Fulfills the definition of case management through a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost effective outcomes.
Action Case Management also assists clients with establishing benefits and paperwork for wage loss benefits and PIP benefits, SSD, and SSDI claims, assigned claims and we help secure attendant care and replacement services if needed.
There in NO FEE for services to attorneys, clients or their families, Action Case Management invoices the insurance company directly.
We liaison between the client, family member, attorneys, insurance company and treatment providers/facilities so that everyone can work together toward recovery.
Action Case Management believes that all individual experiencing serious injuries or illnesses should be evaluated for case management services.
Action Case Management is committed to the ethical standards of the Case Management Society of America,
Action Case Management employs skilled case managers to facilitate and oversee medical care for patients requiring medical intervention. The case manager primary roles are: Assessment, Planning, Facilitation, Monitoring and advocacy.
Assessment – Case Managers gather relevant, comprehensive information required for accurate client assessment.
Planning – Case Managers engage the client and their family in the planning process as the primary decision maker and goal setter following the recommendations of their physician.
Facilitation – In order to develop an appropriate plan of care the case managers will actively promote, coordinate and facilitate communication among the client and their family, the primary care physician/PM&R, members of the healthcare team, the insurance company and other relevant parties.
Monitoring – The case manager employs a process of ongoing assessment and documentation to monitor the quality of care, services and products delivered to the client to determine if the goals of the plan of care are being achieved, whether they remain appropriate and what actons may be implemented to enhance positive outcomes.
Advocacy - Case Managers advocate understanding and respect for the beliefs, value system and decision of the client. At Action Case Management we recognize the clients right to make informed choices.
Case Management services begin with contact between the case manager and client and continue as an ongoing relationship. Our Case Managers coordinate care through individualized care plans with multi disciplinary intervention.
Within 24 hours - Client Contact
Within 72 hours - Home Visit and needs assessed
Within 2 weeks - Handling Plan
Every 30 Days - Comprehensive Report
Increasingly, case manager are being recognized as an essential component of healthcare delivery. We adhere to CASE MANAGEMENT GOALS as described by CMSA standards of proactive of Case Management.
Our Goals are:
To enhance an individual's safety, productivity, satisfaction and quality of life.
To assure that appropriate services are generated in a timely and cost effective manner.
To assist assist clients to achieve an enhanced level of health and to maintain wellness and function by facilitating health services.
To assist clients to appropriately self advocate, direct self care, and make informed health care decisions.
To maintain ongoing documentation and reporting of goal achievement.