|
DESCRIPTION
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 Multi-culturalism and Challenges to Case Managers
- Health Literacy and Adherence Issues
P- harmaceuticals – The Ever-Evolving World
- Our Aging Population, Medical Advancements and New Case Management Considerations
- Direct to Consumer Community-Based Case Management
- Continuum Concepts
TABLE OF CONTENTS
Part 1 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
Chapter 26 Continuum Concepts
Appendix A Additional Resources
Appendix B Glossary
Appendix C Case Management and Healthcare Web Sites
|