Case Management Roles Flashcards
Coordinator - Primary Function
Organizes events or activities and negotiates with others to ensure they work together effectively, (coordinates care across disciplines and service agencies).
Communicator
Conveys or exchanges info, news or ideas
Collaborator
Works with others on activity towards a common goal.
Clinician
Healthcare professional that works as a primary CG and having direct contact with and responsibility for clients, uses their knowledge to identify client problems and develop an effective POC.
Educator
Provides instruction or education to meet the assessed needs of the client.
Transition Planner
- Considers and matches ongoing medical, behavioral, cultural and social needs as well as continuity of care as their condition and care needs changes.
- Ongoing support management of chronic disease, palliative or EOL care
- Includes multiple levels that vary in complexity and intensity.
- Identifies complex clients through early screening, assessentn and reassessment as needed.
- Recognizes factors across biological, psychological, social and health systems.
Leader
Role model, innovator, integrator, communicator, collaborator and coach.
Utilization Manager
Ensures cost-effective care delivery and use of services, focused on efficient transition of clients form one level of care to another.
Quality Manager
Ensures products and/or services meet quality, safety and efficiency standards.
Negotiator
Negotiates with managed care companies and providers to ensure the provision of appropriate care and services across the continuum.
Advocate
Assists, defends, or pleads for clients, ensures that the needs of clients and families are met, placing clients/families interests above all others.
Researcher
Evaluates services and outcomes through empirical research and/or utilizes findings to effect changes in standards, policies and practices.
Risk Manager
Identifies areas of risk in the care environment and processes and recommends and/or executes an action plan to mitigate these risks.
