care/case management responsibilities include which of the following? course hero

by Prof. Santina Robel MD 9 min read

What is the purpose of case management?

The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management.

Who performs the case management function in the organization-based model?

In the organization-based case management model, the case management function may be performed by family members, a supportive care network, volunteers or the client. In the role of a broker, the case manager focuses on _________.

Where should case managers be assigned?

Therefore, case managers must be assigned at all transition points across the continuum. By ensuring that case management is available at all transition points, we can better ensure that case managers link all healthcare settings and providers. Case managers provide the infrastructure for the coordination and integration of these services.

What does quality care mean in case management?

One aspect of quality care implies a commitment that respects the rights of the client and demands accountability on the part of human service professionals. Evaluation in case management takes place _________. Client empowerment in case management means expecting clients to take care of many responsibilities on their own.

What is case management?

What does indirect mean in a case manager?

What is the meaning of "what you are doing with or for this client"?

What does it mean to be a counselor?

What is a code of conduct?

About this website

What is Case Management?

Case management in hospitals and health care delivery systems represents a wide range of services and diverse methods of organizational structure. The concept of case management conveys different meanings to individuals and to organizations. ACMA describes case management in the following context.

Definition of Case Management

Case Management - in health care delivery systems is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management.

CONTEXT

In an effort to describe the varied functions that are considered case management services, a task force was assembled to compile a collective of what ACMA considers to be the Scope of Services for Health Care Delivery System Case Management.

Scope of Services

For all patients requiring active case management services, case management is expected to ensure and provide education relevant to the effective progression of care, the appropriate level of care and safe patient transition.

GLOSSARY

in hospital and health care systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination.

What is case management?

Case Management is concerns itself with the whole person, it does not focus on one problem but rather many issues, strengths, and concerns.

What does indirect mean in a case manager?

Indirect means that the case manager is helping set up and monitor other services.

What is the meaning of "what you are doing with or for this client"?

1) is what you are doing with or for this client something that you would do with any client in a similar situation.

What does it mean to be a counselor?

It means to develop an understanding your client and teaching your client what she needs to know to develop and maintain a resource network.

What is a code of conduct?

A code of conduct based on universal, moral duties and obligations that indicate how one should behave.

What is a case manager?

A case manager is a specialized social worker and healthcare professional who oversees and coordinates the continued care of clinical patients. They often work with patients with long-term or chronic illnesses, ensuring that these patients receive effective care.

What are the two careers that most commonly transition to becoming a case manager?

This is because case managers usually begin in another profession before transitioning to a case manager career. Nurses and social workers are the two careers that most commonly transition to becoming case managers.

How long does it take to become a case manager?

Before becoming a case manager, most employers require a minimum of one year 's experience in a related profession. This usually means gaining employment as either a nurse or social worker, but other related experience can also be helpful. For instance, since case managers often work closely with insurance companies, some insurance employees can transition into becoming a case manager.

How much does a case manager make?

On average, a case manager earns $38,863 per year. Salary can vary based on factors like previous experience, geographic location, type of facility and relevant credentials.

Do case managers have a specific role?

Still, a case manager may find they have as many responsibilities as they do patients, as each case might require its own individualized duties.

Do case managers meet with patients?

However, some duties require case managers to meet with and assess patients in person. Though they sometimes achieve this during patient visits to medical and insurance facilities, they may also meet at the patient's home. This is true especially in cases involving a patient with home or palliative care needs.

Case Management Duties & Responsibilities

To write an effective case management job description, begin by listing detailed duties, responsibilities and expectations. We have included case management job description templates that you can modify and use.

Case Management Qualifications

Qualifications for a job description may include education, certification, and experience.

Case Management Examples

Our innovative and growing company is hiring for a case management. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.

Why are case managers important?

By providing that link, case managers help to guide and track patients over time through a comprehensive array of healthcare services spanning all levels of care.

What is the continuum of care?

One way of looking at the continuum of care is by thinking of it as an endless circle with no beginning and no end. Within that circle are all types of services and locations of those services that our patients might receive over the course of their lifetimes. It covers all phases of illness, from diagnosis to the end of life. It also covers patients who are healthy as they receive primary and preventive care services.

Why are care transition models important?

There are a number of care transition models developed over the past several years to improve quality of care, ensure safe patient transitions, and maximize cost-effectiveness while reducing financial and reimbursement risks. Case management programs that do not include a special focus on transitions of care using the evidence these models demonstrated are considered outdated.

How does integrated care benefit the health system?

The benefits of an integrated healthcare approach extend to patients, caregivers, providers, and the larger healthcare system. For instance, research indicates that integrated healthcare is effective in reducing readmissions and unnecessary admissions. Further evidence suggests that coordinated care, which integrates psychologists and other mental health providers within primary care, can enhance access to services, improve quality of care, and lower overall healthcare costs across the continuum. It is clear that in order to positively affect clinical outcomes, patients’ behavioral health and psychosocial needs must also be addressed. An integrated approach between RN case managers and social work case managers is one of the many effective strategies that must be incorporated into any program.

How long is a nursing home program?

A four-week program designed to foster patient engagement and promote safe transitions from the hospital or skilled nursing facility to home.

What is integrated care?

Integrated care is a concept bringing together inputs, delivery, management, and organization of services related to diagnosis, treatment, care, rehabilitation, and health promotion. Integration is a means to improve services in terms of access, quality, user satisfaction, and efficiency. Integrated healthcare, often referred to as interdisciplinary healthcare, is an approach characterized by a high degree of collaboration and communication among health professionals. What makes integrated healthcare unique is the sharing of information among team members related to patient care and the establishment of a comprehensive treatment plan to address the biological, psychological, and social needs of the patient. The interdisciplinary healthcare team includes a diverse group of members (e.g., physicians, psychologists, RN case managers, social workers, and occupational and physical therapists), depending on the patient’s needs.

What is post acute care?

• Post-acute services are those provided for patients after an acute episode of care, whether in a facility setting or at home. These services typically include rehabilitation and health maintenance.

What is case management?

Case Management is concerns itself with the whole person, it does not focus on one problem but rather many issues, strengths, and concerns.

What does indirect mean in a case manager?

Indirect means that the case manager is helping set up and monitor other services.

What is the meaning of "what you are doing with or for this client"?

1) is what you are doing with or for this client something that you would do with any client in a similar situation.

What does it mean to be a counselor?

It means to develop an understanding your client and teaching your client what she needs to know to develop and maintain a resource network.

What is a code of conduct?

A code of conduct based on universal, moral duties and obligations that indicate how one should behave.

What Is Case Management?

Definition of Case Management

  • Case Management - in health care delivery systems is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. ...
See more on acmaweb.org

Context

  • In an effort to describe the varied functions that are considered case management services, a task force was assembled to compile a collective of what ACMA considers to be the Scope of Services for Health Care Delivery System Case Management. The task force solicited input from ACMA members and created a representative listing intended to describe and associate the vas…
See more on acmaweb.org

Scope of Services

  • The following categories best reflect this concept: 1. Education 2. Care Coordination 3. Compliance 4. Transition Management 5. Utilization Management The following further describes the functions of each Service: Education For all patients requiring active case management services, case management is expected to ensure and provide education relevant to the effectiv…
See more on acmaweb.org

Glossary

  • Case Management: in hospital and health care systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Case Management incl…
See more on acmaweb.org