The Case Manager's Handbook, Sixth Edition

Catherine M. Mullahy, RN, BS, CRRN, CCM

Price: $99.95

This practical text helps case managers learn the fundamentals, study for the Certified Case Manager (CCM) exam, and advance their careers after the exam. Updated and enhanced with information on the latest developments affecting case management, The Case Manager's Handbook, Sixth Edition, reflects the rapidly changing healthcare landscape, including the significant effects of the Affordable Care Act (ACA).

New Chapters:
  • Workers' compensation case management
  • The case manager's role in the era of value-based health care
  • Case management and healthcare provider strategies for managing the high-risk or high-cost patient
  • Transformative healthcare approaches for the millenial generation
  • Key factors driving today's healthcare system

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Table of Contents Part I Introduction: Biography of a Case Manager 1 The Case Manager as Catalyst, Problem Solver, Educator 2 The Case Manager's Universe II Part II: Case Management Process: The Microsystem Level 3 The Case Management Work Format and Process APPENDIX 3-A VIII. Standards of Case Management Practice 4 Communications And Patient Engagement Part III Practice Settings And Models of Care 5 Hospital Case Management: Changing Roles and Transitions of Care 6 ACOs, PCMHs, And State Health Exchanges 7 Independent Case Management 8 Home Care Case Management, Long-Term Care and Health Care Reform 9 Pediatric Case Management 10 Workers' Compensation Case Management Part IV The Case Management Professional 11 Legal Responsibilities Of The Case Management Professional APPENDIX 11-A Written Agreement: Some Typical Provisions APPENDIX 11-B Legal Issues in Case Management Checklist APPENDIX 11-C AMA Evidence-Based Principles of Discharge and Discharge Criteria APPENDIX 11-D U.S. Legislation Review Relevant to Healthcare Case Management 12 Ethical Responsibilities Of The Case Management Professional APPENDIX 12-A CCMC Rules of Conduct APPENDIX 12-B Excerpts from the CCMC Code of Professional Conduct for Case Managers 13 Evidence-Based Practice For Case Managers: Data-Driven Decision Making 14 Case Manager Credentialing and Organizational Accreditation Part V Reimbursement 15 Reimbursement Resources And Challenges 16 Healthcare Reimbursement: Private-Sector or Employer-Sector Funding 17 Healthcare Reimbursement: Public Sector 18 Working Effectively With Claims Departments: Case Managers In Consulting Roles Part VI Leadership And Management: Macrosystems 19 Outcomes Management With Analysis Of Financial And Quality Assurance Reporting APPENDIX 19-A Program Questionnaire and Facility Review for Case Managers APPENDIX 19-B Provider Service Agreements APPENDIX 19-C Expanded Cost–Benefit Analysis Summary APPENDIX 19-D Expanded Cost–Benefit Analysis Summary for -Self-Funded Plan 20 New Strategies for Leading A Case Management Department: Today and Into the Future APPENDIX 20-A Sample Nurse Reviewer for Prenotification Department Position Description APPENDIX 20-B Sample Medical Case Manager Position Description APPENDIX 20-C Sample Director of Case Management Services Position Description APPENDIX 20-D UNIT-BASED NURSE CASE MANAGER CHART 21 Predictive Modeling And Case Stratification Part VII Focus On Current Challenges And Emerging Trends 22 New Characteristics of Today's Healthcare Systems 23 The Case Manager's Role in the Era of Value-Based Healthcare 24 New Case Management and Healthcare Provider Approaches for Managing the High Risk, High Cost Patient 25 The Aging Population, Medical Advancements, And New Case Management Considerations 26 Dying In America APPENDIX 26-A: End-of-Life Care: The Latino Culture APPENDIX 26-B: End-of-Life Care: The Russian Culture APPENDIX 26-C: End-of-Life Care: The Vietnamese Culture 27 Medication Management: A Case Management Call to Action 28 Pain Management 29 Our Nation's Multiculturalism And Challenges To Case Managers APPENDIX 29-A: Communicating with Your Chinese Patient APPENDIX 29-B: Communicating with Your American Indian/Alaska Native Patient APPENDIX 29-C: Communicating with Your Latino Patient APPENDIX 29-D: Communicating with Your Russian Patient 30 Health Literacy And Adherence Issues 31 Obesity: The New Epidemic 32 Behavioral Health with Primary Care: An Integrated Model of Care 33 Healthcare Technology And Trends: Implications For Case Managers 34 Transformative Healthcare Approaches for the Millennial Generation 35 The Affordable Care Act Of 2010: Implications For Case Managers
Publication Date 2016
Format Hardcover, 746 pages
Product Code 07069
Price: $99.95