As a case manager representing a client who is within a Managed Care Organization,you:
A) Owe it to the client to advocate for services that you feel are in the client's best interest
B) Keep your focus on controlling costs
C) Use a decision tree to help decide what treatments and services are appropriate
D) Defer to the MCO case manager when deciding on the client's treatment options

Question

As a case manager representing a client who is within a Managed Care Organization,you:​
A) ​Owe it to the client to advocate for services that you feel are in the client's best interest
B) ​Keep your focus on controlling costs
C) ​Use a decision tree to help decide what treatments and services are appropriate
D) ​Defer to the MCO case manager when deciding on the client's treatment options

Quizplus · Accepted Answer

As a case manager, your primary responsibility is to advocate for your client and ensure they receive the best possible care. While you should also consider cost-effectiveness, your main focus should be on what is in your client's best interest. Using a decision tree can be helpful in making treatment decisions, but it should not be the sole determining factor. While you may work closely with the MCO case manager, you should not defer all decision-making to them without considering the needs of your client.

As a Case Manager Representing a Client Who Is Within