NU433 Case Management Across the Continuum of Care

NU433: Unit 7 Discussion

Topic: As a Case/Care Manager, you will not only be tasked with managing the physical/mental health of the patient/client, but you will also be responsible for adhering to regulatory guidelines established for reimbursement of services and compliance with care standards. For this Discussion, please review the Center for Medicare and Medicaid Services (CMS) Core Measures through a literature review. Then come back and discuss the following:

  • What is the purpose of the CMS organization?
  • What is the purpose of Core Measures?
  • What is the care/case manager’s role in adhering to guidelines regarding Core Measures?
  • Discuss pros and cons of the Core Measures guidelines.
  • Discuss any experience you have with the adherence to Core Measures.
  • Finally, what skills does the Care/Case Manager require to be successful at complying with CMS guidelines?

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