Case Management Consulting Services

If you are establishing a case management department or practice, we invite you to benefit from our experience and expertise.A case management department itself is a costly item both in terms of capital expenditure and personnel.

Roughan & Associates Consulting Services are designed to help you maximize the return on your investment in this vital area of health care management and to avoid the costly process of learning by “trial and error”. Typical issues we are engaged to address include, but are not limited to:

  • Identifying realistic goals and objectives for case management
  • Designing a case management process and establishing operating procedures
  • Targeting early identification and referral of appropriate cases
  • Training and supervision of case managers
  • Establishing a format for Cost/Benefit Analysis

Optimizing Outcome and Controlling Costs

Roughan & Associates qualified case management nurse specialists have the requisite expertise and experience that ensures coordination of appropriate care for both adults and children.

The diagnoses with which we are accustomed to working include, but are not limited to:

  • Immunodeficiency Syndrome
  • AIDS Related Complications
  • Amputations
  • Anorexia Nervosa
  • Anoxic Brain Injury
  • Burns
  • Cancer
  • Carpal Tunnel Syndrome
  • Cerebral Palsy
  • Cerebral Vascular Accident
  • Chronic Pain Syndrome
  • Congenital Anomalies
  • Diabetes Mellitus
  • Erbs Palsy
  • Failed Back Syndrome
  • Fractured Hip/Knee/Legs, etc.
  • Guillain Barre’ Syndrome
  • Head Injury – Closed/Open
  • Lymphoma
  • Multiple Sclerosis
  • Myocardial Infarction
  • Near Drowning
  • Organ Transplant
  • Paraplegia/Paraparesis
  • Pulmonary Disease
  • Quadriplegia/Quadparesis
  • Reflex Sympathetic Disorder
  • Soft Tissue Injury
  • Spinal Cord Injury
  • Thrombophlebitis
  • Toxic Exposure
  • Traumatic Brain Injury
  • Traumatic Stress Disorder

Additional referral indicators may include:

  • Digression from standard of practice
  • Unlimited or high dollar liability policies
  • Evidence of complications (e.g., infection, decubitus)
  • Multiple treatment providers
  • Ventilator dependance
  • Hi recidivism rates / multiple hospital admissions
  • Unanticipated ICU / CCU confinement
  • High claim dollars expenditure
  • Need for specialized resources
  • Questions regarding treatment or appropriate car