A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?

  1. With care coordination, the stakeholder can be an insurance company or a hospital.
  2. The main goal of case management is to promote a better quality of life for the client.
  3. Case management is based on a holistic approach and an understanding of client-family dynamics.
  4. In care coordination, the client defines the scope of work based on a plan that is created with input from the client.
Number 4 is correct.
Care coordination is limited in that the scope of work is based on a plan that is created with input from the client. The stakeholder in case management is an insurance company or a hospital. The main goal of care coordination is to promote a better quality of life for the client, while case management’s goal also includes legal and financial issues that may involve stakeholders. Additionally, eliminating noncompliance and overutilization of resources is addressed. Care coordination is based on a holistic approach and an understanding of client-family dynamics, with less emphasis on issues that affect stakeholders. Advocating for client needs is emphasized over stakeholder interests.