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
