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Case Management

Across
Equipment needed by patients for self-care. Usually it must withstand repeated use, is used for a medical purpose, and is appropriate for use in the home setting.
The formal process or request to reconsider a decision made not to approve an admission or healthcare services, reimbursement for services rendered, or a client's request for postponing the discharge date and extending the length of stay.
Care provided primarily to assist a client in meeting the activities of daily living but not requiring skilled nursing care
The total number of clients followed by a case manager or social worker at any point in time.
Nationally recognized standards that describe when and how an individual client with a specific health condition is expected to progress through the continuum of healthcare and human services
Facility where client care services that require delivery by a licensed professional such as a registered nurse or physical therapist, occupational therapist, speech pathologist, or social worker.
Professional who promotes social change, problem solving in human relationships and the empowerment and liberation of people to enhance well-being. Utilizing theories of human behavior and social systems, social work intervenes at the points where people interact with their environments.
Agencies which provide skilled nursing services in the patients home environment.
Down
The type of health and human services covered by an insurance company/health plan and as agreed upon between the plan/insurance company and the individual enrollee or participant.
The process of assessing the client's needs of care after discharge from a healthcare facility and ensuring that the necessary services are in place before discharge. T
A person or agency who speaks on behalf of others and promotes their cause.
A health and human servcies professional who is responsible for coordinating the overall care, services and resources delivered to an individual client or a group of clients and their support systems based on the client's health and human services issues, needs and interests.
The process of collecting in-depth information about a person’s situation and functioning to identify individual needs in order to develop a comprehensive case management plan that will address those needs.
No authorization or certification is given for healthcare services because of the inability to provide justification of medical necessity or appropriateness of treatment or length of stay
Restoration of an individual’s capability to achieve the fullest possible life compatible with his abilities and disabilities;
Consolidated Omnibus Budget Reconciliation Act