The Case Manager's Handbook

Part Part I Introduction: Biography of a Case Manager
Chapter1 The Case Manager as Catalyst, Problem Solver, Educator
Chapter2 The Case Manager's Universe
PartII Part II: Case Management Process: The Microsystem Level
Chapter3 The Case Management Work Format and Process
Appendix APPENDIX 3-A VIII. Standards of Case Management Practice
Chapter4 Communications And Patient Engagement
Part Part III Practice Settings And Models of Care
Chapter5 Hospital Case Management: Changing Roles and Transitions of Care
Chapter6 ACOs, PCMHs, And State Health Exchanges
Chapter7 Independent Case Management
Chapter8 Home Care Case Management, Long-Term Care and Health Care Reform
Chapter9 Pediatric Case Management
Chapter10 Workers' Compensation Case Management
Part Part IV The Case Management Professional
Chapter11 Legal Responsibilities Of The Case Management Professional
Appendix APPENDIX 11-A Written Agreement: Some Typical Provisions
Appendix APPENDIX 11-B Legal Issues in Case Management Checklist
Appendix APPENDIX 11-C AMA Evidence-Based Principles of Discharge and Discharge Criteria
Appendix APPENDIX 11-D U.S. Legislation Review Relevant to Healthcare Case Management
Chapter12 Ethical Responsibilities Of The Case Management Professional
Appendix APPENDIX 12-A CCMC Rules of Conduct
Appendix APPENDIX 12-B Excerpts from the CCMC Code of Professional Conduct for Case Managers
Chapter13 Evidence-Based Practice For Case Managers: Data-Driven Decision Making
Chapter14 Case Manager Credentialing and Organizational Accreditation
Part Part V Reimbursement
Chapter15 Reimbursement Resources And Challenges
Chapter16 Healthcare Reimbursement: Private-Sector or Employer-Sector Funding
Chapter17 Healthcare Reimbursement: Public Sector
Chapter18 Working Effectively With Claims Departments: Case Managers In Consulting Roles
Part Part VI Leadership And Management: Macrosystems
Chapter19 Outcomes Management With Analysis Of Financial And Quality Assurance Reporting
Appendix APPENDIX 19-A Program Questionnaire and Facility Review for Case Managers
Appendix APPENDIX 19-B Provider Service Agreements
Appendix APPENDIX 19-C Expanded Cost-Benefit Analysis Summary
Appendix APPENDIX 19-D Expanded Cost-Benefit Analysis Summary for -Self-Funded Plan
Chapter20 New Strategies for Leading A Case Management Department: Today and Into the Future
Appendix APPENDIX 20-A Sample Nurse Reviewer for Prenotification Department Position Description
Appendix APPENDIX 20-B Sample Medical Case Manager Position Description
Appendix APPENDIX 20-C Sample Director of Case Management Services Position Description
Appendix APPENDIX 20-D UNIT-BASED NURSE CASE MANAGER CHART
Chapter21 Predictive Modeling And Case Stratification
Part Part VII Focus On Current Challenges And Emerging Trends
Chapter22 New Characteristics of Today's Healthcare Systems
Chapter23 The Case Manager's Role in the Era of Value-Based Healthcare
Chapter24 New Case Management and Healthcare Provider Approaches for Managing the High Risk, High Cost Patient
Chapter25 The Aging Population, Medical Advancements, And New Case Management Considerations
Chapter26 Dying In America
Appendix APPENDIX 26-A: End-of-Life Care: The Latino Culture
Appendix APPENDIX 26-B: End-of-Life Care: The Russian Culture
Appendix APPENDIX 26-C: End-of-Life Care: The Vietnamese Culture
Chapter27 Medication Management: A Case Management Call to Action
Chapter28 Pain Management
Chapter29 Our Nation's Multiculturalism And Challenges To Case Managers
Appendix APPENDIX 29-A: Communicating with Your Chinese Patient
Appendix APPENDIX 29-B: Communicating with Your American Indian/Alaska Native Patient
Appendix APPENDIX 29-C: Communicating with Your Latino Patient
Appendix APPENDIX 29-D: Communicating with Your Russian Patient
Chapter30 Health Literacy And Adherence Issues
Chapter31 Obesity: The New Epidemic
Chapter32 Behavioral Health with Primary Care: An Integrated Model of Care
Chapter33 Healthcare Technology And Trends: Implications For Case Managers
Chapter34 Transformative Healthcare Approaches for the Millennial Generation
Chapter35 The Affordable Care Act Of 2010: Implications For Case Managers