When working with managed-care organizations, case managers may serve their clients more effectively by adhering to which of the following guidelines?

I.Write clear, well-documented treatment plans
II.Encourage clients to use a fee-for-service plan
III.Help clients understand the managed-care system
IV.Make treatment decisions on behalf of the client

Question

When working with managed-care organizations, case managers may serve their clients more effectively by adhering to which of the following guidelines?
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I.Write clear, well-documented treatment plans
II.Encourage clients to use a fee-for-service plan
III.Help clients understand the managed-care system
IV.Make treatment decisions on behalf of the client

Quizplus · Accepted Answer

I and III are correct because writing clear, well-documented treatment plans helps in ensuring that the care provided is in line with the managed-care organization's guidelines and policies, and helping clients understand the managed-care system empowers them to make informed decisions about their care. Encouraging clients to use a fee-for-service plan (II) may not align with the principles of managed care, which often focuses on cost-efficiency and coordinated care. Making treatment decisions on behalf of the client (IV) undermines client autonomy and is not typically a role of case managers.

When Working with Managed-Care Organizations, Case Managers May Serve Their