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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:
American Nurses Credentialing Center
600 Maryland Ave. SW, #100
Washington, DC 20024-2571
800-284-CERT
 
Commission for Case Manager Certification
1835 Rohlwing Rd., #E
Rolling Meadows, IL 60008
847-818-0292
Organizations:
Center for Case Management
6 Pleasant St.
South Natick, MA 01760
508-651-2600
 
Case Management Society of America
8201 Cantrell Rd., #230
Little Rock, AR 72227
501-225-2229
 
National Association of Professional Geriatric Care Managers
1604 North Country Club
Tucson, AZ 85716
520-881-8008
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