case management

RHB 3040 Case Management

Chapter Notes

Chapter One

Dr. Brown

Role of the Case Manager

Coordinator

Bringing multiple agencies or stakeholders together

Facilitator

Assuring all necessary services occur and are monitored for effectiveness

Impartial Advocate

Looking for the best services for the consumer, not just the cheapest

Educator

Informing the consumer of rights, disability information, and potential services

(p 5-6)

CM vs Managed Care

Managed Care is “a system of cost-containment programs”

Some may include case management, pharmacy benefits, HMOs, disability management, etc.

Case Management is a highly individualized process to identify cases, assess treatment options and coordination of care, design programs, control costs, and manage patient care.

(p 6-8)

Conditions of People Who May Benefit From Case Management

Severe Mental Illness

Intellectual Disabilities

Developmental Disabilities

Stoke

Traumatic Brain Injury

Multiple Trauma

Cancer

AIDS

Homelessness

“Troubled” Youth

Substance Abuse

PTSD

Returning Veterans

Spinal Cord Injury

Parkinson’s

ALS

The Elderly

And the list could go on forever

Credentials and Experience

Although discussed later, it is important for Rehab Services students to note:

People with bachelor’s can become Certified Case Manager (CCM)

Case management (CM) activities (whether that is your title or not) will likely be required in any position you accept

CM activities will likely be beneficial to any population you plan to serve

CM skills will come with the knowledge you get in college and experience from working in the field.

Expertise

CM will be responsible for (p 8-11):

Determining effective vs poor services

Understanding potential issues likely to arise

Evaluating treatment and service options

Population-specific knowledge

CMs must be:

Self-directed

Critical thinkers

Independent in function and judgment

Aware of financial aspects

Aware of emotional/familial issues impacting case

Ability to handle associated stress of the job

CM Definition

“Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client’s health and human service needs. It is characterized by advocacy, communication & resource management and promotes quality & cost-effective interventions and outcomes”.

From The Commission for Case Manager Certification

General Knowledge of a CM

Theories of family functioning

Characteristics of various stages of physical and psychological development

Traits of functional and dysfunctional coping and their implications for health

Resources, eligibility for services, and referral procedures

Medical and disability knowledge

Treatment/Services and Assistive Technologies

Terminologies of stakeholders

Vocational and Legislative protocols

P 12-14

End of Chapter One

That wasn’t so bad, was it?

If you have questions, email me. I will post questions and answers to the discussion area if I feel more students will have the same question or need the same clarity. Therefore, start with the discussion section first to see if someone has already asked that question.

I strongly suggest for each chapter:

Read the chapter

Consult the notes to determine if you understand what I have outlined

Use the notes for studying come exam time. I may not take all of the questions from the concepts discussion in the notes; however, it is a good place to start for what I will think is important enough to test over.