Case manager

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Case Manager (literally translated as "Case Manager") is a new social and health care profession that originated in the United States' health system . The position is primarily occupied by social workers and nurses who have several years of professional experience and have completed appropriate training. Case manager, however, is not a protected job title . Job titles with similar tasks are patient coordinator , patient guide, patient companion, case and occupancy manager, etc. The task of the case managers is to control occupancy (planning admissions and discharges), to coordinate diagnostics, therapy and care via treatment standards and pathways with a view to improving them Efficiency of service delivery.

Case management or case management is used in hospitals, rehabilitation facilities, nursing homes and health insurance companies. It usually focuses on individual clinical pictures that make up the lion's share of the costs and revenues. The "Case Manager" looks after interfaces between doctors, nurses or therapists, and also to medical controlling and the IT departments, social services and post-inpatient care , as well as social support facilities. Resources and local support should be identified. The case manager can work with the case manager of the responsible insurance provider. He can positively control and accompany conflicts.

There are no training regulations or examination regulations. Private academies and public universities offer extra-occupational courses, for example the Potsdam University of Applied Sciences . The starting salary is between 30,000 and 35,000 euros. The salary varies between private and public employers and depends on the training.

definition

According to a definition of "Case Management Society of America" Case Management describes a "collaborative process of assessment, planning, assistance and legal representation" (assessment, planning, facilititation, and advocacy) of patients with the aim of "the health needs of an individual by To fulfill communication and provision of resources and to ensure high-quality, cost-effective treatment successes. ”The German term case management generally describes any type of flow chart of organized, needs-based assistance in the field of social work .

history

The idea of ​​case management emerged in the USA around 1990 primarily out of legal considerations. After numerous medical processes had led to an agreement, which created the Bundesgerichtshof (Federal Court) an Assisted Dispute Resolution Program , which allowed judges to consult a mediator. In 1991 this regulation was also adopted by the Federal Court of Australia .

In 2006, the "German Society for Care and Case Management" was founded in Germany. The registered association promotes the application and development of care and case management

  • in social affairs,
  • in the healthcare system,
  • in nursing,
  • in insurance and
  • in employment promotion.

The main focus here is on:

  • the training of case managers
  • the cooperation between the training centers
  • the further development of the content of care and case management
  • the regular, subject-specific exchange of experience through conferences, congresses and symposia
  • the development and deepening of evaluation
  • research on care and case management

Many case managers in the healthcare sector have registered in the forum for case management in healthcare e. V. networked. From the point of view of case managers in medical practices, clinics and insurance companies (GKV, private health insurances), the association has analyzed the needs in Germany and offers practical help for the implementation of case management. In order to implement the network idea, Facebook and Xing groups have also been set up.

As part of the planned GKV Supply Strengthening Act (GKV-VSG), case management in the healthcare system is also to be optimized.

literature

  • H. Astor and CM Chinkin: Dispute Resolution in Australia. Sydney Australia. LexisNexis Butterworths, 2nd Edition 2002.
  • L. Boulle: Mediation: Principles Process Practice. Queensland, Australia, LexisNexis Butterworths, 2nd Edition 2005.
  • WR Wendt: Case Management in Social and Health Care . Freiburg i.Br .: Lambertus, 5th edition 2010.
  • Pflügel, R. et al. 2009: Experience with change management: The introduction of case management in hospitals. In: Beherend, König, Krystek (Ed.): Aspects of the change in hospital management. Springer publishing house

Web links