The Case Manager helps the patient identify appropriate out-of-network providers to fit the patient's needs and to ensure the continuum of care is uninterrupted by having to change providers. This statement is:

• A. True
• B. False
• C. Not sure
• D. Not applicable

Answer: (B)

The main idea is that case management is about coordinating care within the patient’s care network to keep treatment seamless and avoid unnecessary changes in providers. Case managers work to align services, ensure smooth transitions between settings, and keep the patient on a consistent care plan, typically using in-network providers to control costs and coverage and to avoid fragmentation. The statement suggesting they help identify out-of-network providers to fit needs and maintain uninterrupted care would, in practice, introduce more complexity and potential gaps in coverage, which goes against the goal of continuity of care. Out-of-network referrals are generally considered only if no suitable in-network option exists and, even then, the priority is to minimize disruption and secure appropriate coverage. So this idea does not reflect standard case-management practice.