Research Paper on "Case Manager in Healthcare"

Research Paper 3 pages (1135 words) Sources: 4

[EXCERPT] . . . .

Manager in Healthcare

The career of a case manager constitutes a multifaceted role in the healthcare field. The case manager represents a shared practice of assessment, planning, facilitation, and advocacy for options and services to meet an individual's healthcare needs (Daniels, & Ramey, 2005, p. 108). Case managers work to provide personalized services to patients to improve their care and treatment. Qualifications for the position of case manager require an associate's or bachelor's degree in a Health Care Administration related field, and a case manager in the United States can expect to earn a salary ranging from $25,000-$65,000 depending on experience and education (PayScale, 2011). Due to the extent case managers spend facilitating patient needs, this career path is best suited for individuals who can multitask, have strong communication skills, and are able to juggle between patients, health care institutions, and insurance companies. The case management field is expected to grow rapidly over the course of the next decade, which is in large part caused by the growing elderly population. Case managers are critical to the healthcare field as they are responsible for managing a patient's overall treatment experience from in-take to discharge.

The job description for a case manger in healthcare encompasses an overall interdisciplinary plan of care for a patient beginning at the time of admission. The case manager acts as a liaison between a patient, their family, healthcare personnel, and insurance agencies to ensure the patient is receiving necessary and effective medical care (Case Manager, 2011). The role of the case manager is divided into four categories: assessment, planning, facilitation, and advocacy. The case manager must first be able to access patient information and data to evaluate a patient's need for case management. Assuming a patient does need this service, the case manager acts as overall assessor of the patient's clinical, financial, and social needs (Daniels, & Ramey, 2005, p. 108). After the assessment is completed, a plan for case management intervention is constructed. The planning stage for a case manager in the hospital setting represents gauging the appropriateness and cost-effectiveness of the medical treatment plans and the patient's need for self-determination (Daniels, & Ramey, 2005, p. 108). The facilitator role of the case manager's job involves managing the interactions between members of the healthcare team, insurance representatives and payer agencies, and the patient to remove barriers that have the potential to compromise the patient's health, well-being, and affect the outcomes of the patient's care (Daniels, & Ramey, 2005, p.109). The fourth, and arguably most vital role in case management, is the advocacy component to represent the patient's best interests. The case manager advocates for effective treatment alternatives, safe discharge plan, honors the patient's value system, provides the tools for the patient to make informed choices, and is aware of the patient's financial capabilities (Daniels, & Ramey, 2005, p. 109).

Qualifications for a career in case management varies based on the healthcare facility and by the degree of needed case management intervention. To fulfill the career qualifications for a case manager typically requires an associate's or bachelor's degree in Health Care Administration, Psychology, or Social Work (Case Manager, 2011). There are also case management positions that are considered an advanced practice of an already established professional role, such as registered nurse of licensed social worker (Rossi, 2003, p. 736). In these instances, qualifications for the profession demand a nursing degree and 2-4… READ MORE

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