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 shopper’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 administration is an space of specialty observe within the health and human services professions. Its underlying premise is that everyone benefits when clients(1) attain their optimum level of wellness, self-management, and functional capability.The stakeholders embody the purchasers being served; their support systems; the health care delivery systems, including the providers of care; the employers; and the various payer sources.
Case administration facilitates the achievement of client wellness and autonomy via advocacy, assessment, planning, communication, schooling, resource administration, and repair facilitation. Based on the needs and values of the shopper, and in collaboration with all service providers, the case manager links purchasers with appropriate providers and resources throughout the continuum of health and human companies and care settings, while ensuring that the care provided is safe, efficient, consumer-centered, well timed, environment friendly, and equitable. This approach achieves optimum value and desirable outcomes for all stakeholders.
Case management companies are optimized finest if offered in a local weather that enables direct communication among the case manager, the client, the payer, the first care provider, and different service delivery professionals. The case manager is able to enhance these services by maintaining the shopper’s privateness, confidentiality, health, and safety by means of 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 companies delivered based on sound principles of practice.
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