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Case Manager's Training Manual
David Plocher, MD, Patricia Metzger, MHA, RN
ISBN-13: 9780834219304
ISBN-10: 0834219301
$102.95 (Sugg. US List)
Hardcover
318 Pages
© 2001
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THE FUNDAMENTALS * Organizational Structure of Case Management Programs * Recruiting Case Managers * What Every Case Manager Should Know about Managed Care * Understanding Utilization Management * Understanding Chart Review * Denial Management and Related Care Coordination * Physician Partnering and the Case Manager's Role in Conflict Mediation * Patient's Rights and Effective Communication Techniques * Regulator Impact on Daily Work Flow * Contents: DOCUMENTATION AND MEASUREMENT * The Role of the Case Manager in Hospital Preparation for Joint Commission Accreditation * The Case Manager as a Facilitator of Accurate Medical Record Documentation * TRANSITION FROM DISCHARGE PLANNING TO COMMUNITY-BASED CASE MANAGEMENT * Transition Planning (Discharge Planning) * Postacute Services * Home Health Care * Hospice and End-of-Life Care * Community-Based Case Management * Communications between the Hospital-Based Case Manager and the Payer * INFORMATION TECHNOLOGY SUPPORT FOR CASE MANAGERS * The Case Manager's Guide to Hospital Cost Accounting Systems * Decision Support for Case Managers * MODELS FROM MEDICAL CENTERS REDESIGNING CASE MANAGEMENT * Rapid Design * Improving the Care of Complex Populations: A Case Study in Clinical Redesign of Patients with Acute Myocardial Infarction * Improving the Care of Complex Populations: A Case Study in Clinical Redesign on Extremely Immature Neonates * Improving the Care of Complex Populations: A Case Study in Clinical Redesign on a Trauma Service * Glossary * Index
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