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Case Management in Health Care

Case Management in Health Care - 2nd edition

ISBN13: 978-0721695587

Cover of Case Management in Health Care 2ND 03 (ISBN 978-0721695587)
ISBN13: 978-0721695587
ISBN10: 0721695582
Cover type: Hardback
Edition/Copyright: 2ND 03
Publisher: W.B. Saunders Co.
Published: 2003
International: No

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Case Management in Health Care - 2ND 03 edition

ISBN13: 978-0721695587

Peggy A. Rossi

ISBN13: 978-0721695587
ISBN10: 0721695582
Cover type: Hardback
Edition/Copyright: 2ND 03
Publisher: W.B. Saunders Co.

Published: 2003
International: No
Summary

Case Management in Health Care is a comprehensive reference designed to educate nurses and other health care professionals on the processes involved in case management. This reference discusses interventions and collaboration efforts that are necessary to move the patient through the continuum of care. It explores the changes in case management and it explains the financial, legal, and service aspects of this field. It is appropriate for nursing students (undergraduate and graduate) as well as for practicing case managers.

Key Features

  • Focuses on the most current topics that are based on the changes and trends in case management and health care.
  • Addresses health care policies, laws and regulations as they apply to a case manager's day-to-day responsibilities.
  • Presents the basics on health insurance and the alternate funding programs equipping case managers to become active advocates for their patients.
  • Explores the pitfalls and barriers frequently encountered when locating appropriate patient resources, and explains how to overcome them.
  • Discusses various levels of care and treatment settings outside the acute care setting (ex. skilled nursing facility and home health care).
  • Explains the increasing number of case management models that are being used in various clinical settings.
  • Compares the roles and responsibilities of a utilization manager and a case manager, emphasizing the need for their collective efforts in providing quality patient care.

Table of Contents

Unit 1 Changes and Tools for Case Management

Chapter 1 Introduction to Changes and Tools for Case Management
Chapter 2 Changes in Case Management NEW!
Chapter 3 Case Management and Technology

Unit 2 Managed Care, Insurance and Funding Programs, and Utilization Challenges

Chapter 4 Introduction to Funding
Chapter 5 Managed Care
Chapter 6 Insurance and Funding Programs
Chapter 7 Children's Health Coverage Programs and Services
Chapter 8 Department of Defense Health Care and Veteran Benefits
Chapter 9 Other Insurance, Funding, and Health Care Services
Chapter 10 Utilization Management Challenges

Unit 3 Legal and Legislative Issues

Chapter 11 Introduction to Legal and Legislative Issues
Chapter 12 Protecting One's Self from Malpractice
Chapter 13 Legislative Issues Impacting Health Care

Unit 4 Complex Care

Chapter 14 Introduction to Complex Care
Chapter 15 Disease Management
Chapter 16 Case Management of the Transplant Patient
Chapter 17 Case Management of the Mentally Ill Patient
Chapter 18 Geriatric Consideration
Chapter 19 Pharmaceuticals and Enteral Therapy

Unit 5 Post Acute Care

Chapter 20 Introduction to Post Acute Care
Chapter 21 Overview of Post Acute Care
Chapter 22 Skilled Nursing Facility
Chapter 23 Home Health Agency Care
Chapter 24 Hospice and the Transition to End of Life Care
Chapter 25 Emergency Department Nurse Case Manager

Unit 6 Quality, Credentialing, and Audits

Chapter 26 Introduction to Quality, Credentialing, and Audits NEW!
Chapter 27 Quality Management for Case Managers NEW!
Chapter 28 The Importance of Credentialing NEW!
Chapter 29 Audits

Appendix: Synopsis of Community Agencies
Glossary Index

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