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To be a hospital Case Manager requires experience in the hospital setting, typically as a nurse or a social worker. Additional skills specific to case management are learned in the role. Advanced certification is available to Hospital Case Managers through the Accredited Case Manager (ACM) Certification, offered by ACMA.
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. It is a role frequently overseen by patient advocates .
The case management model developed in the US was a response to the closure of large psychiatric hospitals (known as deinstitutionalisation) and initially for provision of services which enhances the quality of life without the need for direct patient care or contact. [4]
Case management is a part of direct social work practice, it involves development and implementation of the case plan and administration of case management systems for effective service delivery. This makes the case manager involve in resource development, service management, lean leadership, cost control, resource distribution, and use of ...
The case management restrictions must not "substantially impair access" to primary care services of "adequate quality where medically necessary"; and; The case management restrictions must be "cost effective". [2] In their earliest forms, PCCM programs closely resembled traditional fee-for-service Medicaid than managed care.
Employee engagement depends on managers, and effective managers are committed to diversity. In a global survey of more than 50,000 employees, the Corporate Leadership Council found that employees’ commitment to their managers was a critical factor in engagement. The converse was also true: the manager was a crucial enabler of engagement.
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A case manager responsible for the coordination of different components of care; A structured care management plan, shared with the patient; Systematic patient management based on protocols and the tracking of outcomes; Delivery of care by a multidisciplinary team which includes a psychiatrist; Collaboration between primary and secondary care. [7]
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