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Nurse Case Management In The 21st Century
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Book Synopsis Nurse Case Management in the 21st Century by : Elaine Liebman Cohen
Download or read book Nurse Case Management in the 21st Century written by Elaine Liebman Cohen and published by Mosby Elsevier Health Science. This book was released on 1996 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The professional contributors to this nursing case management guide offer a personal and birds' eye view of the development, planning, implementation, cost effectiveness, and evaluation of care programs. They emphasize the client/nurse partnership, and advocate for nurses to work politically for the enhancement of health-care delivery services. Their experiences encompass a variety of situations and environments from rural to urban, AIDS care management to chronic disease care. The book design follows a "how to" concept: large size, bold headings, easily read text. Annotation copyright by Book News, Inc., Portland, OR
Book Synopsis A Guide for Nurse Case Managers by : Charlotte Cox
Download or read book A Guide for Nurse Case Managers written by Charlotte Cox and published by iUniverse. This book was released on 2010-08-12 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis CMSA's Integrated Case Management by : Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN
Download or read book CMSA's Integrated Case Management written by Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN and published by Springer Publishing Company. This book was released on 2018-01-28 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Nursing Case Management by : Elaine Cohen
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
Book Synopsis Foundations of Case Management by : Deanna Cooper Gillingham
Download or read book Foundations of Case Management written by Deanna Cooper Gillingham and published by . This book was released on 2021-10-16 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Core Skills for Hospital Case Managers by : Tony Cesta
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
Book Synopsis Case Management by : Suzanne K. Powell
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.
Book Synopsis Case Management Models, Second Edition by : Karen Zander
Download or read book Case Management Models, Second Edition written by Karen Zander and published by Hcpro, a Division of Simplify Compliance. This book was released on 2017-06-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains the differences between case management and social work and the ways in which case management functions have evolved over time. Case management is continuously evolving to meet the needs of patients and manage the quality, financial, and legal risks health care systems and accountable care organizations (ACO) face.
Book Synopsis Managed Care by : Margaret M. Conger
Download or read book Managed Care written by Margaret M. Conger and published by SAGE Publications. This book was released on 1999-01-27 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Of all the recent changes in health care, none have more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In Managed Care, Dr. Margaret M. Conger and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Organized into three sections, Managed Care looks at the nature of managed care, nursing strategies in acute care hospitals, and nursing strategies in community settings. Section I examines the evolution of managed care, definitions, and issues informing this method of service delivery, and nursing involvement in quality of care and case management. In Section II, the authors look at acute care settings, discussing the use of nurse extenders, advanced practice nursing, case management, automated clinical pathways, and outcome research. Section III addresses the community settings and explores case management, advanced practice roles in community health clinics, and collaboration in primary care settings. Managed Care will serve as an excellent course text on nursing and managed care, as well as being a useful introduction and shelf reference for professional nurses at all levels.
Book Synopsis Case Management by : Suzanne K. Powell
Download or read book Case Management written by Suzanne K. Powell and published by Lippincott Williams & Wilkins. This book was released on 2018-02-26 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Introduction to Care Coordination and Nursing Management by : Laura J. Fero
Download or read book Introduction to Care Coordination and Nursing Management written by Laura J. Fero and published by Jones & Bartlett Publishers. This book was released on 2011 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new and updated version of this best-selling resource! Jones and Bartlett Publisher's 2011 Nurse's Drug Handbook is the most up-to-date, practical, and easy-to-use nursing drug reference! It provides: Accurate, timely facts on hundreds of drugs from abacavir sulfate to Zyvox; Concise, consistently formatted drug entries organized alphabetically; No-nonsense writing style that speaks your language in terms you use everyday; Index of all generic, trade, and alternate drug names for quick reference. It has all the vital information you need at your fingertips: Chemical and therapeutic classes, FDA pregnancy risk category and controlled substance schedule; Indications and dosages, as well as route, onset, peak, and duration information; Incompatibilities, contraindications; interactions with drugs, food, and activities, and adverse reactions; Nursing considerations, including key patient-teaching points; Vital features include mechanism-of-action illustrations showing how drugs at the cellular, tissue, or organ levels and dosage adjustments help individualize care for elderly patients, patients with renal impairment, and others with special needs; Warnings and precautions that keep you informed and alert.
Book Synopsis Leadership and Nursing Care Management by : Diane Huber
Download or read book Leadership and Nursing Care Management written by Diane Huber and published by Elsevier Health Sciences. This book was released on 2013-09-24 with total page 562 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research Notes in each chapter summarize relevant nursing leadership and management studies and show how research findings can be applied in practice. Leadership and Management Behavior boxes in each chapter highlight the performance and conduct expected of nurse leaders, managers, and executives. Leading and Managing Defined boxes in each chapter list key terminology related to leadership and management, and their definitions. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key chapter concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions that allow you to reflect on chapter content, critically analyze the information, and apply it to the situation.A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice.
Book Synopsis Leadership and Nursing Care Management - E-Book by : Diane Huber
Download or read book Leadership and Nursing Care Management - E-Book written by Diane Huber and published by Elsevier Health Sciences. This book was released on 2013-10-01 with total page 595 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uniquely organized around the AONE competencies, this trusted resource gives you an easy-to-understand, in-depth look at today’s most prevalent nursing leadership and management topics. Coverage features the most up-to-date, research-based blend of practice and theory related to topics such as: the nursing professional's role in law and ethics, staffing and scheduling, delegation, cultural considerations, care management, human resources, outcomes management, safe work environments, preventing employee injury, and time and stress management. UNIQUE! Chapters divided according to AONE competencies for nurse leaders, managers, and executives. Research Notes in each chapter summarize relevant nursing leadership and management studies and highlight practical applications of research findings. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions to help you reflect on chapter content, critically analyze the information, and apply it to the situation. A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice.
Book Synopsis Community/Public Health Nursing - E-Book by : Mary A. Nies
Download or read book Community/Public Health Nursing - E-Book written by Mary A. Nies and published by Elsevier Health Sciences. This book was released on 2014-08-18 with total page 711 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the nurse’s role in promoting community health, Community/Public Health Nursing, 6th Edition provides a unique ‘upstream’ preventive focus and a strong social justice approach in a concise, easy-to-read text. It shows how you, as a nurse, can take an active role in social action and health policy – especially in caring for diverse and vulnerable population groups. Written by community health nursing experts Mary A. Nies and Melanie McEwen, this book offers clinical examples and photo novellas showing how concepts apply to the real world, and describes the issues and responsibilities of today’s community and public health nursing. UNIQUE! ‘Upstream’ preventive focus addresses factors that are the precursors to poor health in the community, addressing potential health problems before they occur. UNIQUE! Emphasis on community aspects in all steps of the nursing process highlights the community perspective in all health situations. UNIQUE! A ‘social justice’ approach promotes health for all people, including vulnerable populations. UNIQUE! Photo novellas use photographs to tell stories showing real-life clinical scenarios and applications of important community health nursing roles. Research Highlights boxes show the application of research studies to the practice of community nursing. Clinical examples offer snippets of real-life client situations. Case Study: Application of the Nursing Process feature presents practical and manageable examples for the theory, concepts, and application of the nursing process. Ethical Insights boxes highlight ethical issues and concerns that the community/public health nurse may encounter. Objectives, key terms, and chapter outlines at the beginning of every chapter introduce important concepts and terminology. NEW and UNIQUE! Veterans' Health boxes present situations and considerations related to the care of veterans. UPDATED Economics of Health Care chapter addresses the latest changes related to health care reform. UPDATED Healthy People 2020 boxes include the most current national health care objectives. UPDATED Communicable Disease chapter covers current public health surveillance and outbreaks of emerging health threats, including emerging infections (e.g., H1N1, SARS, West Nile virus).
Book Synopsis The Case Manager’s Handbook by : Catherine M. Mullahy
Download or read book The Case Manager’s Handbook written by Catherine M. Mullahy and published by Jones & Bartlett Learning. This book was released on 2016-05-23 with total page 769 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by renowned author Catherine M. Mullahy, 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 (CCM) 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 (ACA). The Sixth Edition includes new chapters on pediatric case management, workers’ compensation case management, key factors driving today’s healthcare system, the case manager’s role in the era of value-based health care, case management and healthcare provider strategies for managing the high-risk or high-cost patient, and transformative healthcare approaches for the millennial generation.
Book Synopsis Financial Management for Nurse Managers by : Janne Dunham-Taylor
Download or read book Financial Management for Nurse Managers written by Janne Dunham-Taylor and published by Jones & Bartlett Learning. This book was released on 2009-11-24 with total page 652 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised and updated, the Second Edition addresses a myriad of financial concepts ranging from staffing and budgeting to measuring productivity and forecasting costs. Examples and explanations of terminology will help nurse managers successfully correspond with the financial department to implement change without negatively affecting patient care and outcomes.
Book Synopsis Chronic Illness by : Ilene Morof Lubkin
Download or read book Chronic Illness written by Ilene Morof Lubkin and published by Jones & Bartlett Learning. This book was released on 2006 with total page 1426 pages. Available in PDF, EPUB and Kindle. Book excerpt: The best-selling Chronic Illness: Impact and Intervention continues to focus on the various aspects of chronic illness that influence both patients and their families. Topics include the sociological, psychological, ethical, organizational, and financial factors, as well as individual and system outcomes. the revised Sixth Edition includes new chapters on palliative care, complementary and alternative therapies, and self-efficacy, as well as added material on culturally competent care. Intended for nurses, social workers, and rehabilitation professionals, Chronic Illness demonstrates how the h
