A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Full Name: | Case Manager/Care Coordinator |
Taxonomy Code: | 171M00000X |
Level I, Provider Grouping: | Other Service Providers |
Level II, Classification: | Case Manager/Care Coordinator |
Additional Info: | Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |