Case management definition

Case management means a care management plan developed for a Member whose diagnosis requires timely coordination. All benefits, including travel and lodging, are limited to Covered Services that are Medically Necessary and set forth in the EOC. KFHPWA may review a Member's medical records for the purpose of verifying delivery and coverage of services and items. Based on a prospective, concurrent or retrospective review, KFHPWA may deny coverage if, in its determination, such services are not Medically Necessary. Such determination shall be based on established clinical criteria and may require Preauthorization.
Case management means a coordinated set of activities conducted for individual patient management of serious, complicated, protracted or other health conditions.
Case management means case management services accredited under 441—Chapter 24 and provided according to 441—Chapter 90.

Examples of Case management in a sentence

  • Case management and teaching responsibilities shall be assigned and allocated based on the number of students with IEPs (inclusive of speech only IEPs) and 504s assigned to a Case Manager.

  • Case management services will be coordinated with County 17th Street Care and/ or community-based case management services when appropriate.

  • Grantee activities will focus on the following key strategic targets: • Increased capacity to conduct disease investigation • Linkage to prevention and treatment • Case management and oversight • Outbreak response for STD, HIV, COVID-19 and other infectious diseases Funding availability in subsequent fiscal years will be determined by satisfactory recipient performance and is subject to the availability of appropriated funds and federal award.

  • Case management services are available to support and encourage our youth with social, educational, and vocational needs.


More Definitions of Case management

Case management means an organized service to assist individuals to select, obtain, and utilize resources and services.
Case management means the functions performed by a services coordinator. Case management includes determining service eligibility, developing a plan of authorized services, and monitoring the effectiveness of services and supports.
Case management means the ongoing coordination, by a case
Case management means a collaborative process of assessment, planning, implementation, coordination, monitoring and evaluation of the options and services required to meet a client’s health and human service needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes.
Case management means the services provided to assist individuals who reside in a community setting or are transitioning to a community setting in gaining access to needed medical, social, educational, entitlement, and other applicable services.
Case management means coordinating the assistance needed by
Case management means those activities of local public health personnel