Explain case management and skills needed by the case manager including examples of each skill. Also, what is the role of advocacy and collaboration?

Explain case management and skills needed by the case manager including examples of each skill. Also, what is the role of advocacy and collaboration?

Short Papers Two questions will be posed in the respective course module. You are to select one of the questions to answer. Your response to the question should be no shorter than three pages (double-spaced) and no longer than five pages (double-spaced) in addition to a title and reference page. APA style (APA Manual) and current(less than 5 years old) references are required. Questions are posted in each course module located in BB under the appropriate Topic. Each short paper is worth up to 100 points. Late penalty applies (see RN to BSN Handbook).

Course Level Masters
Subject Area Nursing
Paper Type  Other
Number of Pages 5  (1375 words)
Sources 4
Paper Format APA
Spacing Double Spaced




Nursing Case Management
Author’s name


Nursing Case Management


   Case management in the nursing field is a fundamental concept in the healthcare industry (Waxman, 2013, 4). Definition by the American Nurses Credentialing Center (ANCC) [blur]is broadly accepted displaying the field as one that coordinates long-term service delivery and care for patients. The definition collectively combines other professional organizations’ definition giving insight to the real roles and objectives of case management in the community and its importance in the public health. Case management’s principal objective is to provide treatment to patients at their optimal times keeping them healthy and outside the hospital. ANCC defines case management. The objective of this paper is to give an insight into the case management field in nursing and the public health as a whole. It gives a detailed discussion of what case management entails as wells its importance to the community in the context of improving patient care. To become a reputable case manager in nursing, one needs to be well versed in these field requirements not forgetting the necessary skills that [/blur] define a good case manager. Therefore, the paper covers thoroughly the necessary expertise and competencies required by individuals seeking to pursue a career in this particular field.

Nursing Case Management

   Case management is a multifaceted nursing field characterized by independence of the stakeholders, patient facing and structurally designed to address multiple disciplines in the [blur] healthcare sector. ANCC defines it as a collaborative discipline and process mandated with the role of assessing, planning, implementing, coordinating, monitoring and evaluating the necessary services and options regarding effective delivery of health-related services to the client. It focuses on the human services needs and patients’ or clients’ health. It is systematic and dynamic, collaborative approach ensuring the provision and coordination of healthcare services to a defined and specific population. The process is participative in nature allowing case managers to identify and consequently facilitate services and option needed to meet individual’s health needs while at the same time reducing duplication and fragmentation of care. Its objective is to realize clinical outcomes that are cost effective. Five key components [/blur] characterize the framework of case management in nursing: assessing, planning, implementing, evaluating, and interaction.

   Its holistic approach to patient health matters and the managers’ clinical expertise creates a connection between individual clients or patients, the clinical service providers, the payers of the services, [blur] and the population or community (Hagerstown, 2012, 14). Individuals seeking to pursue this specialty need to demonstrate skills and competence in many healthcare fields because of the specialty’s multifaceted nature. Some of the areas of competence that the interested individuals need to include good and sound assessment of psychological and health needs, not forgetting health literacy and ability to develop a case management policy and plan that is collaborative to all other healthcare stakeholders (Hagerstown, 2012, 14). Case management is a field that creates a basis for communication facilitation and coordination among responsible stakeholders and involving the patients in making decisions with the aim of decreasing and minimizing service fragmentation. Case managers plan with other stakeholders maximizing healthcare quality, responses, and cost-effectiveness of the clinical [/blur] outcomes. Like previously mentioned, some skills are necessary for an active career in Nursing Case Management and health services delivery to patients.

Nursing Case Manager Skills

   It is paramount that nursing case managers be astute and well versed in nursing process as well as acquiring good assessment skills, show a lot of clinical competence, and display their ability to [blur] identify patients’ potential and actual health problems and risks. Each case manager needs to develop their personalized style of exercising those skills. Some of the skills acquisition and learning are through an informal manner through life experiences while. Other skills come from theoretical knowledge developed through the education process and formal [/blur] training. The following is a list of vital skills necessary for a successful career as a nursing case manager.

Interviewing skills

   Nursing case managers require to frequently carrying out interviews that help them obtain or provide information necessary for the efficient application of [blur] case management in the healthcare industry. Program policies or procedural requirements dictate how the conversation should happen as well as providing the guidelines on how to optimize results and objectives of the interview that are met. The case manager is free to decide, based on individual case necessities, to carry out the interview with one person or with a group, say a family. Again, interviewing techniques may vary depending on the nature of the respondent. For example, an interview conducted with an adult person may not take the same procedures like that performed on a child. Regardless of the interviewing technique, the case manager ought to be thoroughly prepared for the interview. Good case manager must possess the following interviewing techniques: they should know the purpose of conducting the interview and the expected outcomes. They should educate themselves on the subject of the interview before its happening. They should demonstrate respect to the respondent by greeting them, stating the purpose of the interview as well as using a conversational style that best [/blur] suits the interview type and situation. They should dwell more on neutral and non-judgmental wording when asking questions.

Communication Skills

   This can be verbal or written. It is the mandate of nurse case managers to interpret detailed and complex financial and clinical data and disseminate the information to [blur] others who need to know, either orally or in writing. They also need to display good communication skills while performing client/patient interviews. Good communication skills give way to access to complete and accurate information. A good nursing case manager relies on their ability to communicate to accomplish even the most basic responsibilities. According to Cohen et al. (2015) for an effective communication, the case manager should use 7% verbal communication (words), 38% vocal (rhythm, volume, pitch) and 55% body movements (more often facial expressions) to deliver information to the other party. A good nursing case manager should be able to combine all the three aspects of communication. They should be well accustomed to body language although messages sent through body language need keen questioning and interpretation. Some of the body languages communication skills include eye contact, tics, sub-vocals, posturing, ambulation, and touching (Cohen, 2015, 11). A good example is the Worker’s Compensation nursing case manager whose role is to assist an injured employee to return to gainful employment. In this particular case, the nurse manager interacts with the [/blur] injured worker, the treating physician and the employer. The case manager consults with the physician on the well-being of the worker and negotiates with the employer on the terms of how the employee will resume work.

Critical Thinking

   This is the process through which successful nursing case managers reason, organize, and analyze information with the aim of realizing outcome-oriented solutions and interventions [blur] to problems regarding patient care. Nurse case manager often has vast loads of information, therefore, the need to identify one that has relevance to the understanding of the patient’s needs (Waxman, 2013, 16). A good example is a case where the case manager is determining charges cost for two patients whose information details pose many differences. Client A is a father of three and has a supportive family. He is an active member of his community and worked to his retirement. Patient B is a single mother of three working two jobs to make ends meet with no local family. In this case, good [/blur] case manager uses their critiquing ability to explain why patient B requires more support that patient A.

Cultural Diversity Skills

   Patients’ cultural identification needs consideration in the context of intervention and interaction. Case managers opt to be culturally diverse to serve clients effectively owing to [blur] their diverse cultural origins. Culture defines aspects of thought, beliefs, language, values, customs, rituals, and practices (Hagerstown, 2012, 12). A splendid example is in the case where a nurse case manager requires information from a Mexican Patient and selects an interpreter of Puerto Rico origin. The language of the two countries may be the same, but some similar words may have different meaning [/blur]owing to the different cultures. Again, case manager’s question may attract different answers from an African American and an all-white client.

Advocacy and Collaboration

   Collaboration is a crucial skill used by nurse case managers to unite all necessary healthcare stakeholders team to design a care plan towards an individual patient client. It fosters [blur] consistency, therefore, reducing services’ fragmentation and duplication. Good collaboration ensures provider and patient satisfaction, which is an important end outcome dream for the healthcare institutions and organizations. It helps in the sensitive handling and timely delivery of information while ensuring patient confidentiality and making relevant decisions pertinent to the provision of services.
Advocacy is the representation of interests and needs of the individuals to whom the nursing case manager is providing services. It helps the case managers to identify gaps in the systems of service delivery who subsequently act on the shortcomings by advocating for the removal of such barriers. It allows case managers to work in line with the established administrative and supervisory [/blur] channels advocating for the needs of the patients as well as expressing concerns regarding agencies’ practice and policies.

American Nurses Association. (2011). Nursing case management. Kansas City, Mo: American [blur] Nurses’ Association.
Cohen, E. L., & Cesta, T. G. (2015). Nursing case management: From essentials to advanced practice applications. St. Louis: Elsevier Mosby.
Hagerstown, MD (2012). Nursing case management: Lippincott-Raven.
Waxman, K. T. (2013). Financial and business management for the doctor of [/blur] nursing practice. New York, NY: Springer Publishing Company, LLC.

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