If you have been in a hospital for any time, you probably have a case manager assigned to you for case management services. A case manager’s job is to ensure you get the care you need and that your insurance will pay for it.
What Is Health Case Management?
Health case management is a process that helps you get the health care and services you need. A case manager assesses a person’s needs, develops a care plan, coordinates services, and monitors the person’s progress.
It involves working with your family to ensure you get the necessary care and services. Case management services are provided by various health care professionals, including nurses, social workers, and counselors. For example, a case manager sees that you get the tests you need, IV drips are completed, your prescriptions are filled, and the specialists you need to see.
A case manager also ensures you understand your health condition and what you can do to manage it. Case managers also help you follow through on your treatment plan. In addition, they provide emotional support and help you find resources in the community.
What Are the Benefits of Case Management?
Below are the benefits of case management:
- Case managers help you get the care and services you need. For example, a case manager can help you find a home health agency if you need home health services. They take time to make the necessary arrangements if you require a T-Cell Immune Response test in the comfort of your home.
- Case managers can save you time and money. They can help you find community resources, such as support groups or transportation services.
- Case managers can help you make sure your care is coordinated. For instance, if you see more than one doctor, a case manager can make sure that each doctor knows about the care you are receiving from the other doctors.
- Case managers can provide emotional support. They can also sympathize, listen to your concerns, and answer your questions regarding your condition and progress.
Types of Case Management
There are different types of case management. The type of case management depends on the needs of the person being served. Below are some of them:
Transitional Case Management
This type of case management is for people transitioning from one setting to another. For instance, transitional case management is for people transitioning from a hospital to a nursing home.
This type of case management is for people with chronic conditions, such as diabetes or heart disease. Disease managers work with you to help you manage your condition and prevent complications.
Behavioral Health Case Management
This type of case management is for people with mental health or substance abuse disorders. Behavioral health case managers work with you to ensure you get your needed care.
Case management is a process that helps you get the health care and services you need. A case manager assesses a person’s needs, develops a care plan, coordinates services, and monitors the person’s progress. Case management services are provided by various health care professionals, including nurses, social workers, and counselors.
Choose the right type of case management that will fit your needs. It’s always best to ask your doctor or case manager about your concerns.