Independent Care Paper

Case Managers have a challenging job, often dealing with patients, community agencies and facilitating their hospital discharge to the next level of care. They collaborate and communicate with the entire healthcare team and mostly with the patient during the hospitalization process. They act as support for all stakeholders to achieve positive patient outcomes. In this paper, I will be interviewing Ian Mopas, who is a Patient Care Coordinator at Kaiser Permanente in Redwood City about his education, work training, goals, and objectives as a Care Coordinator, and his responsibilities in his organization.

According to an article published in Case Management Advisor (2008), education assists case managers with being as knowledgeable as possible to identify and coordinate all the resources that their patients need and continued education is an ethical responsibility of a case manager. The article also suggests that advocacy is an ethical responsibility of a case manager. When advocacy is forgotten ethical issues occur. Fraser and Strang (2004) explain that case managers must be given the tools to allow them to function in their role with confidence and competence to act as strong advocates for their patients. Support for decision making is also a key component of case management. Coffman (2001) offers key points from The Code of Professional Conduct for Case Managers advising that case managers are guided by the principle of autonom. Case mangers achieve autonomy through advocacy. If case managers are expected to function with complete autonomy, then case managers require the assusrance that their leader ship will support them when difficult decisions have to be made, (Fraser and Strang, 2004). The concept of employer employees explains that by involving employees in developing the mission and values of the company, this allows employees feel empowered (Porter-O’Grady & Malloch, 2007). By allowing the case manager to be part of the development of the

The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.

Case managers provide forms stating the rights of the clients and responsibility that the clients have.

“Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes” (CMSA. p.6, 2010). Case management plans are an integral part that help to develop and contribute to the care and services that will be needed to provide services to the client to achieve optimal health outcomes (CMSA, 2010).

Case management can come in many different forms depending on the place you work or are going to. The main idea of case management is help clients have a plan after treatment and make sure they are informed of their referrals. As defined case management is a collaborative process of assessment, planning, facilitation and advocacy for options and service to meet an individual’s holistic needs through communication and available resource to promote quality cost-effective outcomes” (www.cmsa.org.au/definition.html)Case managers also help coordinate care, and help the clients and families find services that can be offered to them to the area. Case managers would do this by using the clients insurance or finding low cost referrals in the area that

The best outcome for the client is to focus on her own needs and not get deeply involved in a relationship. The case manager should be providing support, appreciative responses, building trust, inviting collaboration, and providing positive feedback for the client. The case manager can ask the client what she thinks about leaving the home. If ultimately agreed upon, the case manager can provide resources to complete a transfer. In addition, the case manager can implement a plan for intervention that consists of family therapy. A case manager should be a reflective listener and try to their

To be reflective of the expanding role of the professional case manager in the current complex health care landscape.

In my experience as a medical case manager, I am the first contact person when a client is scheduled to see a medical provider at the health center or seek other supportive services. As their medical case manager, my responsibility is to do the client’s first initial intake by getting the client’s demographics, medical coverage information, and link the client with healthcare services.

A. The client and case manager agree it is time to move on-The goal is for the client to be successful and eventually don’t require services anymore.

It is the responsibility of a case manager to take care with their clients’ needs and pay attention to different situations to provide the correct services. Case managers also acts as an advocate and mediator for their clients. They take care of the necessary paperwork, meet with care teams, create care plans and make home visits to ensure the welfare of their clients is suitable. A typical day for a case manager may vary; ‘there may be days that are filled with meetings. Some meetings will be with coworkers or care providers.

Since 1975 case management services have been gaining support and being recognized as an effective component of health and behavioral health service delivery (Dziegielewski, 2013, p. 312). A review of the literature reveals that case management services in healthcare settings can be a fragmented service with a

The history of case management was associated with not for profit organizations funded publicly. These services were usually targeted towards low-income elderly. The services were used to keep the elderly at home with services that offer support instead of putting them in a nursing home. The term care management originated when higher income families needed care for their elderly but did not qualify for a case manager. Families would pay care managers for the services that a case manager provided. ((Lencioni, McConnell, & Cress, 2012). The history of case management on the development of “Fee for Service” care management is that not for profit organizations had to get use to charging clients fees when they were not use to charging clients.

To select a case management model for a human service issue, problem, or consumer group, the first thing a person would have to do an assessment of the situation. They would have to collect all the facts containing to the individuals situations, possessions, difficulties, essentials, and objectives. Assessment frequently consists of organizing and assisting a 'multidisciplinary or multiagency ' group to complete an extensive centered natural calculation. Then they need to plan events that determine how to accomplish the person 's objectives, and encourage the person how to decipher their difficulties and how to get their necessities; then they need to figure out who will do what. Planning frequently includes participation from people close to the person, like the parents of a youngster 's. Next, they need to use 'Service implementation which could encompass connection to facilities and requirements of amenities. Case managers could obtain 'broker services ', as well as familiar and unconventional backings. The case manager will usually find different facilities to help with the situation. After that, the case worker needs to connect different organizations or persons intricate through a facility to the individual. The 'case manager ' is the one that gets everything linked together for the individual to contact. The 'case manager ' would be the main person that should know all the facts about the individual.

Reading your discussion made me reflecting my daily work as Case Manager; the everyday “wasting resources” as you mentioned and the readmission I have to deal with just because the noncompliance. It is a problem without a satisfactory solution.