Case Management : An Effective Component Of Health And Behavioral Health Service Delivery

Case Managers have a challenging job, often dealing with patients, community agencies and facilitating their hospital discharge to the next level of care. They collaborate and communicate with the entire healthcare team and mostly with the patient during the hospitalization process. They act as support for all stakeholders to achieve positive patient outcomes. In this paper, I will be interviewing Ian Mopas, who is a Patient Care Coordinator at Kaiser Permanente in Redwood City about his education, work training, goals, and objectives as a Care Coordinator, and his responsibilities in his organization.

Case management services include coordination of health care services with the primary care physician, specialists, and other health care providers to better monitor and provide for a patient’s health care needs. The case managers help to assimilate information about community resources and Kaiser Permanente programs. They also provide disease management when needed. Case managers can assist the patient and their caregivers to understand the patient’s health coverage for medical equipment and services. They also assist with follow-up treatment plans after discharge. These case management services are delivered while maintaining the patient’s privacy, confidentiality, health,

How does case management achieve efficiencies in the delivery of health care? How does case management differ from disease management?

The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.

While some may say the biggest issues of a case manager are ethics and legal problems, others would suggest differently. In an article titled “Iowa Case Management: Innovative Social Casework” by James Hall he discusses three issues with regards to case management. The first issue asks to “what extent” should a case manager be willing go to for their client. This idea put into question where it is acceptable or not to do anything for the client’s benefit even if it means breaking the rules. The case manager weigh out the positives and negatives of

2. Summers, N. (2012). Fundamentals of case management practice: Skills for the human services, Chapter 22, (4th Ed.). Belmont, CA: Brooks/Cole, Cengage Learning.

Case managers play such a key role in the health systems that they are almost considered as the face of patient care.

Case management has case managers who effectively assess my healthcare needs. They also provide support systems to help me. Then, they coordinate, monitor, and evaluate my progress and the services that I receive. It promotes quality and cost-effective interventions and outcomes.

Part of a case manager (CM) duty is to have broad knowledge of care delivery and reimbursement methods to adequately perform case management duties for clients. The CM must recognize the clinical and financial funds available for the client and what the eligibility criteria for getting those resources. By getting a better understanding will allow the CM to ensure the client gets the proper care in the most cost-effective way. Reviewing the 2014 revise knowledge domain the one domain I reviewed was reimbursement. (Care Delivery & Reimbursement Methods, 2016) The Healthcare Reimbursement domain involves knowledge related to different types of reimbursement and funding systems to include sources and methods related to utilization review and management

Ballew, J. R., & Mink, G. (1996). Case Management in Social Work: Developing the Professional Skills Needed for Work with Multiproblem Clients. Springfield: Charles C

Case management assists ex-offenders returning to the community through a vast array of programs. Case managers coordinate and expedite the use of medical screening, housing assistance, parenting classes, and employment (Sheedy & Whitter, 2013). Case management assists with leadership philosophies that initiate change within the offenders and provided needed skills for offenders to

What I understand of case management is that it helps Social Workers in helping their clients, meaning social workers take actions to manage the various aspects of cases they are working on. Case management is also a shared process of assessment, planning, facilitation and advocacy for decisions and services to meet an individual’s need through communication and available resources. Case management examines the person’s physical, emotional, environmental state, and promotes quality and cost-effective outcomes. In addition, in Case management the worker helps to empower the clients to become self-sufficient. Moreover, Case management is structure into six principles

Case management has seen rapid growth and expansion over the past decade, securing it a strong foundation in many hospitals and outpatient programs. The use of integrated case management models allows the populations that are served to continue to grow and expand to reach further vulnerable clients and their families. ICM has been found to not only be successful for individuals diagnosed with HIV, but also prisoners in the justice system, the homeless population, and young children and their families navigating difficult custody issues (U.S. Department of Health and Human Services, 2008). It also enables individuals from multiple disciplines to collaborate when it comes to a client’s care plans and their needs. This allows case managers and

It is our job as Social workers to find and secure the right services for our clients to access. The author states that “once there have been a thorough intake and assessment, one of the next task is making sure that there is enough support to help the client complete the intervention plan” (Ward & Mama, 2006, 143) Case management is combined of many different things such as big and small tasks. Sometimes services are not the right fit for the client we need to adapt and develop a back up plan. The author states that case management is “ the corner stone of social work practice and is one of the jobs most widely available to entry level

According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and