The case manager's handbook
- Third edition
- Sudbury Jones and Bartlett, 2005
- iv, 130 p. 23 cm.
student study guide to accompany
Includes bibliographical references and index. TOC:-- Part I: Profile of a case manager-- Chapter 1: The case manager as catalyst, problem solver, educator-- Chapter 2: The case manager's universe-- Chapter 3: Insurance providers and administrators-- Chapter 4: Insurance lines and health benefit plans-- Chapter 5: Legal responsibilities of the case management profession-- Chapter 6: Ethical responsibilities of the case management profession-- Chapter 7: Case manager credentialing-- Part II: Case management process-- Chapter 8: Communications-- Chapter 9: The case management work format and process-- Chapter 10: Integrated case management: preadmission, concurrent review, utilization review, disease management, and case management-- Chapter 11: Working effectively with claims departments: case managers in consulting roles-- Part III: Case management administration and outcomes management-- Chapter 12: Financial and quality assurance reporting-- Chapter 13: Managing a case management department: your role as department head or independent case manager-- Part IV: Emerging trends and opportunities-- Chapter 14: Obesity: the new epidemic-- Chapter 15: Our nation's multiculturalism and challenges to case managers-- Chapter 16: Health literacy and adherence issues-- Chapter 17: Pharmaceuticals: the ever-evolving world-- Chapter 18: The aging population. Medical advancements, and new case management considerations-- Chapter 19: Dying in America-- Chapter 20: The growing need for direct-to-consumer, community-based case managers: our changing times-- Chapter 21: Behavioral health-- Part V: Cases in profile-- Chapter 22: Care at home-- Chapter 23: Managing a long-term case-- Chapter 24: Public sector case management-- Chapter 25: Cases in profile-- Part VI: Continuum concepts-- Chapter 26: Continuum of care initiatives--
Presented in an accessible and conversational style, this practical resource helps case managers learn the fundamentals, study for the Certified Case Manager (CCM) exam, and advance their careers after the exam. Completely updated and enhanced with information on the latest developments affecting case management, it reflects the rapidly changing healthcare landscape, including the significant effects of the Affordable Care Act (ACA).