Case Management Focus: Case Managers — Your Advocate on the Inside

30 Jan, 2024 Anne Llewellyn

                               

Sarasota, FL (WorkersCompensation.com) -- Case Managers are in place to assist people (patients and caregivers), coordinate care, and work with your team to help you obtain resources to meet your needs. They are in a place to advocate for YOU, the injured worker, the employer, and all healthcare team members. It has been said they are the glue that keeps the healthcare system together.

Case Managers are in every segment of the healthcare system, but sometimes they are hard to find. If you see yourself in a confusing system where you need to know what is happening, ask for a case manager. They should respond to your needs and help you find your needed resources.

If you are in the hospital, the hospital case manager may discuss discharge planning to a rehabilitation center or a skilled care facility. Once you are discharged, your hospital case manager will close your file. They may make a follow-up call to ensure your care plan is in place and working for you. If you are a complex patient and need more support, ask your hospital case manager to connect you to a case manager at your insurance company. There should be continuity for each case manager you encounter, as they all should work together.

The case managers want to help you understand your condition, prevent setbacks, and find resources to meet your needs. They should also be able to support you by asking questions about your insurance company or other doctors you are working with as part of your team.

Simply put, they are in place to help you – help your family – and help you understand your condition so you can prevent setbacks and learn to advocate for yourself.

Many case managers work telephonically, but many work on-site and can get to doctors' appointments with you so they can help you formulate questions that can address your concerns about your care.

Most case managers are nurses, social workers, physical and other therapists, and mental health professionals.

If you need help in the healthcare system, ask if there is a case/care management department, and if so, can you please see a case manager? If you have insurance, you can call your healthcare insurance company to get one assigned to you. If you are an injured worker, ask the claims adjuster to bring a case manager into the team.


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    About The Author

    • Anne Llewellyn

      Anne Llewellyn is a registered nurse with over forty years of experience in critical care, risk management, case management, patient advocacy, healthcare publications and training and development. Anne has been a leader in the area of Patient Advocacy since 2010. She was a Founding member of the Patient Advocate Certification Board and is currently serving on the National Association of Health Care Advocacy. Anne writes a weekly Blog, Nurse Advocate to share stories and events that will educate and empower people be better prepared when they enter the healthcare system.

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