Case management is a discipline that first evolved in health care. As medicine started to get more organized and accountable, hospitals needed professionals who could play many roles and also act as a liaison between patients and the health care workers. Case management has been defined as “a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s health needs through communication and available resources to promote quality cost-effective outcomes.” (Thinking Matters, 2009).
In general, case managers in hospital settings ensure that all patients are efficiently transitioned for appropriate care. More important, a case manager will ensure that there is an effective plan of treatment …show more content…
It is rare for people to have any type of autonomy in healthcare, but case managers are one group of professionals that are only answerable to administration. The autonomy is by no means given, but only offered to people who excel in their work. Case managers oversee many types of work in a healthcare institution and have to know their limits. Their work is respected and thus, they often make independent decisions without having to consult with others.
Continued knowledge: Being a case manager means being continually on top of the job. This means being aware of the latest changes in healthcare and how they impact the healthcare institution. For example, with the introduction of ICD10, the case manager has to ensure that all billers and coders no longer use the old ICD 7. Otherwise, Medicare will not reimburse for healthcare services. Case managers have to keep up with all the HIPPA rules, OHSA requirements and the Joint commission regulations. In order to maintain the knowledge, case managers are always on the go attending seminars and webinars to keep up with the latest healthcare …show more content…
This can create animosity, bitterness, and disagreement. Of course, no doctor wants to be told by a nurse case manager about medical charting or billing. Sometimes the case manager has to correct billers and coder and again this can lead to disharmony in the work place. While people may disagree, being a case manager is associated with a lot of resentment from other healthcare professionals because of the constant criticism and corrections.
Work overload: Being a case manager is not an easy job. It involves paying attention to minute details- mistakes can result in loss of finances to the hospital or poor quality care to patients. Besides, just reading medical charts, the case manager has to oversee mistakes, complications and patient safety. Case managers have to put in long hours at work because there is endless
In general, case managers in hospital settings ensure that all patients are efficiently transitioned for appropriate care. More important, a case manager will ensure that there is an effective plan of treatment …show more content…
It is rare for people to have any type of autonomy in healthcare, but case managers are one group of professionals that are only answerable to administration. The autonomy is by no means given, but only offered to people who excel in their work. Case managers oversee many types of work in a healthcare institution and have to know their limits. Their work is respected and thus, they often make independent decisions without having to consult with others.
Continued knowledge: Being a case manager means being continually on top of the job. This means being aware of the latest changes in healthcare and how they impact the healthcare institution. For example, with the introduction of ICD10, the case manager has to ensure that all billers and coders no longer use the old ICD 7. Otherwise, Medicare will not reimburse for healthcare services. Case managers have to keep up with all the HIPPA rules, OHSA requirements and the Joint commission regulations. In order to maintain the knowledge, case managers are always on the go attending seminars and webinars to keep up with the latest healthcare …show more content…
This can create animosity, bitterness, and disagreement. Of course, no doctor wants to be told by a nurse case manager about medical charting or billing. Sometimes the case manager has to correct billers and coder and again this can lead to disharmony in the work place. While people may disagree, being a case manager is associated with a lot of resentment from other healthcare professionals because of the constant criticism and corrections.
Work overload: Being a case manager is not an easy job. It involves paying attention to minute details- mistakes can result in loss of finances to the hospital or poor quality care to patients. Besides, just reading medical charts, the case manager has to oversee mistakes, complications and patient safety. Case managers have to put in long hours at work because there is endless