The Central Role of Care Coordination and Patient Advocacy
The fundamental purpose of Medical Case Management is to act as the unifying force within the fragmented healthcare system, focusing intensely on the individual patient's trajectory.
Key functions of the case manager include:
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Comprehensive Assessment and Planning: Conducting a holistic evaluation of the patient's medical, psychosocial, financial, and environmental needs to develop a precise, goals-oriented "plan of care."
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Service Facilitation: Organizing, scheduling, and ensuring the patient accesses all necessary resources, from specialist appointments and rehabilitation to durable medical equipment and home health services.
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Patient Advocacy: Serving as a dedicated advocate to empower the patient and family, navigate complex insurance rules, and secure appropriate entitlements and access to care.
By managing the complex intersection of clinical care, financial resources, and social support, case management ensures continuity and maximizes the likelihood of achieving optimal, cost-effective health outcomes.
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