Articles

Do I Have to be a Nurse to be a Case Manager: Correcting the Misinformation

The question often looms: do I have to be a nurse to be a case manager? This is an especially common query in The Case Manager’s Community, and particularly across hospital- and health plan-based case managers. The short answer to this question is NO. However, as is typical within our case management profession, there is NO short or easy answer.

As a Case Manager, My Boss Says I Don’t Need to be Licensed in Every State that My Patients Are In… Is This Correct? (UPDATED 6/24/2024)

The short answer is: NO! The industry standard for professional case managers is that they should be licensed in every state that their patients are in. However, case managers across practice settings are put in an ethical and legal “hot seat” with respect to this issue. Employer mandates don’t sync with professional requirements. This leaves […]

Breaking News: CMSA Releases Four Important Papers for All Case Management Professionals

The Case Management Society of America held its annual conference on June 4-7 in Providence, Rhode Island, to learn, network, and share information to improve their practice and the healthcare system. At the Conference, they released Four Important Papers for All Case Management Professionals

Several papers were introduced that will help CMSA, and all case managers, share the vital work case managers do in every sector of the healthcare system. 

Tips to Assist Case Managers Who Did Not Pass the CCM Examination

If you have been following the Case Managers Community on Facebook, you know that in April, August and December are the months that people who are sitting for the Case Management Certification Exams (CCM) are testing. You can feel the stress before these months as case managers who are testing try to prepare and anticipate how they should prepare for the test.

To Report or Not to Report? Mandatory Reporting and Duty to Warn for Case Managers

Mandatory Reporting

Mandatory reporting refers to case managers and other practitioners informing formal state authorities about their suspicions for potential child or adult abuse, neglect, and exploitation. That word “potential” is an important one as it is up to those formal state authorities and agencies to define the actions and not the case manager. I’ve had countless colleagues in leadership roles for these agencies remind me of that fact! 

As a Case Manager, Must I be Licensed in Every State that My Patients Are? My boss says NO, BUT….

The industry standard for professional case managers is that they should be licensed in every state where their patients are. However, case managers and other practitioners are chronically put in that ethical and legal “hot seat”, and asked to juggle employer mandates with professional requirements. The workforce is constantly set up for sanction by being told things like, “Case management is coaching” and does not involve assessment. The inaccuracies of this statement couldn’t be farther from the truth!

A Revolution in Healthcare – Health Information Technology

Health Information Technology is a force that will touch every healthcare organization and professional.
Health systems, payers, and providers must include patients and their families as health information technologies are introduced. Their impact and voices will be one way to determine which systems are right and whether they are making the expected difference.
We will need to continue to use data better to address issues and identify areas of improvement.

AMA Discharge and Case Management Responsibility

AMA Discharge and Case Management Responsibility: An Ethical and Compliance Quandary  

A patient is admitted to the hospital and the physician and treatment team recommendation is clear: the patient would benefit from being discharged to a skilled nursing facility (SNF). However, the patient adamantly refuses and only wishes to go home. Does the physician have the right to request that the patient leave the hospital against medical advice or AMA?

There is no I in Team

Case Management is a team sport, and like in all sports, there is no I in team, and the team members have to respect each other and work together. In this article, I would like to discuss the benefits and strategies of incorporating multidisciplinary perspectives, such as social workers, pharmacists, physicians, therapists, psychologists, and the other disciplines that comprise the multidisciplinary healthcare workforce.