Discharge Planning, Patient Advocacy, Risk Management, Telehealth, Hospice,
Home Health, Parish Nursing, Occupational Health, Triage, Symptom
Management, Patient Rights, Autonomy, Self-Determination, Life Care Planning,
Critical Pathways, Complex & High-Cost Cases, Eligibility Assessment,
Multidisciplinary Care Plans, Fragmentation & Duplication Prevention, Skill
Assessment, Teachback, Return Demonstration, Disease Prevention, Health
Promotion, Early Detection, Transition of Care, Interdisciplinary Communication,
Credentialing, Supportive Education, Quality & Safety, Clinical Prioritization,
Chronic Illness Management, Homebound Care, Palliative & End-of-Life Care
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- Coordination of care for an individual
- They set up everything for discharge
- Broker
Roles of a case manager
They make sure that their insurance covers the service (eligibility)
What does it mean that a case manager is a broker?
, High-cost cases (They get higher priority)
How do case managers prioritize?
Complex
Case managers see what kind of patients?
- Case finding
- Eigibility determination
Examples of assessment in case management
Poor
Medicaid is for the ___
Old
Medicare is for the ___
- Individualized
- Multidisciplinary
- Involve patients
Care plans are what 3 things?