About Case Management

For more than a century, case management has meant better coordinated care for patients with complicated health needs. Over the past two decades case management transitioned from a narrowly applied function to a fully developed area of practice for professionals to manage the social, medical, financial and behavioral issues associated with complex cases. Professional case managers must hold a current, active, and unrestricted licensure or certification in a health or human services discipline that within its scope of practice allows the professional to conduct an assessment independently and/or a baccalaureate or graduate degree in social work, nursing, or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of the persons being served.  Today’s professional case managers are found in health care, workers compensation, behavioral health, insurance and managed care organizations. Tens of thousands of professional case managers are employed in a range of health care settings and in independent practice, and, according to the Bureau of Labor Statistics, case management is one of the fastest growing occupations.

New team-based models for health care delivery like the patient-centered medical home and advanced primary care have accelerated the drive to break down the “silos of care” that for generations have defined fragmentation in health care and increased the potential for errors. Professional case managers are uniquely qualified to help close these gaps in care and work collaboratively to advocate, communicate and manage resource for higher quality, cost-effective care. Download our infographic explaining How Case Managers Help Patients Navigate the Health Care Maze.

The Commission is committed to advancing the professional case manager by giving eligible professionals an opportunity to be board certified as case managers across the spectrum of health and human services.

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