Definition of a Medical Case Management Case management is a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Philosophy of Case Management Case management serves as a means for achieving client wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. The case manager helps identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source. Case management services are best offered in a climate that allows direct communication between the case manager, the client, and appropriate service personnel, in order to optimize the outcome for all concerned. Certification determines that the case manager possesses the education, skills and experience required to render appropriate services based on sound principles of practice.
When to Assign a Medical Case Manager Motor vehicle accidents, multiple body parts if surgery required, head injury, spine injury (cervical, thoracic or lumbar), ACL or Meniscus tear, rotator cuff tear, electrical incident, burns. Files that don’t seem to be resolving or progressing with current medical treatment plan in a timely manner.
|
If you are interested in Harden Case Management or would like more information or to make a referral, we would be delighted to hear from you. Please see our Contact Us page for more details.
|
|