Case managers are experienced nurses who work with the health care team to ensure delivery of high-quality care for patients and their families. They serve as liaisons between patients and families, physicians, and other members of the health care team. Case managers communicate directly with Medicare, Medicaid, and other insurance company representatives, anticipating and arranging for home health nursing support and other special care needs patients may have related to discharge from the hospital.
Case managers also serve as Clinical Nurse Specialists or Nurse Clinicians. They are experts in caring for individuals with complex health problems. As active members of the health care team, they offer ideas to improve the quality of care provided to patients and families. When specialized, complex education of patients and families are necessary, they work with the interdisciplinary team to coordinate a plan for education, reinforce education provided by staff nurses and other health care providers, and ensure that the family and patient are capable of providing care prior to discharge. Some of these nurses are Advanced Practice Nurses who provide inpatient and outpatient care for specific groups of patients. Others are active in the coordination of services for particular patient populations.
Members of the Case Management team are active participants in many hospital-wide committees. They also provide formal lectures and other educational opportunities to professionals and students. Some have joint appointments with the School of Nursing or serve as part-time faculty with area schools of nursing.