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs | | Contact | Tammie Feuer, Case Manager
Phone: 216-532-8215
| | Complete by | 11/23/2009 |
Tuscarawas Washington | Request for Service | | Posted | 11/9/2009 | | County | Washington | | Request ID | R38412448 | | Sex | Male | | Age | Geriatric | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon | Tue | Wed | Thurs | Fri | Sat | Sun | | | | 8p-10p tue, wed, thur, fri, sat, sun, and 1p-5p sun | 8p-10p | 8p-10p | 8p-10p | 8p-10p | 1p-5p 8p-10p | | Special Considerations | Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting | | Contact | Lee Robinson, Case Manager
Phone: 216-532-8224
| | Complete by | 11/24/2009 |
Wayne
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