What does case management involve in healthcare?

Case management in healthcare primarily involves assessing and coordinating care collaboratively, which is essential for ensuring that patients receive comprehensive services tailored to their specific needs. This process entails identifying the required healthcare resources, developing care plans, and facilitating communication among various healthcare providers and the patient.

A key aspect of effective case management is understanding the patient's medical history, preferences, and current circumstances, which helps in coordinating the necessary interventions efficiently. This collaborative approach not only focuses on managing the patient's health outcomes but also addresses social determinants of health, ensuring a holistic approach to patient care.

While monitoring patient health is a component of case management, it does not encompass the entire scope of what case management entails. Additionally, billing and administrative duties, as well as managing insurance claims, are important aspects of the healthcare revenue cycle but are distinct from the collaborative patient care coordination that case management emphasizes. Therefore, the answer correctly highlights the core functions of case management in healthcare as a multifaceted process that involves collaboration between healthcare providers and the patient for optimal health outcomes.