- Program Overview
- Standards Summary
- Standards At-a-Glance
- Accredited Companies
- URAC's Accreditation Process
Case Management Accreditation and Certification Program Overview
Case management services are one of the fastest-growing practice areas in health care today. Health care organizations use case management to better meet patients’ needs and improve their treatment outcomes by coordinating the full continuum of care. URAC is the only accreditation organization offering standards that specifically address the rapidly evolving field of case management.
URAC has accredited hundreds of organizations that provide all types of case management services, in both health and workers’ compensation settings – helping ensure that their case management offerings are of the highest quality. URAC designed the standards to fit organizations that provide telephonic or onsite case management services in conjunction with a privately or publicly funded benefits program across settings and specialties. Accreditation or certification is available depending on the type of organization and services being offered.
The URAC standards cover several critical operational categories for any quality case management program including:
• Staff Structure and Organization
• Staff Management and Development
• Information Management
• Quality Improvement
• Oversight of Delegated Functions
• Organizational Ethics
• Complaints
Our Proven Approach
URAC works directly with organizations to establish their baseline operational level at the beginning of the review process. Written policies and procedures that include a definition of case management, the types of consumers served, the delivery model for case management services and case management staff qualifications are reviewed…Guidelines for reasonable caseload and sufficient personnel to provide services to consumers are established…Policies requiring licensed physicians be available for consultations with case managers and continuing education meeting nationally recognized standards is available for all case managers are put in place. The URAC Case management Accreditation standards provide a solid foundation for effective case management programs.
The URAC Case Management Standards, which build on the Core Accreditation Standards, enable organizations to successfully:
• Train case managers
• Identify individuals for case management
• Manage and conduct case management activities in an efficient and professional manner
• Promote the autonomy of consumer and family decision making
• Maintain confidentiality
• Delegate responsibility
| Become an Applicant |
Contact URAC and join the premier group of Case Management Accredited and Certified companies. E-mail businessdevelopment@urac.org or call (202) 216-9010 today for pricing, application materials and more information regarding the program. |
| Education and Training |
URAC's educational events are designed to provide attendees with cutting-edge information from industry experts and URAC staff, in venues that encourage personal interaction between attendees and speakers.