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As health care reform continues to unfold and performance-based payment models make more headway, emergency providers are pushing the boundaries beyond what the market has traditionally expected from this field of expertise.
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Group Health Cooperative's case managers target patients with complex medical conditions and/or psychosocial issues who have been hospitalized and work with them on managing their health with a goal of avoiding admissions, readmissions, and emergency department visits.
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Whenever theres something new that has to be done, theres a tendency for administrators in many settings to assign the task to case management, often with the comment that theyre already in the patient record.
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Nancy Polites, LCSW, C-ASWCM, worked as a social worker for a home health agency, a hospital, and a hospice service before starting Elder Care Service, a case management service for seniors in 2007 with a colleague while she was living in California.
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While the 12-hour work day has become the norm for nurses, there is new evidence that such longer shifts are not necessarily a good idea, especially when nurses work several consecutive days involving 12-hour shifts, or they are required to put in excessive amounts of overtime.
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To make a go of it as an independent practitioner, case managers must have a strong desire to do the job, know the rules and regulations involved in their profession, stand firm and resist the pressure to veer from doing things the right way, says Brenda Keeling, RN, CPHQ, CCM, president of Patient Response, Inc., a Durant, OK, healthcare consulting firm specializing in regulations and compliance.
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Its great to be on your own, make your own schedule, and do the work you love, but there are a lot of challenges associated with starting and maintaining a business as an independent case manager.
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Independent case managers should purchase malpractice insurance to protect themselves from possible legal action if the patients whose care they manage experience an adverse outcome, says Elizabeth Hogue, Esq., a Washington, DC, attorney specializing in healthcare issues.