Core Skills For Hospital Case Managers

Core Skills For Hospital Case Managers Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of Core Skills For Hospital Case Managers book. This book definitely worth reading, it is an incredibly well-written.

Core Skills for Hospital Case Managers

Tony Cesta,Beverly Cunningham
Core Skills for Hospital Case Managers Book PDF

Author : Tony Cesta,Beverly Cunningham
Publisher : HC Pro, Inc.
Page : 319 pages
File Size : 46,5 Mb
Release : 2009-06
Category : Medical
ISBN : 9781601463531

Get Book

Core Skills for Hospital Case Managers by Tony Cesta,Beverly Cunningham Pdf

Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN As of June 20, 2014, contact hours for nurses are no longer available with this product. Finally--an affordable, effective, and consistent training program for your hospital case managers. This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed. Core Skills for Hospital Case Managers is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals. With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills. Table of contents Chapter 1: Hospital Case Management 101 Chapter 2: Case Manager Role Chapter 3: Roles, Functions, and Caseloads Chapter 4: The Case Management Process Chapter 5: The Case Manager's Role in Transitional and Discharge Planning Chapter 6: Utilization Management Chapter 7: Managing Long Length of Stay Patients Chapter 8: Denials: Prevention and Appeals Strategies Chapter 9: Reimbursement Chapter 10: The Role of the Case Manager in Patient Flow Chapter 11: Measuring Success: Strategic Outcome Measures Chapter 12: Dealing with the Uninsured and Underinsured Chapter 13: Working with Multidisciplinary Teams Chapter 14: Crucial Communication and Conflict Resolution Learning objectives: Discuss the evolution of hospital case management Explain the different models of hospital case management Determine the various goals of hospital case management Examine the various roles of case management Discuss the variety of functions performed by case managers Discuss the scope of the case manager position Examine staffing ratios in various models List the steps in the case management process Determine the role of case managers in documentation Examine case managers' role in discharge planning List the factors that influence the discharge planning process Determine strategies for improving discharge planning Discuss how hospital reimbursement affects utilization management (UM) List the stages of UM coordination Determine the affect of outside influences on UM Evaluate different payers' regulations regarding UM Examine case management's role in length of stay (LOS) Evaluate strategies for managing patients with long LOS Identify data used to track and trend LOS Evaluate the reasons behind denials Discuss case management's role in preventing denials Examine case management's roles in reversing denials Examine case management's role in reimbursement Determine strategies for effective case management related to reimbursement Evaluate case management's role in patient flow Discuss demand and capacity management Identify strategies for managing patient flow Identify measurable case management outcomes Explain how case managers can track quality outcome metrics Discuss other metrics case management departments can track and trend Examine ways to create a case management report card Discuss the unfunded or underfunded patient populations Describe the role of the ED case manager with unfunded or underfunded patient populations Evaluate strategies for dealing with unfunded or underfunded patient populations Examine strategies for successfully working with multidisciplinary teams Describe sources of conflict with which case managers frequently come in contact Discuss strategies for reducing conflict Intended audience Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders

CMSA's Integrated Case Management

Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN,Rebecca Perez, MSN, RN, CCM, FCM,Corine Latour, PhD, RN
CMSA s Integrated Case Management Book PDF

Author : Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN,Rebecca Perez, MSN, RN, CCM, FCM,Corine Latour, PhD, RN
Publisher : Springer Publishing Company
Page : 316 pages
File Size : 41,5 Mb
Release : 2018-01-28
Category : Medical
ISBN : 9780826169518

Get Book

CMSA's Integrated Case Management by Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN,Rebecca Perez, MSN, RN, CCM, FCM,Corine Latour, PhD, RN Pdf

Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition.

CMSA Core Curriculum for Case Management

Hussein M. Tahan,Teresa M. Treiger
CMSA Core Curriculum for Case Management Book PDF

Author : Hussein M. Tahan,Teresa M. Treiger
Publisher : Lippincott Williams & Wilkins
Page : 744 pages
File Size : 44,7 Mb
Release : 2016-07-05
Category : Medical
ISBN : 9781496351890

Get Book

CMSA Core Curriculum for Case Management by Hussein M. Tahan,Teresa M. Treiger Pdf

The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation

The Hospital Case Management Orientation Manual

Peggy Rossi, Bsn, Mpa, CCM,Karen Zander
The Hospital Case Management Orientation Manual Book PDF

Author : Peggy Rossi, Bsn, Mpa, CCM,Karen Zander
Publisher : Hcpro, a Division of Simplify Compliance
Page : 0 pages
File Size : 44,8 Mb
Release : 2014-06-12
Category : Health services administration
ISBN : 1615692916

Get Book

The Hospital Case Management Orientation Manual by Peggy Rossi, Bsn, Mpa, CCM,Karen Zander Pdf

The Hospital Case Management Orientation Manual Guide is a comprehensive resource that supplements of initial training for new case managers. This book explains what to document, where to document it to ensure appropriate level of care and reimbursement, and how to avoid unnecessary denials. This book's focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate.

Case Management

Suzanne K. Powell,Hussein M. Tahan
Case Management Book PDF

Author : Suzanne K. Powell,Hussein M. Tahan
Publisher : Lippincott Williams & Wilkins
Page : 400 pages
File Size : 54,8 Mb
Release : 2018-02-26
Category : Medical
ISBN : 9781496384263

Get Book

Case Management by Suzanne K. Powell,Hussein M. Tahan Pdf

Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management

COLLABORATE(R) for Professional Case Management

Teresa Treiger,Ellen Fink-Samnick
COLLABORATE R for Professional Case Management Book PDF

Author : Teresa Treiger,Ellen Fink-Samnick
Publisher : Lippincott Williams & Wilkins
Page : 732 pages
File Size : 50,7 Mb
Release : 2015-04-15
Category : Medical
ISBN : 9781496319432

Get Book

COLLABORATE(R) for Professional Case Management by Teresa Treiger,Ellen Fink-Samnick Pdf

This book is about the progressive improvement of case management beyond that which it exists to that of a practice specialty focused on professionalism and collegiality across all practice settings. Our desire to produce a framework for such practice began when we connected several years ago. It was a result of a dialogue; the sharing of our stories and experiences. Separately, we were already passionate about and committed to case management excellence. Together, our vision coalesced to form this competency-based framework for advancing case management captured by an acronym which defined the essence of professional practice---COLLABORATE. We spent hours discussing the implications of a perceived epidemic involving less than productive interactions between individuals working under the title of case manager with consumers, providers, and clinical colleagues. These accumulated experiences heightened our commitment to lead much-needed change. Our conversation endured over many months as we realized a shared: Respect for case management’s rich heritage in healthcare, across professional disciplines and practice settings; Concern for those factors which devalue case management’s professional standing; Agreement that while the practice of case management transcends many representative professional disciplines and educational levels, each stakeholder continues to cling to their respective stake in the ground; and Belief of the importance for case management to move from advanced practice to profession once and for all. COLLABORATE was borne from a vision; the mandate to solidify a foundation for case management practice which combines unique action-oriented competencies, transcends professional disciplines, crosses over practice settings, and recognizes educational levels. The ultimate focus is on improving the client’s health care experience through the promotion of effective transdisciplinary collaboration. COLLABORATE recognizes the hierarchy of competencies and practice behaviors defined by the educational levels of all professionals engaged; associate, bachelors, masters and doctoral degrees across practice disciplines. Through this approach, every qualified health and human service professional has a valued place setting at case management’s ever-expanding table. Each of the competencies are presented as mutually exclusive and uniquely defined however, all are complementary and call on the practitioner to conduct work processes in a wholly integrated manner. While appearing in order for the acronym’s sake, they are not necessarily sequential. Ultimately, case management is an iterative process. When united in a comprehensive and strategic effort, the COLLABORATE competencies comprise a purpose-driven, powerful case management paradigm. The agility of this model extends to use of key concepts that include both action-oriented verbs and nouns, which are significant elements in any professional case management endeavor. To date, case management practice models have been driven by care setting and/or business priorities. Unfortunately, this exclusivity has contributed to a lack of practice consistency due to shifting organizational and regulatory priorities. However, this is only one reason for a fragmented case management identity. COLLABORATE recognizes and leverages these important influencers as critical to successful practice and quality client outcomes. Interprofessional education and teamwork are beginning to emerge as the means to facilitate relationship-building in the workplace. Through this approach, health care practitioners absorb the theoretical underpinning of intentionally work together in a mutually respectful manner which acknowledges the value of expertise of each care team stakeholder. This educational approach provides the opportunity to engage in clinical practice that incorporates the professional standards to which we hold ourselves accountable Innovative and emerging care coordination models, defined by evidence-based initiatives, appear across the industry. Each promotes attention to interprofessional practice in order to achieve quality patient-centered care. Herein lies an opportunity to demonstrate the value drawn from diverse expertise of case managers comprising the collective workforce. However a critical prefacing stage of this endeavor involves defining a core practice paradigm highlighting case management as a profession. The diverse and complex nature of population health mandates that case management intervene from an interprofessional and collaborative stance. While inherent value is derived from the variety of disciplines, this advanced model unifies case management’s unique identity. Now is the time to define and adopt a competence-based model for professional case management. COLLABORATE provides this framework. This text is presented in four sections: Section 1: Historical validation of why this practice paradigm is critical for case management to advance to a profession; Section 2: Presentation of the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; Section 3: Practical application of the book’s content for use by the individual case manager and at the organizational level; and The Epilogue: Summarizes the COLLABORATE approach in a forward-looking context. For the reader with limited time, reviewing Section 2 provides the substantive meat associated with each of the competencies. Our ultimate desire is that the COLLABORATE approach provides an impetus for all stakeholders (e.g., practitioners, educational institutions, professional organizations) to take the necessary steps toward unified practice in order to facilitate the transition of case management considered as a task-driven job to its recognition as being a purpose-driven profession. The book provides a historical validation of why this new practice paradigm is critical for case management to advance as a profession; presents the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; and covers the practical application of the book’s content by individual case managers, and at the organizational level.

Health Professions Education

Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Health Professions Education Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 47,9 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

Get Book

Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Cmsa Core Curriculum for Case Management

Suzanne K. Powell
Cmsa Core Curriculum for Case Management Book PDF

Author : Suzanne K. Powell
Publisher : Unknown
Page : 651 pages
File Size : 51,7 Mb
Release : 2015-04-24
Category : Hospitals
ISBN : 1451157401

Get Book

Cmsa Core Curriculum for Case Management by Suzanne K. Powell Pdf

This text contains the core body of knowledge for case management practice as delineated by the Case Management Society of America (CMSA), the largest professional organization of case managers. The core curriculum provides a ""synthesis of case management evolution, "" and presents essential elements, concepts, and vision for current and future case management practice. This edition is significantly expanded to reflect the dynamic changes taking place in case management. Each chapter is organized in a consistent format that includes learning objectives; introduction; important terms and conce.

The Case Manager's Guide

Alice Easterling,Judith Ann Avie,Mary Louise Wesley,Norma Chimner
The Case Manager s Guide Book PDF

Author : Alice Easterling,Judith Ann Avie,Mary Louise Wesley,Norma Chimner
Publisher : Jossey-Bass
Page : 228 pages
File Size : 51,5 Mb
Release : 1995-11-29
Category : Business & Economics
ISBN : UOM:39015038608777

Get Book

The Case Manager's Guide by Alice Easterling,Judith Ann Avie,Mary Louise Wesley,Norma Chimner Pdf

This easy-to-use personal guide for new and aspiring case managers shows how to build the skills and competencies required for success. This essential self-assessment, skill-building toolkit includes customizable job descriptions, a critical pathway worksheet, histogram and Pareto chart examples, a practice work plan, and four effective models for successfully implementing continuous quality improvement.

Psychiatric Mental Health Nursing

Patricia G. O'Brien,Winifred Z. Kennedy,Karen A. Ballard
Psychiatric Mental Health Nursing Book PDF

Author : Patricia G. O'Brien,Winifred Z. Kennedy,Karen A. Ballard
Publisher : Jones & Bartlett Publishers
Page : 767 pages
File Size : 43,7 Mb
Release : 2012-02-15
Category : Medical
ISBN : 9781449646097

Get Book

Psychiatric Mental Health Nursing by Patricia G. O'Brien,Winifred Z. Kennedy,Karen A. Ballard Pdf

A comprehensive, easy-to-read introductory text for nursing students. The book is organized into three sections: Introduction to Psychiatric-Mental Health Nursing, Mental Health Disorders, and Nursing Management of Special Populations. This unique text is the most comprehensive psychiatric mental health resource available.

The Case Manager’s Handbook

Catherine M. Mullahy
The Case Manager s Handbook Book PDF

Author : Catherine M. Mullahy
Publisher : Jones & Bartlett Publishers
Page : 769 pages
File Size : 44,8 Mb
Release : 2016-05-25
Category : Medical
ISBN : 9781284102406

Get Book

The Case Manager’s Handbook by Catherine M. Mullahy Pdf

"The Case Manager's Handbook, Sixth Edition is an indispensable guide for case managers. Presented in an accessible and conversational style, this practical resource helps case managers learn the fundamentals, study for the Certified Case Manager 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."--Back cover.

The Case Manager's Training Manual

David W. Plocher,Patricia L. Metzger
The Case Manager s Training Manual Book PDF

Author : David W. Plocher,Patricia L. Metzger
Publisher : Jones & Bartlett Learning
Page : 332 pages
File Size : 50,6 Mb
Release : 2001
Category : Hospitals
ISBN : 0834219301

Get Book

The Case Manager's Training Manual by David W. Plocher,Patricia L. Metzger Pdf

Stem Cell and Bone Marrow Transplantation

Social Work Case Management

Betsy Vourlekis
Social Work Case Management Book PDF

Author : Betsy Vourlekis
Publisher : Routledge
Page : 199 pages
File Size : 55,5 Mb
Release : 2017-07-05
Category : Social Science
ISBN : 9781351489348

Get Book

Social Work Case Management by Betsy Vourlekis Pdf

This new practice text provides a series of readings focusing on case management in a number of fields and in a variety of settings with different client populations. Each chapter examines a major component of case management practice by presenting information about an innovative program from a different location around the country. In conjunction, these readings provide a road map to social work case management.In addition to offering up-to-date practice approaches and examining the functions and skills of case management in depth, the authors provide the policy information needed for putting this traditional form of social work practice into today's service delivery context.

Yale Textbook of Public Psychiatry

Selby Jacobs,Jeanne L. Steiner
Yale Textbook of Public Psychiatry Book PDF

Author : Selby Jacobs,Jeanne L. Steiner
Publisher : Oxford University Press
Page : 313 pages
File Size : 46,9 Mb
Release : 2016
Category : Medical
ISBN : 9780190214678

Get Book

Yale Textbook of Public Psychiatry by Selby Jacobs,Jeanne L. Steiner Pdf

This is a comprehensive resource on treatment, rehabilitation, recovery, and public health of persons cared for in organized, publically funded systems of care.

The Integrated Case Management Manual

Roger G. Kathol, MD,Janice S. Cohen, PhD , CPsych
The Integrated Case Management Manual Book PDF

Author : Roger G. Kathol, MD,Janice S. Cohen, PhD , CPsych
Publisher : Springer Publishing Company
Page : 319 pages
File Size : 45,7 Mb
Release : 2010-06-03
Category : Medical
ISBN : 9780826106346

Get Book

The Integrated Case Management Manual by Roger G. Kathol, MD,Janice S. Cohen, PhD , CPsych Pdf

Designated a Doody's Core Title! An ideal reference guide for case managers who work with complex, multimorbid patients, The Integrated Case Management Manual helps readers enhance their ability to work with these patients, learn how to apply new evidence-based assessments, and advocate for improved quality and safe care for all patients. This text encourages case managers to assess patients with both medical and mental health barriers to improvement in order to coordinate appropriate integrated health interventions and treatment planning. Built upon the goals and values of the Case Management Society of America (CMSA), this manual guides case managers through the process of developing new and important cross-disciplinary skills. These skills will allow them to alter the health trajectory of some of the neediest patients in the health care system. Key Features: Tools and resources for deploying an Integrated Health Model (physical and mental health treatment) to the medically complex patient Complexity assessment grids: a color-coded tool for tracking patient progress and outcomes throughout the trajectory of the illness Methods for building collaborative partnerships in emerging models of care delivery within multidisciplinary health care teams Strategies for using an integrated case management approach to improve efficiency, effectiveness, accountability, and positive outcomes in clinical settings Guidance on connecting multi-disciplinary teams to assist with health issues in the biological, psychological, and social domains to overcome treatment resistance, reduce complications, and reduce cost of care