If you have private health care insurance and are having a lot of problems
working with suppliers on bills you've incurred, or getting approval for procedures,
etc. and it’s driving you crazy, ask your insurance provider if they can
assign a "Case Manager" to your person with HD/insured. Most insurance
companies do not make you aware of this service, however most do have it! These
individuals are assigned to health cases where there are numerous doctors involved
with many procedures being done. Once a Case Manager is assigned, you should
never have to speak to anyone other then the case manager. You give them ALL
of your billing/pre-approval/scheduling/etc. problems and they handle it for
you. It was a real sanity saver for me!
Aging Internet Information Notes
Care and Case Management
http://www.aoa.gov/prof/notes/notes_care_case.asp
To view the document in:
Word: http://www.aoa.gov/prof/notes/Docs/Care_Case_Management.doc
PDF: http://www.aoa.gov/prof/notes/Docs/Care_Case_Management.pdf
Care and Case Management
This document helps define this new profession and practice, describe organizations
that represent its professional development, and include select examples in
a variety of work environments. This document lists the Case Management
contact in states where it is available.
Definition/Standards
Hospital Discharge Planning
Organizations
Training
Professional Directories
Resources
Research and Evaluation Reports
Service Examples
Care or case management (the terms are used interchangeably) is a specialty occupation that has emerged in recent years from roots in hospital discharge planning and social work casework. Driven by rising costs of healthcare and public welfare programs, insurance executives and public policy makers have found ways to impose limits on spending in health and social services through enrollment and eligibility requirements. Providers, such as health care institutions and local government health and social service agencies, must operate within these financial limits. To do so, they hire case/care managers to assess the needs of clients or patients, develop a plan of services to meet those needs, arrange and monitor delivery of services, and evaluate the effectiveness and need for continuation of services.
In the private sector, geriatric care managers serve as consultants for families
with dependent older adults or as contracted agent representatives for corporate
employee benefit services. Clients often live in a different geographic area
than the family member needing services which increases their need for counseling
and assistance in planning and procuring supportive services. Web sites on this
page help define this new profession and practice, describe organizations which
represent its professional development, and include select examples in institutional,
governmental and private practice environments.
Created and maintained by Renette Davis. Send comments to Renette by clicking here.
Created: Nov. 11, 2004
Last updated: Nov. 13, 2010