I can see where that may get a little territorial. If a case manager is assigned, they need to manage the case, that means requesting additional visits from insur co's or at least submitting the appropp forms to the intake dept, tracking all disciplines, etc...
At my agency, all FT and PT RN's are case managers. Per diem RN's can choose to case manage if they want to, but usually they do visits only an RN would do, like admits, HHA sup's, etc... and any other types of visits that are leftover. As a per diem RN I have done 3 and on occassion 4 admits a day, and I honestly do NOT know how it would be possible to CM 30+ pt's each day, and still complete all the paperwork for 3 admits!! That is asking a bit much.
Each Case manager , who may or may not be the admit nurse, gets a tickler card, with pt info, like a teensy weensy pt cardex. Every chart gets a calendar for the entire 60 day episode, so nurses can track q2w HHA Sup, last day of auth's, how many visits have been made etc... Each case manager has a voice mail, so if a discipline want to leave a report, they can, then the CM has to document the call in the progress notes. If another nurse happens to run into a discipline in the field for a joint visit, we just document that in our notes under the interdisciplinary section. The case manager is responsible for all follow up. OK, I would hope that another nurse would try to get the am labs results to the doc, but not all do, so it is my job to be sure to follow up. If I will be off the next day, I write up the fax forms so all the secretary has to do is fax it to the doc for me, a nurse already reviews them, and the lab must call all criticals.
The FT'ers can usually claim a building, like a senior building. Since I just went FT, I get 3 pt's in one city building, and the senior building 3 miles from my house, it's still in the city, and I like this building very much. We are on geographical teams, by zip codes, then each team has a few CM's, who are again subdivded into townships, and we all share the city. This also generally keeps the nurses happy, and the pt's b/c while they may not see the same nurse each visit, they see the same faces again and again. This helps to lower mileage expenses for the agency as well.
Do you all use beepers or cell phones. I know some agencies are trying to get away from the liability of cell phones if driving, but we have a combo cell-walkie talkie, so we can use the walkie and don't have high cell bills. I will simply say they suck as cell phones lousy signals, but as walkies, they are usually pretty good.
Anyway, not sure what this "model" is called, if it is one, but that is how we are set-up. If you want to ask me anything else, please post, I'll be happy to help. It will be interesting to see how everyone else does things. This is basically the same way the other agency in my same area is set-up as well.