Case Management Catherine T. Horat NUR 410 Community Focused Nursing

Case Management A systematic process by which –Assesses needs –Plans for and coordinates services –Refers to other appropriate providers –Monitors and evaluate progress to ensure needs met cost-effectively

Possible Case Management Functions

Practice Arena of Case Management Public Health Mental Health Senior Citizens Disease Specific Occupational Health

Roles of Case Manager

Case Identification Eligibility criteria –Services provided –Services location –Population served All clients referred requiring qualifying –Receive referrals from –If not qualified refer to source to address needs

Case Management Model Arizona Model

Case Management Models Denver Model –Counselor facilitated hospital discharges –For high-risk, high-cost conditions Indianapolis Model –Nurses monitored discharged patient For appointments Rescheduled missed appointments Senior Services Model

Ethical Issues in Case Management