Medical Case Manager definition

Medical Case Manager means a registered nurse or ARNP employed by the Agency to provide nursing consultation and technical assistance to an Area office regarding the medical care of Agency clients.
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Medical Case Manager or “MCM” means a health care practitioner employed by the Agency to provide consultation and technical assistance regarding the health and safety of Agency clients.
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Medical Case Manager means a person, usually a nurse or social worker, who assists in the planning, coordination, monitoring, and evaluation of medical services for a patient with an emphasis on quality of care, continuity of services, and cost-effectiveness.
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Examples of Medical Case Manager in a sentence

  • The Plan’s Medical Case Manager will also monitor any hospitalization or course of treatment and will work with you or your dependent and the treating doctors to make sure you or your dependent are receiving the most appropriate care in the most appropriate setting at a reasonable cost.

  • The Plan, through the Medical Case Manager, may require you to obtain, at the Plan’s expense, a second medical opinion as to a recommended course of treatment or to provide other information so that the Plan can make appropriate decisions.

  • In some limited circumstances, the Medical Case Manager may recommend alternative services or providers which would not normally be covered under the Plan if the Medical Case Manager determines such services or providers would be effective and would not cost the Plan more than services which would normally be covered.

  • The Medical Case Manager may also provide you and your family with training and education regarding your illness.

  • If it is determined you or one of your dependents requires case management services, the Medical Case Manager will contact you.

  • Further, you should contact the Plan Office so the Medical Case Manager can review the proposed home health care plan and help insure it is appropriate.

  • If you or one of your dependents is hospitalized or undergoing a course of medical treatment, the Medical Case Manager will monitor the hospitalization or course of treatment.

  • If after consulting with the treating physician, the Medical Case Manager determines further hospitalization or other treatment is inappropriate, you or your doctor will be notified.

  • For a complex, lengthy or expensive course of medical treatment, the Medical Case Manager will monitor and manage your ongoing treatment and help insure you are receiving the most appropriate treatment at the most appropriate cost.

  • I agree to notify, or to have my Medical Case Manager notify the program(s) of any circumstances affecting my participation in, or eligibility for, the program(s).


More Definitions of Medical Case Manager

Medical Case Manager. The medical provider who makes medical decisions about the client.
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Related to Medical 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.

  • Medical care means amounts paid for:

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Targeted case management means services that assist a beneficiary to access needed 2 medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The 3 service activities may include, but are not limited to, communication, coordination and referral;

  • Medical cannabis dispensary means an organization issued a

  • State Management Committee means a Committee comprising representatives from the Confederation of Western Australian Industry, the Trades and Labor Council of Western Australia, Technical and Further Education (TAFE) and the relevant Federal and State Government Departments which approve traineeship arrangements by agreement of each of the parties. The State Management Committee may be established pursuant to the provisions of the Industrial and Commercial Training Act, 1975 or any amendment to or substitution of that Act, provided that any Committee or body established in lieu of the State Management Committee has the same representatives structure and decision making processes as that Committee.

  • Executive Management means the CEO and the CFO for purposes of administering this Plan.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Case management services means planned referral, linkage, monitoring and support, and advocacy provided in partnership with a consumer to assist that consumer with self sufficiency and community tenure and take place in the individual’s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff.

  • Emergency medical care means such medical procedures as:

  • Adaptive management means reliance on scientific methods to test the results of actions taken so that the management and related policy can be changed promptly and appropriately.

  • Medical Board means the North Carolina Medical Board.

  • MEDICAL STAFF LEADER means any Medical Staff officer, department chairperson, section chairperson, and committee chair.

  • Executive manager means an individual employed by a new motor vehicle dealer in an executive capacity and who has a written employment agreement with the dealer that includes a right for the executive manager to purchase a controlling interest in the dealership at a future time or on the death or incapacity of the dealer.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Procurement Management means the Director of Lee County’s Procurement Management Department or designee.

  • Site Manager means an individual proposed to be named in the licence as a site manager

  • Authorized medical physicist means an individual who:

  • Medical Review Officer (MRO) means a licensed physician responsible for receiving and reviewing laboratory results generated by the school district’s drug testing program and for evaluating medical explanations for certain drug tests.

  • Exit Management means the obligations and rights of the Parties to ensure a smooth transition of the Framework from the Contractor to the Authority or any Replacement Contractor as set out in Clause 44 (Exit Management) and Schedule 8 (Exit Management).

  • Medical control means a person who provides medical supervision to an emergency medical service provider.

  • Service Manager has the meaning ascribed thereto in Section 2.01(c).

  • Procurement Manager means any person or designee authorized by a state agency or local public body to enter into or administer contracts and make written determinations with respect thereto.