Case Manager

clinical

Updated 5/16/2026

Definition

A licensed clinical or administrative professional who coordinates care across providers, payers, and community resources, represented in EHR and care management platforms by provider role codes. Data engineers reference CM attribution fields in member-level care management tables, utilization management workflows, and population health program enrollment datasets.

Standard Abbreviation

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  cm VARCHAR(100),  -- Case Manager (max 100 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  cm as case_manager
FROM claims;

Common uses in healthcare data

Risk stratification and population health analytics
CMS-HCC risk adjustment and RAF score calculation
Quality measure attribution and HEDIS reporting
Clinical data warehouse schema design
Value-based care contract performance tracking

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
cm

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  cm           VARCHAR(100),  -- Case Manager (max 100 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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