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Case managers working for health care providers typically do the following: Verify coverage & benefits with the health insurers to ensure the provider is appropriately paid; Coordinate the services associated with discharge or return home; Provide patient education; Provide post-care follow-up; and; Coordinate services with other health care ...
Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health care providers, as well as the employee and his/her family and evaluation of treatment results.
Clinical or therapeutic case management then developed as the need for the mental health professional to establish a therapeutic relationship and be actively involved in clinical care, often in this only the personal and interpersonal resources are utilized. The process involved can be cyclical because of its client-centered nature. [5]
Case management (mental health), a specific approach for the coordination of community mental health services; Case management (US health system), a specific term used in the health care system of the United States of America; Medical case management, a general term referring to the facilitation of treatment plans to assure the appropriate ...
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
Case management has alternatively been known as "service coordination" or "care coordination" since the late 1980s. Care coordination is defined by NASW as "a client-centered, assessment based, interdisciplinary approach to integrating health care and psychosocial support services in which a care coordinator develops and implements a ...
They include physicians, nursing professionals, pharmacists, midwives, dentists, allied health professions, community health workers, and other social service and health care providers. Health human resources are further composed of health management and support personnel: those who do not provide direct patient care but add important value to ...
Professional care managers help individuals, families, and other caregivers adjust and cope with the challenges of aging or disability by: Conducting care-planning assessments to identify needs, problems and eligibility for assistance; Screening, arranging, and monitoring in-home help and other services; Reviewing financial, legal, or medical ...