Case Management for the Nursing Profession Introduction

Various case management models exist, but most systems involve a nursing professional who coordinates and monitors care and outcomes of care given to clients by multiple services. Although aspects of care coordination and monitoring have always been part of the nursing profession, case management responsibilities shift the traditional focus from service provision to service coordination: "Service coordination is defined as the linkage of clients to service providers in the community, and involves the processing of referral forms, delegation of tasks to other healthcare workers, and coordination of interventions with the client."

The case management approach is beneficial for patients, medical staff, and hospital administration. Appropriate case management results in more effective access to services for the patient, increased individual attention to patient psychosocial and health needs, and reduced cost of hospital stays. In addition, the interdisciplinary nature of case management allows for greater interaction between nursing professionals and their peers, thus broadenin

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d/or unstable diabetes Cost of services may be an indication for case management. Case management coordination is provided for patients who fit a high cost profile. Included are those among the top 3 percent of utilizers, patients with annual ambulatory care costs of $10,000 or more, and those with annual in-patient costs of $20,000 or more. Medication review is another indication for case management. Patients are referred for case management by pharmacists based on pharmacy review criteria. Patients who meet the criteria for consideration for case management include those taking six or more medications, patients whose monthly medication costs exceed $250, those who are being treated as part of an inter-disciplinary plan, and patients hospitalized for adverse medication reaction. Case management is based on individual planning. Therefore it is possible for patients to meet three or more criteria for case management and not require this service. Conversely, it is possible for patients to be appropriate for case management even though they do not fit any of the criteria of the high risk, high cost profile. Patients, particularly those with complex needs, are often referred for case management coordination by the medi
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Some common words found in the essay are:
Center CVAMC, AID Atlanta, , Medical Director, Crawford Long's, Standard Development, Health Services, MANAGEMENT FHP, NURSING Expansion, Patient Variance, management program, utilization management, patient care, medical services, primary care, aid atlanta, nurse managers, medical director, health care, prior authorization, primary care physician, collaborative management program, nursing administration quarterly, *participate daily/weekly management, home health care,
Approximate Word count = 5420
Approximate Pages = 22 (250 words per page)

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