Analyze ethical and legal issues that arise in the context of population health management.

Competencies and Functions of Case Managers

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Competencies and Functions of Case Managers Goals After completing this module, you will be able to do the following: • Develop an awareness of one’s skill set necessary for effective case management. • Explore identified case manager roles and functions. • Analyze ethical and legal issues that arise in the context of population health management. Overview This module focuses on the competencies and functions of case managers. As the health care environment shifts and new influences surface to address the dynamic and complex needs of clients, case managers must possess competency in many skill areas to demonstrate effective case management practices at the individual, family, and population level. The process of case management is similar to the nursing process. Case managers are recognized experts whose practice is guided by a collaborative process which includes assessment, planning, facilitation, care coordination, evaluation, and advocacy (CSMA, 2010, p. 8). Case management practice is grounded in professional competencies, and this module allows the population health nurse to examine his/her individual circumstance to promote excellence in effective case management practice. Learning Materials • Chapter 12 – Clark, M. (2015). Population and community health nursing (6th ed.). Upper Saddle River, NJ: Pearson. • Case Management Society of America’s Standards of Practice for Case Management (2016). • Giunta, N. & Cain, K. (2015). Community-based case management and health care use in older adults: Outcomes of a collaborative multiagency approach. Care Management Journals, 16(1), 20-29. • Interview with a case manager (11 minutes) Assignment: Create a Chart of 10 items that explores the ethical and legal issues in Population Health Management. Your Chart should contain no more than 10 items (excluding the title and reference page) and should include two scholarly references outside of your textbook THAT ARE NOT OLDER THAN 5 YEARS OLD AND ONE REFERENCE FROM THE TEXTBOOK >> Clark listed above.