Nurse Case Managers are patient advocates, clinical experts, consultants, educators, facilitators, mentors, researchers and entrepreneurs. Regardless of their role or setting, they are often called the “glue” that holds the system together in promoting patient access to quality, cost-effective health care while transitioning through the continuum of care in the complicated world of health care. They speak for those who cannot speak for themselves.
Nurse Case Managers ensure that health care is safe, timely, appropriate, cost-effective, evidence-based and provided in the least restrictive setting to meet individualized patient needs, optimize function, and promote quality of life. The framework for nursing case management includes: assessment, planning, implementation/coordination, monitoring/evaluation, interaction, and outcomes.
Life Care Plans are frequently utilized as a guide and updated as necessary.
Although there are multiple professional disciplines and organizations that define Case Management, the common thread is advocacy. Effective Nurse Case Managers are skillful negotiators, who are adept at building solid relationships among the parties involved.
Nurse Case Management is invaluable for a variety of diagnoses and conditions, including, but not limited to: