What are the qualifications of a nurse case manager?

October 9th, 2019

A. MANAGED REHABilitation Consultants, Inc. , is proud of our skilled and experienced professional staff. Our nurse case managers are Registered Nurses who have completed a college nursing program; or have been qualified as a Certified Case Manager (CCM). They have extensive clinical practice experience in fields such as: Inpatient Rehabilitation; Home Health Care; Critical Care; Public Health; Inpatient Pediatrics; Inpatient Medical/Surgical; Inpatient Psychiatric/Substance Abuse.

Does my insurance cover the cost of case management?

October 9th, 2019

A. Medical Case Management is a benefit of Auto No-Fault insurance in the state of Michigan. Depending on the circumstances, medical case management may be covered by Worker's Compensation Insurance.

Elder Case Services may be covered by Long Term Care insurance policies.

My child sustained a catastrophic injury in a motor vehicle accident and needs special services. How can I make sure he is getting the medical treatment and educational services necessary?

October 9th, 2019

A. A medical case manager is a valuable resource for parents facing the challenges of raising a child with a catastrophic injury such as traumatic brain injury or spinal cord injury. Our medical case manager will review your child’s medical history, attend medical provider and educational care conferences, and work together with you and your child’s physicians and teachers to insure that appropriate medical and educational services are being implemented.

It’s becoming difficult for my elderly parent to live independently. How can an Elder case manager help me?

October 9th, 2019

A. Caring for elderly loved ones can be overwhelming. Our elder case manager evaluates your loved one’s health as well as their financial and community situation, and will help you make the best decision regarding their future living arrangements. If it is determined that your loved one is no longer able to live independently, our elder case manager can recommend alternatives.

When are the services of a case manager needed?

October 9th, 2019

A. There are numerous circumstances in which case management services are needed, including:

When an individual is living with a chronic condition that severely affects their functional ability
When an individual has suffered a catastrophic injury (brain injury, spinal cord injury, or neurological condition) as a result of a motor vehicle accident or work related accident
When an individual is no longer able to live independently due to the effects of injury, illness, or aging
When there is a noted lack of progress in an individual’s recovery from an injury, condition, or diagnosis
When a physician recommends a surgical procedure, and the individual is unclear as to whether this is the best course of action for them
When an individual is discharged from the hospital without a clearly defined rehabilitation plan
When multiple health care providers are involved in an individual’s treatment resulting in lack of coordination in care and communication
When an individual is taking numerous medications prescribed by different physicians and there is concern regarding overlapping side effects

Case management services are not limited to the above circumstances.

Why should I use case management services?

October 9th, 2019

A. Case management services save time, money, and effort, while helping you obtain the best possible services for your specific condition. Case management helps you gain access to the most appropriate and qualified medical providers in a timely fashion.

What is case management?

October 9th, 2019

A. The Case Management Society of America (CMSA) defines case management as a “collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s health needs through communication and available resources to promote quality cost-effective outcomes.

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