Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Case Management

No description
by

Z B

on 20 March 2014

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Case Management

Anissa
Jamal
Zahraa

Case Management

What is Case Management?

1. Program Closures
2. Lack of Funding
3. Limited Housing Support
4. Eligibility Requirements
5. Medicaid Program on Freeze

Some Barriers in Locating Benefits
Questions?
Locating Available Benefits
DTE Energy saving program (Installation of compact fluorescent light (CFL) bulbs  
Replacement of inefficient equipment, such as furnaces, with high-efficiency equipment
Installation of attic, wall,
Air sealing improvements to reduce infiltration
Installation of programmable thermostats (gas heating only)
Installation of domestic hot water savings measures
Come Cast H S internet Essentials program for $9.95 a month
Low cost Computer package for $150

Case Management Tasks
The Referral Process
Role of Case Manager
Assessing Patients' Needs
Developing Service Plans
Linking Patients' to Services
Monitoring Provision of Services
Evaluating Patients' Progress

The determination of the need for case management must occur at the completion of the intake process and through the person-centered planning process for beneficiaries receiving services and supports.
Justification as to whether case management is needed or not must be documented in the beneficiary’s record.
Assessment of need for case management services.
Coordinating and assisting the beneficiary in crisis intervention and discharge planning, including community supports after hospitalization.
Facilitating the transition (e.g., from inpatient to community services, school to work, dependent to independent living) process, including arrangements for follow-up services.
Assisting beneficiaries with crisis.

Coordinating and assisting the beneficiary in crisis intervention and discharge planning, including community supports after hospitalization.
Facilitating the transition (e.g., from inpatient to community services, school to work, dependent to independent living) process, including arrangements for follow-up services.
Assisting beneficiaries with crisis.



Vocational/Educational Assistance
- Consumer is interested in gainful employment in the area of janitorial.
- Consumer is interested in a referral to the Clubhouse and/or ACCESS’ employment.
- Consumer is interest in attending college.
Liaison with School .
- Consumer is interest in attending English language class.


Financial Assistance
Other Types of Assistance

- Living Assistance
Assistance with housing, homeless shelter, section 8
- Physical Health
Obtain info from PCP, Referrals to PCP, etc.
- Assessing Safety
Issues related to home, school, behaviors
- Support Systems
Assessing relationships with family, friends, religious centers, etc.
- Parenting/ Family Issues
Childcare, Domestic Violence, Parenting Skills, etc.
The Healthcare Dilemma

History of Medicaid

The Affordable Care Act

Michigan Medicaid Program will open in June of 2014 for those who are eligible. (133% below the poverty line)

What's working..
Written referrals

Rise in case management referrals

Introduction with therapist present

What's not working..
Number of cases being referred

Some case management services can not be fulfilled

Flexibility of time

Scheduling/ Time Conflicts

Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.
CMSA - Case Management Society of America
Case Management Assessment
DETERMINATION OF NEED
- Identifying and addressing gaps in service provision.
- Coordinating the beneficiary’s services and supports with all providers, making referrals, and advocating for the beneficiary.
- Assisting the beneficiary to access programs that provide financial, medical, and other assistance such as Home Help and Transportation services.
- Assuring coordination with the beneficiary’s primary and other health care providers to assure continuity of care.


Tasks Cont.
Tasks Cont.
Legal Tasks
Help parents to complete legal guardianship.
Indicate the type of guardianship (full/partial).
Help client to cancel any legal guardianship .
Consumer needs assistance with probation Agent
Consumer needs assistance with child support .
Consumer needs assistance with immigration Services

- Assistance with Health Insurance, food, and cash .
- Assistance with SSI benefits.
- Assistance with Job .
- Consumer needs financial assistance if he or she providing care for adult disable.
- Consumer needs assistance to open small Business

Studies have shown that case management led to a higher level of service use, which in turn led to better outcomes in related areas.
- Georing, et al., 1988.
Effectiveness of Case Management
Assess clients needs
Ensure they have basic needs
Provide client with various resources
Link and coordinate with client
Full transcript