Explain "case management" in healthcare operations.

Case management in healthcare operations refers to the process of coordinating patient care across the healthcare continuum. This involves a comprehensive approach to managing a patient’s care, ensuring they receive the necessary services and resources to meet their healthcare needs effectively. Case managers work closely with patients, healthcare providers, insurance companies, and other stakeholders to facilitate effective communication, streamline processes, and support patients in navigating the complex healthcare system.

By overseeing the entirety of a patient’s journey—from initial contact through treatment and follow-up—case management plays a crucial role in improving patient outcomes, enhancing satisfaction, and promoting efficient use of resources. This holistic coordination helps ensure that all aspects of a patient's care are aligned and that they have access to the appropriate services at the right time, which can ultimately lead to better health results and reduced costs.

In contrast, the other options do not capture the full scope of case management. Solely managing administrative aspects would not encompass the clinical coordination and patient advocacy that are critical components of case management. Focusing only on billing issues neglects the broader objective of supporting patients through their treatment and recovery processes. Likewise, limiting patient access to services runs counter to the very nature of case management, which is aimed at facilitating access and ensuring patients receive the necessary care without unnecessary barriers