Module D: CM Within Organizational Cultures

CE Credits: 1.75


One professional may be highly ethical, but, as this module details, the culture of the case manager’s larger organization can affect ethical decisions profoundly. This module begins by defining the qualities of an ethical organizational culture (such as well-communicated codes of ethics, and regular educational opportunities) and how personal values can translate into professional ethics (or even be led astray, when mixed with rigid moral certitude). The module then lays out different ethical dilemmas—such as crossing the line between case managers and nurses or physicians—and how organizational pressures can affect those situations. Finally, it looks at the best ways to practice consistent ethics across a transdisciplinary team.

Learning objectives: After completing this module the case manager will be able to:
» Describe creating an ethical organizational culture
» Identify the challenges in reconciling personal values with professional and organizational ethical practice
» Discuss ethical dilemmas
» Address competing and conflicting ethical pressures prevalent within every organization
» Review methods of ethical advocacy within transdisciplinary teams
» Discuss implementation of ethical decision-making modules

Advance your professional practice:: CMs advocate for our patients, even if that means having grey-area conflicts, such as disagreeing with our patients or their doctors. By understanding how our organization’s ethics can affect our own decisions, we can make better informed decisions that will keep us on firm ethical ground.


Improve organizational performance: It’s not enough for each individual member of our team to have his or her own grounding in personal ethics. By having frank and ongoing conversations about our group’s ethics with the whole team, we can troubleshoot for issues in our system and avoid behaviors that are bad for our patients and organizations.