Joan White of Maxcis Insurance Company referred this file for medical case management. Instructions were given to meet with Todd McClellan and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/28/16 I met Mr. McClellan, his step father, mother, wife and wife’s mother at the office of Dr. Nzoma. Mr. McClellan is developmental delay so Mr. Payson coordinates appointments. Mr. McClellan is pleasant, alert and cooperative. He walks without a limp. MEDICAL FACTORS Mr. McClellan was at work as a porter. While exiting a customer vehicle he stepped and turn his knee. He did not immediately report the injury. When he did report this on 7/25/16 he was sent to Elizabeth…
Andrew Rider of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Chris Simonson and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 8/25/16 I met Mr. Simonson at the office of Mid Michigan Orthopedics. Mr. Simonson drove independently to the appointment. He is alert and oriented. He is willing to provide information and work with a nurse case manager.…
Case management is the method of providing the needs of a client by assessing, coordinating, arranging, advocates, monitoring, evaluates, and linking multiple services to help obtain a desired outcome. According to the text, “a change in philosophy had occurred regarding the role of the case manager, emphasizing working with other professionals, coordinating care and other services, and empowering individuals to use the system to help themselves (Woodside & McClam, 2013, p 45). In order for…
worker is case management. Case management is the process in which a social worker assesses a client, develops a plan, and advocates for services for their clients. Case management involves assessing clients and helping client’s access needed services. Case management is composed of networking with multiple organizations to provide more relevant services to the client. Case management can be implemented in a variety of practices: micro, mezzo and macro. Client level intervention is the course in…
Article Critique In the article, Case management to reduce risk of cardiovascular disease in a county health care system, Ma et al. (2009) acknowledge that given the hundreds of billions spent in addressing the cardiovascular disease (CVD), embracing innovative approaches is necessary to supplement the conventional healthcare models. Besides, they recognize that the CVD, along with its causative factors, affects individuals across different ethnic, social class, and racial groups. However, they…
Case Management in the shelter system is a demanding job. One opportunity that I met this family that has been in the shelter for two years. I will provide a brief description of one of my difficult cases that I have exhausted all my resources, knowledge, hope even patient with this particular family. As a Case Manager is a requirement that families meet with me bi-weekly or weekly depending of the family situation. We meet for an ILP (Independent Living Plan), this meeting is to develop a plan…
as the project manager, I would arrange a meeting with senior management officials and present the bottom-up (micro) estimates. However disagreeable the task may seem, upper management must be made aware that a detailed review of the two estimates indicates the project will finish 4 months past the planned finished date and 20% over the original budget. After presenting the inconsistencies between the top-down and the bottom-down estimates, I would present two choices to upper management: (a)…
Case management is a challenging practice that involves establishing and providing health and human services to clients in need by carrying out the similar steps of the nursing process. The goal of case management is to actively promote quality and cost-effective interventions in order to receive optimal patient outcomes. In our book, case management is defined in public health nursing as the ability to optimize self-care capabilities of individuals and families and the capacity of systems…
Case Management in Today’s Healthcare System American healthcare is experiencing a paradigm shift in which the focus is no longer on acute care treatment but on prevention and management in the outpatient setting. Case management is a process that focuses on prevention, which ultimately results in better patient outcomes and ensures that the client is receiving cost effective quality healthcare. According to Smith, MacKay and McCulloch, “case management lacks a singular definition, but chiefly…
“ Case management is a second strategy to improve patient care and reduce hospital costs through coordination of care p. 254.” The role of a case manager is coordinating care and making goals from the time of admission to the time of discharge. The goal is to control health care cost and to avoid fragmentation. Because the case managers role are extensive, they require an advance practice degree or advanced training. Some of the roles nurses have in the case management process is coordinating…