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To be a hospital Case Manager requires experience in the hospital setting, typically as a nurse or a social worker. Additional skills specific to case management are learned in the role. Advanced certification is available to Hospital Case Managers through the Accredited Case Manager (ACM) Certification, offered by ACMA.
The case manager becomes an effective facilitator or enabler by use of self, understanding the social systems, the etiology of needs, and functioning of the clients. Moore in 1990s said that a case manager should possess the clinical skills of a psychotherapist and the advocacy skills of a community organizer. [10]
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. It is a role frequently overseen by patient advocates .
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 medical care is provided to disabled, ill or injured individuals; Legal case management, a set of management ...
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]
Nurses also step into the role of case managers, meaning that they coordinate services from different disciplines for the patient. This can include rehabilitation, pharmacy, community resources and more. [9] Providing the most up-to-date and effective care for a patient is also a very important part of a home health nurse's job.
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Occupational Health Nurses' role as case managers has grown as they now assist with the coordination and management of work-related and non-work related injuries and illness, which includes group health, worker's compensation (and Family Medical Leave Act in the USA) as well as short/long term disability. [citation needed]