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| According to the Case Management Society of America (CMSA), case management is a collaborative process that assesses plans, implements, coordinates, monitors and evaluates resources to promote quality, cost-effective outcomes. A case manager is a health care professional whose role is to coordinate an integrated plan of care including the medical, rehabilitation, educational, vocational, and psycho-social issues for an individual with impairments or chronic illness. The plan of care should maximize an individual’s medical stability, optimize physical and cognitive potentials and integrate the person into as normal a life pattern as possible. A case manager may come from a wide range of professional areas including nursing, psychology, rehabilitation counseling and social work. A person certified to provide Case Management is a Certified Case Manager (CCM). These individuals must be licensed in their respective states in their professional practice area. (e.g. Registered nurse, licensed professional counselor). Case Managers also obtain certification in other specialty areas. (e.g. Certified rehabilitation nurse (CRRN), certified rehabilitation counselor (CRC), certified disability management specialist (CDMS), certified vocational evaluation (CVE). These additional certifications require significant continuing education that assures the professional has current knowledge and practice in their field. Though many people provide case management services without a CCM, certification commits the individual to perform within certain national standards of practice and ethics. Case managers are found within hospitals, rehabilitation programs, insurance companies, and the private sector. While case managers may interact with a family and the person with brain injury during a specific time, they often do not follow the individual long term. Insurers and families may choose to hire an independent case manager to assist them in coordination of services, acquisition of services and equipment, monitoring of services provided and long term care planning The role of a case manager in a hospital or rehabilitation program typically focuses on goals and services provided while the person is participating in their program. Much of their effort revolves around coordinating payments for services and equipment from sources such as private insurance, worker’s comp and government funds. Case Management Services specializes in cases involving traumatic brain injury, spinal cord injury, orthopedic injuries, and/or work-related injuries. Our case management activities include the following: • Evaluate the injured individual's situation and identify his/her needs and goals. •Collaborate with treatment providers to identify an individualized rehabilitation plan for the injured individual and assist to implement the plan. •Empower the injured individual to make informed decisions relative to treatment options and provide support. • Coordinate appropriate, high-quality medical and rehabilitation services including therapy, attendant care, and school/vocational services as needed. • Address needs including durable medical equipment, medications, home modifications or alternative housing, transportation and vehicle modifications. • Serve as a communication bridge between the injured individual, his/her family, treatment providers, the insurer, and the employer to streamline the process. •Update the rehabilitation plan as the injured individual progresses and his/her needs change. Generate reports to the insurance company to provide updates relative to the injured individual's progress. |
Medical Case Management & Home Nursing Care |
| Providing home care solutions to the families of traumatic brain injured. |