Nurse Case Managers
Case management can be described as a profession that involves joint processes, which measure, plan, implement, direct, monitor and evaluate services required and options in place to satisfy the health needs of individuals. It makes use of available resources, alongside communication in the promotion of quality and cost-effective healthcare outcomes. The three main aims of Case Management are the improvement of care experience, the health of populations and reduction of healthcare per capita costs. Long term patient care plans are usually supervised by nurse case managers, who work together with other medical practitioners to ensure excellent treatment outcomes are achieved ( Joo & Liu, 2017 ). The case management nursing field is considered as the most rewarding in the nursing career since nurses are allowed to develop extended relationships with patients because of working together for the entire treatment period. Purposely, I will discuss the various roles and skill qualifications of nurse case managers. I will also narrow down further to describe nurse case managers’ roles in Homecare, acute and primary care settings.
Clinical experience gives nurses a unique qualification to facilitate an understanding of the clinical procedures of planning, assessment, evaluation and implementation. Advanced Practice Nurses are usually well skilled for case management since their graduate-level degrees prepare them better with research-based and analytical competencies required on in the job. Nurse Case managers perform a vast number of roles in ensuring a proper healing process. Some of their significant duties are documentation of ongoing activities and clients’ case management plans and coming up with client-centered case management plans. Case management nurses also serve as clients’ advocates, communicating the preferred care procedures and verifying that the goals of treatment and clients’ needs are met by the applied interventions ( Harris & Popejoy, 2019 ). Furthermore, they observe and screen populations to identify health needs, educate clients, family members and in some occasions, caregivers about the process of case management, after which they evaluate to determine their understanding.
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Required Skills for Nurses to enter the Case Management Role
Institution type and patient population in question usually determine the required skills to be absorbed as a nurse case manager. However, there are other general requirements, listed by the American Nurse Credential Centre, that make one qualify for the position of a nurse case manager. Some of the requirements include an active Registered Nurse license and more than two years’ experience in the nursing profession ( Joo & Liu, 2017 ). Other qualifications are professional experience in discharge planning, case management and top-notch communication and interpersonal skills to enable effective working with other caregivers, patients and family members.
Role of a Nurse Case Manager in Homecare, Acute and Primary Care Settings
In Homecare, nurse case managers ensure patient satisfaction with the received services through consultation with the physician to ensure that the care plan’s costs can be managed by the client. They also protect the confidentiality of the patient by ensuring that sensitive information that can ruin the client’s reputation are not exposed.
Nurse case Managers in Acute care setting perform a patient physical assessment. This process involves identifying the health problem within a patient and recording data for a proper treatment plan. They also discuss disease structure with relevant physicians, to provide insight into the best treatment procedures ( Harris & Popejoy, 2019 ). Nurse case managers also develop a detailed plan of care that makes it possible to move the patient in a location that meets the patient’s needs.
In the primary care setting, a nurse case manager configures the healthcare provision system to promote professional accountability while at the same time, improve care continuity. They also perform assessment, planning and evaluation of care procedures.
References
Harris, R. C., & Popejoy, L. L. (2019). Case Management: An Evolving Role.
Joo, J. Y., & Liu, M. F. (2017). Case management effectiveness in reducing hospital use: a systematic review. International nursing review , 64 (2), 296-308.
