According to the Case Management Society of America (CMSA), case
management is a collaborative process that assesses plans, implements,
coordinates, monitors and evaluates options and services to meet an individual’s
health needs through communications and available resources to promote quality,
A case manager is a healthcare 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
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
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
•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
Generate reports to the insurance company to provide updates relative to the
injured individual's progress