Nurse Case Management

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Case Management Reflection Nurse case management serve an important role in the hospital. They identify needs of the patient prior to discharge and help allocate resources to them as well. Case management is a collaborative process, they work with physicians, nurses, social workers and other healthcare professionals. The role of the case manager includes working to meet the complex needs of patients. They also make provisions for current and future needs, promotes quality care, and facilitates the use of appropriate allocation of resources. The case manager is also in charge of ensuring that ethical and legal issues are met and addressed for each individual patient. They need to have a great knowledge base on government, public, private insurance reimbursement policies in regards to their healthcare facility. Furthermore, they review charts and have meetings with healthcare professionals to ensure that the patient is receiving the proper level of care. Finally, they mediate and facilitate during the admission and discharge process of the patient.
The nurse case manager that I followed; prior to meeting with the patient sat down and organized all the paper work and charts that she need for the day. In the assessment process, the nurse …show more content…

This helps with reducing 30-day readmission rates, and the overall health of the patient. The appointments are set up for the patient already so that they don’t forget to make them when they are home. The nurses and the case managers educate on the importance of follow-up care. This way the patient is not readmitted for the same disease again. At the same time the case manager is promoting health maintenance of the patient. One of the most important things that the case manager can do is to make sure the patient understands their plan of care. The case manager must be able to properly communicate with the patient by any means deemed

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