Medical Case Management & Certification

Medical Case Management is a comprehensive service delivery system designed to link individuals with needed care components. Enhancing client self-care, independence and self-determination are the primary goals of this program. Clients are expected to be involved in all aspects of their care, including problem-solving functions to the maximum extent possible. Proactive, coordinated efforts by healthcare providers in community-based organizations will assist clients in obtaining optimum wellness, as well as making the best possible use of available resources.

The role of the Medical Case Manager is multi-faceted. In addition to outreach and intake, the Medical Case Manager is responsible for the following:

  • Arranging for service delivery
  • Assessing the individual's need for services
  • Conducting an ongoing evaluation of the effectiveness of the plan of care
  • Determining availability and feasibility of services
  • Developing a plan of care that includes home and community-based services appropriate to the individual's medical, social, and financial condition
  • Maintaining confidentiality of client records with the service delivery system
  • Monitoring service delivery

Certification of Medical Case Management Services

As the front line in providing vital service linkages for people living with HIV/AIDS, medical case managers, medical case managers assistants, and students must be adequately and appropriately experienced and trained. Training and certification of the skills and knowledge of medical case managers are closely monitored by the state Care Program office.