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Summary
Case management, traditionally done by nurses and rehab professionals, is evolving. Managed care growth has driven the need for formal standards and credentialing in the field.
Area of Science:
- Occupational health
- Rehabilitation science
- Healthcare management
Background:
- Case management has historically been the domain of occupational health nurses and rehabilitation professionals.
- The healthcare landscape is shifting, with managed care principles influencing service delivery.
- This evolution necessitates a re-evaluation of traditional case management practices.
Purpose of the Study:
- To explore the historical context of case management.
- To identify the driving forces behind changes in case management.
- To examine the impact of managed care on case management standards and credentialing.
Main Methods:
- Literature review of case management practices.
- Analysis of healthcare policy changes related to managed care.
- Examination of professional standards and credentialing requirements.
Main Results:
- Occupational health nurses and rehabilitation professionals have traditionally led case management efforts.
- The expansion of managed care has been a significant catalyst for change.
- Formalized standards and credentialing processes are increasingly important.
Conclusions:
- The traditional model of case management is being reshaped by managed care.
- Formal standards and credentialing are essential for ensuring quality and consistency in case management.
- Future case management practices will likely be more standardized and formally recognized.
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