1. Principles of Case Management
Definition: Collaborative process to assess, plan, implement, coordinate, monitor, and
evaluate services for clients.
Objectives: Improve client outcomes, promote independence, ensure quality care, and
optimize resource use.
Roles: Case managers, interdisciplinary teams, clients, and families.
2. Client Assessment
Comprehensive assessment: physical, emotional, social, and financial needs.
Identify barriers, risks, and available resources.
Utilize assessment tools such as functional assessments and psychosocial evaluations.
Reassess periodically to adjust care plans.
3. Care Planning
Develop individualized, measurable care plans.
Include interventions, responsible parties, timelines, and expected outcomes.
Coordinate services across providers and care settings.
Monitor adherence and update plans as needed.
4. Legal and Ethical Considerations
HIPAA: Ensure confidentiality and privacy of client information.
Informed Consent: Ensure clients understand and agree to care.
Mandatory Reporting: Report suspected abuse, neglect, or exploitation.
Ethical Principles: Beneficence, non-maleficence, autonomy, justice, fidelity.
5. Documentation
Maintain accurate, objective, and timely records.
Include assessments, interventions, outcomes, and follow-up actions.