Definition of Case Management

Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and companies required to meet the client’s health and human service needs. It’s characterized by advocacy, communication, and resource administration and promotes quality and value-effective interventions and outcomes.

Philosophy of Case Management

Case administration is an space of specialty apply within the health and human providers professions. Its underlying premise is that everyone benefits when purchasers(1) reach their optimum level of wellness, self-management, and functional capability.The stakeholders embody the clients being served; their assist systems; the health care delivery systems, including the providers of care; the employers; and the various payer sources.

Case administration facilitates the achievement of client wellness and autonomy through advocacy, evaluation, planning, communication, education, resource management, and service facilitation. Based on the wants and values of the client, and in collaboration with all service providers, the case manager links shoppers with appropriate providers and resources throughout the continuum of health and human providers and care settings, while making certain that the care provided is safe, effective, client-centered, timely, efficient, and equitable. This approach achieves optimum value and desirable outcomes for all stakeholders.

Case administration services are optimized best if offered in a climate that permits direct communication among the case manager, the consumer, the payer, the first care provider, and different service delivery professionals. The case manager is able to enhance these companies by sustaining the consumer’s privateness, confidentiality, health, and safety via advocacy and adherence to ethical, authorized, accreditation, certification, and regulatory standards or guidelines.

Certification demonstrates that the case manager possesses the schooling, skills, knowledge, and expertise required to render appropriate companies delivered in response to sound principles of practice.

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