Health Case Manager definition

Health Case Manager means a person authorised by the CCGs to act as a Referrer and Assessor of Service Users on Pathway 2 to the XXXX Services as further defined in the XXXX Service Specification. Charges: the payments made from the Permitted Budget for the XXXX Services which shall be calculated in accordance with the provisions of the Finance Protocol (set out in Schedule 3 of this Agreement).
Health Case Manager means a person authorised by the LLR ICBs to act as a Referrer and Assessor of Service Users on Pathway 2 to the XXXX Services as further defined in the XXXX Service Specification. Charges: the payments made from the Permitted Budget for the XXXX Services which shall be calculated in accordance with the provisions of the Finance Protocol (set out in Schedule 3 of this Agreement).

Examples of Health Case Manager in a sentence

  • Rehabilitation services must be provided by a LBHP, Licensure Candidate, Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II).

  • Rehabilitation services must be provided by a LBHP, Licensure Candidate, or Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II).

  • RehabilitationSkill development (rehabilitation) services must be provided by a LBHP, Licensure Candidate, Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II).

  • Residents with special needs will be coordinated with proper county agencies such as Adult Protective Services, the County Conservator and the County Mental Health Case Manager.

  • All treatment of any sort (except in the case of an emergency) for any mental illness or drug or alcohol problem must be pre-approved by the Mental Health Case Manager.

  • To facilitate linking members with services that meet their needs and achieve their goals, members are identified or referred for the Complex Case Management services by: Risk Stratification (Medical and Behavior Health) Case Manager ResponsibilitiesWhen a member has been identified as having a condition that may benefit from case management, the case manager contacts the referring provider and member for input on completion of an initial assessment.

  • Consumers with special needs will be coordinated with proper county agencies such as Adult Protection Services, the County Conservator and the County Mental Health Case Manager.

  • The telephone number of the Mental Health Case Manager is shown on your identification card and on the Schedule of Benefits which is in the back of this Booklet.

  • The Mental Health Case Manager will normally only approve treatment by providers who arein the Mental Health Provider Network.

  • Care management services are performed by a Behavioral Health Practitioner, or Certified Behavioral Health Case Manager, refer to the chart below for provider qualifications.

Related to Health Case Manager

  • Case manager means a Department of Human Services or Area Agency on Aging employee who assesses the service needs of an applicant, determines eligibility, and offers service choices to the eligible individual. The case manager authorizes and implements the service plan and monitors the services delivered.

  • 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.

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Health carrier or "carrier" means a disability insurer

  • Health plan or "health benefit plan" means any policy,

  • infrastructure manager means any body or undertaking that is responsible in particular for establishing and maintaining railway infrastructure, or a part thereof, as defined in Article 3 of Directive 91/440/EEC, which may also include the management of infrastructure control and safety systems. The functions of the infrastructure manager on a network or part of a network may be allocated to different bodies or undertakings;

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Health care provider or "provider" means:

  • Health care professional means a physician or other health care practitioner licensed, accredited, registered, or certified to perform specified health care services consistent with state law.