Overview
Case managers assess patient needs, develop individualized care plans and coordinate services across inpatient, outpatient and community settings to support safe transitions.
Care Coordination
They arrange referrals, durable medical equipment, home health and social supports and communicate with payers and providers to align services with patient goals.
Utilization and Advocacy
Case managers review utilization, support discharge planning and advocate for appropriate services while addressing social determinants that affect recovery and adherence.
Credentials and Roles
Case managers often hold nursing, social work or allied health credentials and certifications in case management and care coordination.