Nurse Case Manager
Through early intervention, the Case Manager will apply the six essential activities of Case Management to assure achievement of an individuals maximum level of wellness. Via appropriate, quality, cost-effective alternative care delivery, the Case Manager will explore community resources and alternative funding in order to maximize health care benefit. The Case Manager will assist an individual to self direct and self advocate thus assurance of an informed and empowered healthcare consumer.
- Acts as an advocate and approaches clientele, according to his/her level of wellness, handicap, or injury with alternatives which may improve his/her quality of life.
- Ethically engages in the six essential activities of the Case Management process in order to assess, plan, implement, coordinate, monitor and evaluate health care delivery.
- Applies six components of case management to each of the five core areas: coordination/service delivery, physical/psychological factors, benefit systems and cost analysis, case management concepts and community resources.
- Practices case management within the full continuum of care encompassing multiple environments.
- Interacts with all healthcare systems and continues involvement with all participants to deal with an individuals broad spectrum of need.
- Applies CMSA standards of practice to an individuals holistic, healthcare, occupational, psychosocial, cultural and financial need.
- Composes confidential, timely, report mechanisms that clearly document goals, objectives, outcomes and cost benefit analysis.
- Acts as a resource to Utilization Review, Behavioral Health, Disability and Case Management team members, AMM committees, AMM clientele and AMM personnel.