Which statement describes the role of the case manager in a health care organization quizlet?

Which of the following statements accurately defines case management?
a. A role and process that focuses on procuring, negotiating, and coordinating the care, services and resources needed by individuals with complex issues throughout an episode or continuum
b. A process of care delivery that aims at managing the clinical services needed by patients, ensuring appropriate resource utilization, enhancing the quality of care, and facilitating cost-effective patient care outcomes
c. A collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outcomes
d. All of the above

Sets with similar terms

Democratic, guiding

A democratic, guiding type of leader stimulates, directs, and assists the group to develop its maximum potential by facilitating and balancing group forces. A hierarchal, directing type of leader makes most of the decisions and controls the group, thus limiting group growth potential. An autocratic, controlling type of leader makes most of the decisions and controls the group, thus limiting group growth potential. A laissez-faire, observing type of leader allows group members to take over the group; if the group has no leader or leaders, little is gained from the group.

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Which of the following represents causes of mortality many more times likely for men than for women?

A. colorectal cancer, cirrhosis of the liver, homicide, heart disease
B. lung cancer, drug abuse, suicide, heart disease, and AIDS
C. prostate cancer, motor vehicle accidents, and suicide
D. lung cancer, motor vehicle accidents, cirrhosis of the liver, heart disease, and AIDS

A, B, D

Establishing a new park with a well-lit track, establishing a smoking cessation campaign, and providing free condoms at all federally funded health clinics all address the National Institute of Nursing Research themes and the Healthy People 2020 leading health indicators. A park, smoking cessation campaign, and free condoms address the themes of promoting health and preventing disease and the goal of increasing quality and years of healthy life. Providing reduced-cost transportation passes to senior citizens may indirectly affect the health of this population; however, it is not directly related to the themes of the National Institute of Research (promote health and prevent disease, improve quality of life through symptom management, and support palliative and end-of-life care, innovation, and nurse scientists) or the overall goals of Healthy People 2020 (increase quality and years of healthy life and eliminate health disparities).

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Which is the role of a case manager in a healthcare organization quizlet?

The case manager helps identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source.

Which of the following describes the primary purpose of case management quizlet?

The goals in case management are to reduce institutional care while maintaining quality processes and satisfactory outcomes; manage resource use through protocols, evidence-based decision making, guideline use, and disease-management programs; and control expenses by managing care processes and outcomes.

Which of the following is the responsibility of the case manager?

Case Manager duties include assessing, planning, implementing, monitoring and evaluating actions required to meet the client's health and human services needed.

Which of the following describes the primary purpose of case management?

The primary function of case managers is to advocate for clients/support systems. Case managers understand the importance of achieving quality outcomes for their clients and commit to the appropriate use of resources and empowerment of clients in a manner that is supportive and objective.