Definition and Philosophy of Case Management

Definition of Case Administration

Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to satisfy the client’s health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes.

Philosophy of Case Administration

Case management is an space of specialty practice within the health and human companies professions. Its underlying premise is that everybody benefits when purchasers(1) reach their optimum level of wellness, self-administration, and functional capability.The stakeholders include the clients being served; their assist systems; the health care delivery systems, together with the providers of care; the employers; and the various payer sources.

Case management facilitates the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, schooling, resource management, and repair facilitation. Primarily based on the wants and values of the client, and in collaboration with all service providers, the case manager links clients with appropriate providers and resources all through the continuum of health and human services and care settings, while guaranteeing that the care provided is safe, effective, shopper-centered, timely, efficient, and equitable. This approach achieves optimum worth and desirable outcomes for all stakeholders.

Case administration services are optimized greatest if offered in a climate that enables direct communication among the many case manager, the client, the payer, the first care provider, and different service delivery professionals. The case manager is able to reinforce these companies by maintaining the shopper’s privateness, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines.

Certification demonstrates that the case manager possesses the education, skills, knowledge, and experience required to render appropriate services delivered in accordance with sound principles of practice.

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