Adult case manager vs nurse case manager

Differences between adult case manager and nurse case manager duties and responsibilities

Adult case manager example responsibilities.

• Provide clients support with basic ADL's (shopping, payee services, budgets, managing and attending appointments).
• Perform concurrent review to assure appropriateness of admission, inpatient/acute care, rehabilitation/SNF status, and discharge using establish InterQual guidelines.
• Participate in IEP meetings and work with school administrators to advocate in behalf of clients and families.
• Attend IEP meetings to review and modify educational needs/goals affording academic success.
• Conduct intensive case management and quality control for file accuracy in order to ensure HUD regulations are accurately implement.

Nurse case manager example responsibilities.

• Develop and manage plan of care for symptom management for patients/families in home, ALF, and SNF arena.
• Maintain communication with commercial insurance payers, manage Medicare and Medicaid sources and conduct daily clinical updates to insurance companies.
• Coordinate surgery schedules with doctor, hospital, medical equipment representative and patients.
• General assessment and care/case management of Medicare patients including wind care, diabetes, cardiac complications, respiratory treatments.
• Deliver independent private duty nursing to pediatric patients in need of holistic care, including oxygen-dependent, ventilator-dependent, tracheostomy patients.
• Interview and assess patients, documenting findings and input into EMR system.
Show more