FAQ About Case Management
The practice of case management is a process that manages client wellness and autonomy through advocacy, communication, education, and the identification and facilitation of services.
To obtain optimum value for clients and reimbursement sources, case managers identify appropriate providers and facilities across the continuum of health care and human services while insuring that available resources are timely, cost-effective, and efficient.
Case managers help all health care stakeholders.
The benefits of case management accrue to all participants in the process. Consumers gain an advocate and emotional support. Physicians and hospitals have complex cases facilitated. And payers' costs are reduced while their customers are retained.
Four important factors will continue to impact the practice of case management.
- Explosion of managed care.
- Burgeoning elder population.
- Increasing number of chronically ill patients maintaining an improved quality of life through newly developed drugs and requiring complex, ongoing treatment.
- Spread of state legislation requiring certification and licensing.
Case management practice will continue to grow. Become a certified leader.
Advances in health care technology combined with diminishing resources increases the demand for certified case managers who can manage complex cases in the best interests of consumers while saving time and money.