Case Management Definitions

Question 1

Case Management Priorities

Answer 1

Identifying needs, ensuring appropriate access to resources/services, addressing SDOH, and facilitating safe care transitions.

Question 2

Case Management Process

Answer 2

Assesses, plans, implements, coordinates, monitors, and evaluates to improve outcomes, experiences and value.* Characterized by advocacy, communication and resource management.* Facilitates care that is effective, client-centered, timely and efficient.

Question 3

What are CM Ethical Principles?

Answer 3

Autonomy, beneficence, fidelity, justice, non-malfeasance.

Question 4

What do Professional Case Managers do?

Answer 4

Navigate complex systems to achieve mutual goals, advocate for those they serve and recognize personal dignity, autonomy, and the right to self-determination.

Question 5

Case Management Philosophy

Answer 5

Adaptive to multiple practice settings in which case managers function, and the setting in which patient receive their care and services.

Question 6

What are the 3 primary goals of Case Management?

Answer 6

• Improving clinical, functional , emotional and psychosocial health of patients as a whole, impacting patients with the complex health needs served at a single point of contact.
• Links patients to providers and resources based on their cultural beliefs, values and identified needs.
• Can improve outcomes when care is appropriately managed, efficiently provided and effectively executed.

Question 7

What is the first duty of the case manager to the patient?

Answer 7

Be the Advocate.