Download or read book How to Be a Care Consultant and Care Manager written by Joan McGinnis and published by . This book was released on 2019-10-04 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource is an aid to give a head start, whether in private practice or within an agency, in the practice of care consultation and care management. An educational source that can be used either in a formal school setting or as a self-educational guide.
Download or read book Core Skills for Hospital Case Managers written by Tony Cesta and published by HC Pro, Inc.. This book was released on 2009-06 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Handbook of Geriatric Care Management written by Cathy Cress and published by Jones & Bartlett Learning. This book was released on 2007 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a reference which addresses the many settings that geriatric care managers find themselves in, such as hospitals, long-term care facilities, and assisted living and rehabilitation facilities. It also includes case studies and sample forms.
Download or read book Handbook of Geriatric Care Management written by Cathy Jo Cress and published by Jones & Bartlett Publishers. This book was released on 2015-10-26 with total page 590 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.
Download or read book The Life Care Management Handbook written by Jennifer Crowley and published by . This book was released on 2021-02 with total page 762 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Life Care Planning and Case Management Handbook written by Roger O. Weed and published by CRC Press. This book was released on 2018-09-03 with total page 1075 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life care planning is an advanced collaborative case management specialty practice focused on assessing, evaluating, coordinating, consulting, planning for, and monitoring necessary services for individuals with complex medical care needs over their lifetime. This handbook provides a comprehensive resource for all people involved with catastrophic impairments and chronic medical care case management. The Life Care Planning and Case Management Handbook, Fourth Edition, begins by defining the roles played by each of the key team members working with the life care planner. It provides planners with insights critical to successful interactions with medical and health care–related professionals as well as the team members they are most likely to encounter as they work to build an accurate and reliable life care plan. Next, the text offers up-to-date information on the medical conditions most frequently encountered by the life care planner. The contributors, who are recognized experts in their disciplines, also address issues in forensic settings, ethics, standards, research, and credentials. The fourth edition includes numerous chapters on general issues, as well as updated standards of practice from the International Academy of Life Care Planners (IALCP), Life Care Planning Consensus Statements, and valuable step-by-step charts and checklists. Completely updated and expanded, this revised handbook now includes new chapters on multicultural considerations in life care planning, admissibility of life care plans in U.S. courts, and Canadian life care planning practice. Additionally, infused in other chapters, is new information on medical coding and costing for life care planners, life care planning in non-litigated contexts, as well as research and education within life care planning.
Download or read book The Health Care Manager s Legal Guide written by Charles McConnell and published by Jones & Bartlett Learning. This book was released on 2011-08-24 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Manager's Legal Guide provides practical information on avolding these and other common legal hazards encountered when managing a healthcare workforce. Using straightforward language, this book serves as an essential resource for aspiring and practicing healthcare managers. --Book Jacket.
Download or read book Life Care Planning and Case Management Handbook written by Spilios Argyropolous and published by CRC Press. This book was released on 2004-05-10 with total page 874 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life Care Planning and Case Management Handbook, Second Edition brings together the many concepts, beliefs, and procedures regarding life care plans into one state-of-the-art publication. This second edition of a bestseller is focused on prioritizing and managing the spectrum of services for people with serious medical problems and their families.
Download or read book The Health Care Manager s Human Resources Handbook written by Charles R. McConnell and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: McConnell provides a resource for healthcare department managers who must relate to and work with their HR departments and manage their personnel. He explores strategies to gain the most value out of an organization's HR department.
Download or read book Case Management written by Suzanne K. Powell and published by Lippincott Williams & Wilkins. This book was released on 2000 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies.
Download or read book Pediatric Life Care Planning and Case Management Second Edition written by Susan Riddick-Grisham and published by CRC Press. This book was released on 2011-04-26 with total page 1054 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Life Care Planning and Case Management provides a comprehensive and unique reference that goes beyond the clinical discussion to include legal and financial aspects, life expectancy data, and assistive technology. It also includes case samples of actual plans related to specific conditions. The book is divided into five parts: Normal Growth and Development of Children describes the normal growth and development and the cognitive and psychosocial development of children. The Roles of the Life Care Plan Team details the roles of members of a life care plan team, from the pediatric care manager and life care planner to the vocational rehabilitation consultant, among others. Chronic Conditions and Disability States offers guidelines for life care planning for children with a wide range of chronic health conditions and disabilities, including traumatic injuries and organ transplants. Forensic Considerations examines life care planning in legal cases, life expectancy issues, and life care plan foundation strategies and requirements. Special Issues discusses assistive technology, medical homes, funding sources, and ethical issues in caring for children with special needs—including a mother’s perspective on caring for her son. With contributions from highly respected professionals, this text provides a guide for life care planners, health-care professionals, education specialists, insurance decision makers, attorneys, and families who work with children with special health-care needs.
Download or read book The Primary Care Toolkit written by Larry James and published by Springer Science & Business Media. This book was released on 2008-12-16 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.
Download or read book Treatment Planning for Person Centered Care written by Neal Adams and published by Academic Press. This book was released on 2013-10-21 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treatment Planning for Person-Centered Care, second edition, guides therapists in how to engage clients in building and enacting collaborative treatment plans that result in better outcomes. Suitable as a reference tool and a text for training programs, the book provides practical guidance on how to organize and conduct the recovery plan meeting, prepare and engage individuals in the treatment planning process, help with goal setting, use the plan in daily practice, and evaluate and improve the results. Case examples throughout help clarify information applied in practice, and sample documents illustrate assessment, objective planning, and program evaluation. - Presents evidence basis that person-centered care works - Suggests practical implementation advice - Case studies translate principles into practice - Addresses entire treatment process from assessment & treatment to outcome evaluation - Assists in building the skills necessary to provide quality, person-centered, culturally competent care in a changing service delivery system - Utilizes sample documents, showing examples of how to write a plan, etc. - Helps you to improve the quality of services and outcomes, while maintain optimum reimbursement
Download or read book Study Guide to Psychiatry written by Philip R. Muskin, M.D., M.A. and published by American Psychiatric Pub. This book was released on 2021-09-03 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Companion to The American Psychiatric Association Publishing Textbook of Psychiatry, Seventh Edition
Download or read book The Affordable Care Act and Integrated Behavioural Health Care written by Ford H. Kuramoto and published by Routledge. This book was released on 2017-10-02 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a scholarly discussion of arguably the most important advance in U.S. public health services since Medicare 50 years ago - how the Federal program known as the Patient Care and Affordable Care Act of 2010 (ACA) or "Obamacare" became law. It addresses ACA in terms of its impact on improving health and behavioural health services for key diverse populations in America, including people with disabilities, consumers, women, racial and ethnic minorities, and veterans and their families. From the very beginning, ACA was controversial and the topic of heated political debate at both state and national levels. This book examines more closely how the legislation was developed, including the political history of the act; the many advocacy efforts at the national level and the community-based action strategies at the grassroots level; how ACA will affect a broad cross-section of America; the integration of health and behavioural health services as a key component of ACA; the financing of ACA and parity for behavioural health services. This book was originally published as a special issue of the Journal of Social Work in Disability & Rehabilitation.
Download or read book Integrated Care written by Lori E. Raney and published by American Psychiatric Pub. This book was released on 2017-04-26 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives. As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.
Download or read book Nursing Case Management written by Elaine Cohen and published by Elsevier Health Sciences. This book was released on 2004-08-26 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
