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