Module F: The Case Manager’s Role

CE Credits: 2.25

..

This module looks at the changing status of mental health in our healthcare system—thanks to the Affordable Care Act (ACA)—and how those changes affect case managers. The module begins by identifying the members of the transdisciplinary team—from primary care to mental health providers and pharmacists—and how they can bridge the differences in their training and expertise to collaborate for the best results. The module also examines ethical and cultural concerns that CMs should consider, such as the legal duty to warn of possible harm, and the need for culturally and linguistically appropriate services (CLAS). Finally, the module looks at the key steps CMs should consider when guiding mental health patients through transitions of care (from the hospital to an outpatient setting, for example), and how their duties should reflect both the CMSA Standards of Practice and the National Association of Social Workers (NASW) case management standards.

.
Learning objectives: After completing this module the case manager will be able to:
» Discuss the evolving role of case management in the changing healthcare delivery system
» Describe care coordination for patients with suicidal ideation
» Advocate for a transdisciplinary approach to suicide prevention
» Review the critical roles of ethics and cultural competence in behavioral health
» Describe transitions of care for patients with suicidal ideation
» Review credentials, licensure, certification and practice standards

.
Advance your professional practice:: CMs have new opportunities for leadership and management under the new mental-health care delivery models that are part of the Affordable Care Act (ACA). By embracing the full scope of needs that mental health patients have, we can play a part in making sure that those patients get parity in the healthcare system.

.

Improve organizational performance: For mental health treatment to gain true equality with treatment for physical ailments, our whole team—case managers, psychiatrists, psychologists, non-case management social workers and pharmacists—must learn how to work as a team to address patient needs. A team-oriented, holistic approach to the accountable care paradigm will result in better outcomes for patients and greater success for health care organizations.