What is the role of a medical case manager in the medical field?
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
What is the role of a medical case manager in the medical field?
A medical case manager is a healthcare professional who plays a critical role in coordinating and managing patient care. Their primary responsibility is to ensure that patients receive the appropriate care and services in a timely, efficient, and cost-effective manner.
Medical case managers work with patients, their families, healthcare providers, and insurance companies to develop and implement a care plan that meets the individual needs of each patient. This may include coordinating medical treatments, managing medications, arranging for rehabilitation services, and ensuring that patients receive appropriate follow-up care.
Medical case managers must have a strong understanding of the healthcare system, including insurance policies and government programs, to help patients navigate the complex web of healthcare services. They must also be knowledgeable about available resources, such as community-based services and support groups, to help patients access the care and services they need.
In addition to coordinating care, medical case managers also play an important role in advocating for patients and their families. They may represent the patient in meetings with healthcare providers, insurance companies, and government agencies to ensure that their needs are understood and met. They may also work with patients and their families to identify and address any barriers to care, such as financial or transportation issues.
Medical case managers also play a key role in monitoring and evaluating the effectiveness of care. They work closely with patients and their healthcare providers to assess their progress and make any necessary adjustments to their care plans. This includes regularly reviewing patients’ medical records, laboratory results, and other diagnostic studies to ensure that the care they are receiving is appropriate and effective.
Another important role of medical case managers is to provide education and support to patients and their families. This may include providing information on medical conditions, treatments, and medications, as well as offering advice and resources on managing chronic illnesses, such as diabetes or heart disease. Medical case managers may also provide counseling and support to help patients and their families cope with the emotional and social impact of illness.
Medical case managers are also responsible for tracking and managing the cost of care. They work with patients, their families, and healthcare providers to ensure that care is delivered in a cost-effective manner, without compromising the quality of care. They may also coordinate with insurance companies and government agencies to obtain authorization for medical treatments and services, and to ensure that patients receive the maximum benefits and services to which they are entitled.
In conclusion, the role of a medical case manager is to coordinate and manage patient care in a manner that ensures that patients receive the appropriate care and services in a timely, efficient, and cost-effective manner. Medical case managers work with patients, their families, healthcare providers, and insurance companies to develop and implement care plans, advocate for patients, monitor and evaluate the effectiveness of care, provide education and support, and track and manage the cost of care. The goal of medical case management is to help patients receive the care they need to achieve and maintain optimal health.
RUBRIC
QUALITY OF RESPONSE |
NO RESPONSE |
POOR / UNSATISFACTORY |
SATISFACTORY |
GOOD |
EXCELLENT |
Content (worth a maximum of 50% of the total points) |
Zero points: Student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of Sources (worth a maximum of 20% of the total points). |
Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. |
10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. |
15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: Student failed to submit the final paper. |
5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors |
10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors |
15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. |
20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. |
Structure of the Paper (worth 10% of total points) |
Zero points: Student failed to submit the final paper. |
3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. |
5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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