The Main Objective is…

The main objective of case management is ‘continuity of care’. Without proper management, recovery can be prolonged and more costly than necessary.  These patient advocates and front-line professionals serve at the epicenter of the health care system for the insurance company or health care organization. They are engaged with the patient’s progression of care from admission to the hospital through discharge, up to and including facilitating post-hospital care. As a result, they have first-hand experience dealing with patient flow disconnects and bottlenecks.

Case managers experience up close these hand-off challenges when attempting to manage the progression of the patient’s care from admission to discharge, and into the post-hospital care environment.

There are five (5) essential functions of a case manager.

  1. Assessment: Establishes the needs of the individual
  2. Planning: Ensures service provision is coordinated and comprehensive
  3. Linking: Coordinates services to ensure needs are met
  4. Monitoring: Stays on top of any changes
  5. Review: Review on a regular basis ensures services remain responsive to changing needs

The practices of case management are constantly evolving. Changes in health care laws, regulations, reimbursement methods, accreditation standards, and innovations in care delivery systems are some of the factors that affect such evolution. Remaining current about the most recent practices of case management is important for ensuring that their clients receive best care possible.