Study Guide for Case Manager's Handbook

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Summary

This study guide summarizes The Case Manager’s Handbook and includes sample test questions, key words, and learning objectives.

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Profile of a Case Manager
The Case Manager as Catalyst, Problem Solver, Educator	p. 1
The Case Manager's Universe	p. 5
Insurance Providers and Administrators	p. 9
Insurance Lines and Health Benefit Plans	p. 15
Legal Responsibilities of the Case Management Profession	p. 23
Ethical Responsibilities of the Case Management Profession	p. 31
HIPAA: The Health Insurance Portability and Accountability Act	p. 35
Case Management Procedures
Communications	p. 39
The Case Management Work Format and Process	p. 45
Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, Disease Management, and Case Management	p. 53
Working Effectively with Claims Departments: Case Managers in Consulting Roles	p. 61
Case Management Administration and Financial Considerations
Financial and Quality Assurance Reporting	p. 67
Managing a Case Management Department: Your Role as Department Head or Independent Case Manager	p. 75
Trends and Opportunities in Case Management
Case Manager Credentialing	p. 81
Cultural Issues	p. 87
Behavioral Health	p. 91
Dying in America	p. 95
Industry Directions	p. 101
Case Management in Action: Cases in Profile
Care at Home	p. 107
Managing a Long-Term Case	p. 113
Techniques for AIDS Cases	p. 119
Public Sector Case Management	p. 125
Cases in Profile	p. 129
Table of Contents provided by Rittenhouse. All Rights Reserved.