Exam #1: Case Management , Questions and answers, rated A+ What is a case manager accountable for? - ✅✅ -The case manager is accountable for collabora tively facilitating the assessment, planning, implementation and evaluation of care coordination and care transitions in the acute care setting. What are case managers advocates for? - ✅✅ -Nurse case managers serve as advocates for options and services to meet the patient and family needs, while promoting quality, cost effective outcomes for the assigned case types. What are 5 key functions and responsibilities of a case manager? - ✅✅ -1. Coordination and facilitation of care 2. Utilization and resource man agement 3. Tracking of avoidable delays 4. Transitional and discharge planning 5. Quality and process improvement A nurse case manager must encompass a knowledge of the health care environment with regards to what 4 aspects? - ✅✅ -1. Clinical 2. Business/F inancial 3. Managerial 4. Professionalism In the clinical setting, what type of assessment does the case manager perform? - ✅✅ -Patient and family interview and review of medical record What type of planning is performed by the case manager in a clinical setting? - ✅✅ -Consult with the physician, health care team and patient/family - develop plan of care to facilitate a timely discharge /transition plan What type of implementation is perf ormed by the case manager in the clinical setting? - ✅✅ -
Implements the plan of care in a timely manner to facilitate accomplishment of goals and interventions. What type of evaluations do case managers perform in the clinical setting? - ✅✅ -Reassessment fo r any decline in status and plan revisions What are 4 roles of the case manager in managing business/financial concerns? - ✅✅ -1. Ensure that the level of care is appropriate and services are medically necessary 2. Proactively identify delays in care, dela ys in discharge and risk of readmission 3. Maintain competence of utilization review (inpatient vs. observation status) 4. Document avoidable delays/days What are 5 managerial duties of the case manager? - ✅✅ -1. A nurse case manager must display leadershi p skills in decision making and problem solving 2. Must actively participate in Interdisciplinary Team Meetings and maintain open communication with physicians 3. Strive to make productive use of time through the setting of priorities 4. Foster an environm ent of professionalism 5. Utilize the Chain of Command effectively in addressing complex/unusual situations What are 5 key points that the case manager is responsible for in instituting professionalism in the profession? - ✅✅ -1. Integrate high ethical sta ndards and core values 2. Hold self and others accountable 3. Perform work in an accurate and timely manner 4. Serve as a role model and mentor 5. Maintain current clinical knowledge and leadership skills What is a clinical pathway? - ✅✅ -A clinical pathwa y is a map of clinical practice for a particular diagnosis - also known as care maps. It is a timeline for patient care activities which is used by all disciplines
Implements the plan of care in a timely manner to facilitate accomplishment of goals and interventions. What type of evaluations do case managers perform in the clinical setting? - ✅✅ -Reassessment fo r any decline in status and plan revisions What are 4 roles of the case manager in managing business/financial concerns? - ✅✅ -1. Ensure that the level of care is appropriate and services are medically necessary 2. Proactively identify delays in care, dela ys in discharge and risk of readmission 3. Maintain competence of utilization review (inpatient vs. observation status) 4. Document avoidable delays/days What are 5 managerial duties of the case manager? - ✅✅ -1. A nurse case manager must display leadershi p skills in decision making and problem solving 2. Must actively participate in Interdisciplinary Team Meetings and maintain open communication with physicians 3. Strive to make productive use of time through the setting of priorities 4. Foster an environm ent of professionalism 5. Utilize the Chain of Command effectively in addressing complex/unusual situations What are 5 key points that the case manager is responsible for in instituting professionalism in the profession? - ✅✅ -1. Integrate high ethical sta ndards and core values 2. Hold self and others accountable 3. Perform work in an accurate and timely manner 4. Serve as a role model and mentor 5. Maintain current clinical knowledge and leadership skills What is a clinical pathway? - ✅✅ -A clinical pathwa y is a map of clinical practice for a particular diagnosis - also known as care maps. It is a timeline for patient care activities which is used by all disciplines
