What is a case manager accountable for? - CORRECT ANSWER The case manager is
accountable for collaboratively facilitating the assessment, planning,
... [Show More] implementation
and evaluation of care coordination and care transitions in the acute care setting.
What are case managers advocates for? - CORRECT ANSWER 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? - CORRECT
ANSWER 1. Coordination and facilitation of care
2. Utilization and resource management
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? - CORRECT ANSWER 1. Clinical
2. Business/Financial
3. Managerial
4. Professionalism
In the clinical setting, what type of assessment does the case manager perform? -
CORRECT ANSWER Patient and family interview and review of medical record
What type of planning is performed by the case manager in a clinical setting? -
CORRECT ANSWER 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 performed by the case manager in the clinical setting? -
CORRECT ANSWER 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? - CORRECT
ANSWER Reassessment for any decline in status and plan revisions
What are 4 roles of the case manager in managing business/financial concerns? -
CORRECT ANSWER 1. Ensure that the level of care is appropriate and services are
medically necessary
2. Proactively identify delays in care, delays 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? - CORRECT ANSWER 1. A nurse
case manager must display leadership 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 environment 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? - CORRECT ANSWER 1. Integrate high ethical
standards 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 [Show Less]