Nursing Case Management

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A Guide for Nurse Case Managers

Author : Charlotte Cox
Publisher : iUniverse
Page : 93 pages
File Size : 40,8 Mb
Release : 2010-08-12
Category : Medical
ISBN : 9781450238564

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A Guide for Nurse Case Managers by Charlotte Cox Pdf

The position of nurse case managers can be a rewarding but challenging career, as these managers play a vital role in a patient’s care. In A Guide for Nurse Case Managers, author Charlotte Cox provides an insightful guide to this evolving field of medicine. Geared for those working in hospital settings, clinics, and health plan offices, this helpful reference text provides guidelines, tips, and tools for becoming a successful nurse case manager. With more than thirty years of health care experience, Cox provides a detailed overview of this important nursing position that works to usher a patient through the health care system. A Guide for Nurse Case Managers • defines the case manager role; • provides an understanding of the basics of utilization and case management; • gives an overview of Medicare and Medicaid procedures; • discusses the care planning process; • shows how to structure a community resource base. Whether you are a new case manager, a student, or a seasoned nurse needing a refresher about job basics, A Guide for Nurse Case Managers will help to shape your practice, provide valuable tips and reference tools, and help you with proven organizational ideas to succeed in the career.

Case Management

Author : Suzanne K. Powell,Hussein M. Tahan
Publisher : Lippincott Williams & Wilkins
Page : 400 pages
File Size : 49,7 Mb
Release : 2018-02-26
Category : Medical
ISBN : 9781496384263

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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

Nursing Case Management

Author : Elaine Cohen,Toni G. Cesta
Publisher : Elsevier Health Sciences
Page : 650 pages
File Size : 55,8 Mb
Release : 2004-08-26
Category : Medical
ISBN : 0323027652

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Nursing Case Management by Elaine Cohen,Toni G. Cesta Pdf

This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities

Foundations of Case Management

Author : Deanna Cooper Gillingham
Publisher : Unknown
Page : 128 pages
File Size : 43,9 Mb
Release : 2021-10-16
Category : Electronic
ISBN : 1943889155

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Foundations of Case Management by Deanna Cooper Gillingham Pdf

CMSA's Integrated Case Management

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 : 55,8 Mb
Release : 2018-01-28
Category : Medical
ISBN : 9780826169518

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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.

Nursing Case Management

Author : Suzanne K. Powell
Publisher : Lippincott Williams & Wilkins
Page : 422 pages
File Size : 46,8 Mb
Release : 1996
Category : Medical
ISBN : UOM:39015034913486

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Nursing Case Management by Suzanne K. Powell Pdf

Nursing Case Management

Author : Margaret Leonard,Elaine A. Miller
Publisher : Unknown
Page : 235 pages
File Size : 40,9 Mb
Release : 2012
Category : Electronic
ISBN : 1935213245

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Nursing Case Management by Margaret Leonard,Elaine A. Miller Pdf

Rev. ed. of: Case management review and resource manual / Anne Llewellyn and Margaret Leonard. 3rd ed. 2009.

Nursing Case Management

Author : Elaine Liebman Cohen,Toni G. Cesta
Publisher : Mosby Elsevier Health Science
Page : 264 pages
File Size : 45,7 Mb
Release : 1993
Category : Medical
ISBN : UOM:39015029516401

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Nursing Case Management by Elaine Liebman Cohen,Toni G. Cesta Pdf

A resource for nurse managers and clinicians with a guide to assessing an organization's readiness for nursing case management. This is the second edition of the title, which gives information on how to prepare an action plan and evaluate its success. New topics include technology and ethical issues.

Case Management of Long-term Conditions

Author : Janet Snoddon
Publisher : John Wiley & Sons
Page : 224 pages
File Size : 42,9 Mb
Release : 2010-03-29
Category : Medical
ISBN : 9781405180054

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Case Management of Long-term Conditions by Janet Snoddon Pdf

The importance of appropriate and effective management of patient with long term chronic conditions cannot be underestimated. Case Management of Long-Term Conditions aims to provide all appropriate practitioners (including nurses, pharmacists, physiotherapists, and social care practitioners) who might be involved in delivery of proactive case management with a practical understanding of how their knowledge and skills can be utilised to improve outcomes for people with chronic long-term conditions. The text contains some broad reflections on care and service delivery based on reviews of evidence and views from clinicians in the use of these skills and competencies to deliver improved outcomes for clients.

Case Management Nurse Exam

Author : Anonim
Publisher : Mometrix Media LLC
Page : 0 pages
File Size : 47,6 Mb
Release : 2018-04-12
Category : Medical
ISBN : 1609712412

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Case Management Nurse Exam by Anonim Pdf

***Includes Practice Test Questions*** Case Management Nurse Exam Secrets helps you ace the Case Management Nurse Exam without weeks and months of endless studying. Our comprehensive Case Management Nurse Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. Case Management Nurse Exam Secrets includes: The 5 Secret Keys to Case Management Nurse Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive Content review including: Case Management Plan, Clinical Practice, Practice Guidelines, Algorithms, Myocardial Infarction, Intravenous Therapy, Psychosocial Assessment, Outcome Indicators, Discharge Planning, Cultural Differences, Cultural Competency, Advanced Directives, Transitional Care Planning, Life Care Planner, Disease Management Program, Predictive Modeling, Premature Infant, Geriatric Case Management, Five D's of Depression, Behavioral Illnesses, Case Management Information Systems, Data Warehouse, Asthma, Emergency Assistance, Vocational Education, Subacute Setting, Disposable Medical Supplies, Durable Medical Equipment, Retrospective Review, Term Preauthorization, Private Payers Groups, and much more...

Case Management from an Empowerment Perspective, Fourth Edition

Author : Patricia Spindel
Publisher : Canadian Scholars' Press
Page : 270 pages
File Size : 46,5 Mb
Release : 2020-12-29
Category : Social Science
ISBN : 9781773382104

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Case Management from an Empowerment Perspective, Fourth Edition by Patricia Spindel Pdf

Written for case managers working in health and human services, this practical guide addresses the need for more progressive and compassionate ways of working with others. Introducing innovative strategies for working with people that challenge the status quo, the book reconsiders old forms of social casework in favour of empowerment approaches that incorporate individual systemic advocacy. Patricia Spindel covers the history of case management, traditional approaches and their critiques, barriers to an empowerment approach, the ethical issues of labelling, stereotyping, stigmatization and pathologizing, and key empowerment philosophies and the research that supports them. This guide provides concrete methods that will help readers put principles of empowerment philosophy into practice. With practical case studies and questions for reflection featured throughout the chapters, it is well suited for human services, social services, and social work programs in colleges and universities in Canada. FEATURES: - Offers a practical "how to" for developing an empowerment plan and deals with common issues in practice, such as projection, countertransference, and transference - Includes core concepts of empowerment and methodology for building individual and community capacity and competence - Provides students with case studies from the field and questions to encourage reflection

Case Management

Author : Arthur J. Frankel,Sheldon R. Gelman,Diane K. Pastor
Publisher : Oxford University Press, USA
Page : 217 pages
File Size : 40,8 Mb
Release : 2019-01-02
Category : Medical
ISBN : 9780190858889

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Case Management by Arthur J. Frankel,Sheldon R. Gelman,Diane K. Pastor Pdf

Over the course of twenty years and across three editions, this text has approached case management as both an art and a science by providing students and practitioners with the basics of case management theory, skills, and applications. This fourth edition, which focuses on both the social work and nursing professions, offers trainers, instructors, and students detailed information about how case management is delivered, major issues encountered in practice, how services are affected by different populations, and the unique skills that are required by case managers in order to be effective. Chapter exercises and numerous case examples help readers practice some of the skills associated with the content offered. Case Management is unique in that it brings together the major professions that conduct case management in the United States. It is focused on skill learning more than on theory, and discusses not only the importance of case management in the current social work and medical milieu, but also the challenges that case managers face in helping clients. In addition, the text offers a model for integrated case management between professions and in numerous settings, including nursing centers, community mental health facilities, and criminal justice centers.

The Case Manager's Handbook

Author : Catherine M. Mullahy
Publisher : Jones & Bartlett Publishers
Page : 895 pages
File Size : 43,7 Mb
Release : 2010-10-25
Category : Medical
ISBN : 9781449619244

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

Written by renowned author, Catherine Mullahy, The Case Manager’s Handbook, Fourth Edition, is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the CCM exam, and most importantly, advance their careers after the exam. Using real-life examples and an easy-to-read, conversant style, this reference defines “Best in Class” case management, examines the case management process, and presents practical procedural information. It is an excellent daily reference and training resource for new case managers and seasoned professionals in various setting facing the day-to-day challenges of case management. Certain to become the “go to resource” resource that previous editions have, this Fourth Edition features updated and enhanced chapters, and brand new chapters covering such timely topics as: * Obesity – The New Epidemic * Our Nation’s Multiculturalism and Challenges to Case Managers * Health Literacy and Adherence Issues * Pharmaceuticals – The Ever-Evolving World * Our Aging Population, Medical Advancements and New Case Management Considerations * Direct to Consumer Community-Based Case Management * Continuum Concepts

Leadership and Nursing Care Management

Author : Diane Huber
Publisher : Unknown
Page : 0 pages
File Size : 47,9 Mb
Release : 2010
Category : Leadership
ISBN : 1416059849

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Leadership and Nursing Care Management by Diane Huber Pdf

This new edition addresses basic issues in nurse management such as law and ethics, staffing and scheduling, delegation, cultural considerations and management of time and stress. It also provides readers with the core concepts that separate adequate and exceptional nurse managers.

Nursing Case Management Review and Resource Manual

Author : Margaret Leonard,Elaine Miller
Publisher : Unknown
Page : 128 pages
File Size : 55,6 Mb
Release : 2012-12-01
Category : Electronic
ISBN : 1935213385

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Nursing Case Management Review and Resource Manual by Margaret Leonard,Elaine Miller Pdf