What is Medical Case Management?
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals.
It refers to the planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health care providers, as well as the employee and his/her family and evaluation of treatment results.
Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual, monitors an individual’s progress and promotes cost-effective care.
What is Life Care Planning ?
A life care plan is a dynamic document based upon comprehensive assessment, data analysis and research. It provides an organized, concise plan for current and future needs with associated costs, for individuals who have experienced catastrophic injury or have chronic health care needs.
What is Care Coordination ?
Services provided by a licensed or certified health care professional designated by the insurance company to perform an assessment and develop a plan to meet your long-term care needs.
How will I benefit from a Case Manager?
As a result of working with a case manager, you’ll have the knowledge to manage your disease and access to resources that you need to get healthy and stay healthy. Do you have questions about medication, insurance or your overall health? Our Care Coordinators can help you understand and get you the education and care that you need.
How does a Case Manager work with my Primary Care Physician?
Case Manager do not take the place of your primary care doctor. They are a part of your medical team making sure all the pieces of your health care are delivered in a seamless way – helping you take charge of your care. Your care team will be lead by your primary care physician and may include others like a physician assistant, nurse practitioner and nurse. They also work with other health professionals, such as a pharmacist, nutritionist or social worker. Your Case Manager and primary care physician are in constant communication working together with you to get you healthy, stay healthy and access the care that is right for you.
I need someone to come help my mother a few times a week at home when I cannot be there. Do I need a Case Manager?
No. You just need to talk to someone at Rehabilitation Care Coordination, they can help set you up with the services you are looking for. If your mother needs to move to an assisted living home or needs more than what In-Home services can offer, then it may be time to talk to a case manager as this process can get more complicated.
I think I need a Case Manager so how does this process work?
If after a consultation it is decided that you or your loved one could benefit from these services, a care coordinator will be assigned to you. They will assess your situation and make recommendations based on that assessment. A plan of care will be developed and the case manager will work with you and/or your family to ensure your loved one is getting the best care possible. Your case manager will then continue to monitor the progress of these services and your loved one’s needs.
How do I know what service I need?
You can get a general idea from the information listed on the website but the best way to find out what services and payment options best meet your individual needs is to talk to one of our staff for a free consultation and assessment.
I don't have money to spend on this kind of thing, can you still help me
Yes. There are a number of options to help with the financial aspects of receiving care. This can be an overwhelming process that is why we have specialists to help set you up with a plan that will work for you. The easiest way to navigate through this is to contact us.
What is a Special Needs Trust ?
A Special Needs Trust (SNT) is created to ensure beneficiaries who are physically or mentally disabled will be able to use federal, state and county public benefits and resources intended for their benefit. A trust may be developed for an individual who lacks the mental or physical capacity to oversee their financial affairs or to enables an individual to access government benefits.
What is Family Case Management?
The primary focus is education of the family in the process of advocating for their child’s needs. This is accomplished through one to one training with families regarding their child’s needs and goals and resources available throughout the community. The ultimate goal is for the family to assume the role as case manager with periodic support and assistance.
We work with the best providers in the industry
Proactively service our clients
Our prices are very competitive
If you or someone you love is in need of a care coordinator specialist, please call us direct for an immediate response to help you!
Suite 103, San Diego, CA 92108
7851 Mission Center Court
San Diego, CA 92108