| Name: |
Nurse Case Manager |
| Description: |
Case Management is the process of
organizing and coordinating resources and
services in response to individual healthcare
needs along the illness and care continuum and in
multiple settings. There are many models for case
management given client, context, or setting.
Case management is directed toward a targeted or
selected client/family population such as
transplant, head-injured, or frail elderly
clients. The goals are to center services around
the patient, to foster patient self-managed care,
and maximize efficient and cost-effective use of
health resources. The focuses are cost-saving and
continuity and quality of patient care. The Nurse
Case Manager utilizes clinical pathways in
assessment and monitoring of clients and
healthcare delivery |
| Settings: |
Varied hospital-based and
community-based settings including occupational
health |
| Characteristics: |
Coordination of care and services,
case finding, screening, eligibility,
determination; comprehensive assessment;
development, monitoring, and evaluation of the
plan of care and use of resources and arrangement
of services to reach outcomes in specific time
frames |
| Drawbacks: |
Honoring client choices, minimizing
time constraints, maintaining a holistic focus,
linking care-team members, and impacting quality
and cost |
| Desirable
skills: |
Strong knowledge base in financial
and clinical aspects of care, working knowledge
of resources, and effective skills in managing,
teaching, negotiating, and collaborating with
multidisciplinary groups, and client/family focus |
| Education: |
RN with BSN or MSN (preferred) |
| Employers: |
Hospitals, community agencies,
third-party payers |
| Certification: |
|
| Organizations: |
|
| Publications: |
| Issues &
Outcomes: Journal for Mapping and
Managing Care |
| |
| The New
Definition Newsletter |
| 508-651-2600 |
| |
| Nursing Case
Management: Managing the Process of
Patient Care |
| 800-777-2295 |
| |
| Journal of
Case Management |
| |
| The Case
Manager |
| 501-225-2229 |
|
|
