CMSA's Integrated Case Management

CMSA's Integrated Case Management

Author: Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN

Publisher: Springer Publishing Company

Published: 2018-01-28

Total Pages: 316

ISBN-13: 0826169511

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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.


Social Work Case Management

Social Work Case Management

Author: Betsy Vourlekis

Publisher: Routledge

Published: 2017-07-05

Total Pages: 164

ISBN-13: 135148933X

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This new practice text provides a series of readings focusing on case management in a number of fields and in a variety of settings with different client populations. Each chapter examines a major component of case management practice by presenting information about an innovative program from a different location around the country. In conjunction, these readings provide a road map to social work case management.In addition to offering up-to-date practice approaches and examining the functions and skills of case management in depth, the authors provide the policy information needed for putting this traditional form of social work practice into today's service delivery context.


Advanced Case Management

Advanced Case Management

Author: Suzanne K. Powell

Publisher: Lippincott Williams & Wilkins

Published: 2000

Total Pages: 358

ISBN-13: 9780781722346

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Advanced Case Management: Outcomes and Beyond, is a theoretical, research-oriented, and statistical publication providing comprehensive coverage of advanced case management information. Essential topics presented in this text include outcomes management, disease management, continuous quality improvement (CQI), and complementary medicine practices. Building on Case Management: A Practical Guide to Success in Managed Care, Second Edition, this book explores population-based case management and its components. Part I comprehensively covers disease management concepts and development of a successful disease management program. Part II focuses on the latest trends in outcomes management. Topics covered include how to develop an outcomes management program, the Center for Case Management Accountability (CCMA), benchmarking, and factors affecting case management outcomes. Part III deals with continuous quality improvement (CQI) and proper use of CQI tools. Finally, Part IV, Managing Complementary Health Care--A Vision for the Future, addresses the challenges and the successes of Complementary and Alternative Medicine (CAM) practices.


The Integrated Case Management Manual

The Integrated Case Management Manual

Author: Roger G. Kathol, MD

Publisher: Springer Publishing Company

Published: 2010-06-03

Total Pages: 319

ISBN-13: 082610634X

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Designated a Doody's Core Title! An ideal reference guide for case managers who work with complex, multimorbid patients, The Integrated Case Management Manual helps readers enhance their ability to work with these patients, learn how to apply new evidence-based assessments, and advocate for improved quality and safe care for all patients. This text encourages case managers to assess patients with both medical and mental health barriers to improvement in order to coordinate appropriate integrated health interventions and treatment planning. Built upon the goals and values of the Case Management Society of America (CMSA), this manual guides case managers through the process of developing new and important cross-disciplinary skills. These skills will allow them to alter the health trajectory of some of the neediest patients in the health care system. Key Features: Tools and resources for deploying an Integrated Health Model (physical and mental health treatment) to the medically complex patient Complexity assessment grids: a color-coded tool for tracking patient progress and outcomes throughout the trajectory of the illness Methods for building collaborative partnerships in emerging models of care delivery within multidisciplinary health care teams Strategies for using an integrated case management approach to improve efficiency, effectiveness, accountability, and positive outcomes in clinical settings Guidance on connecting multi-disciplinary teams to assist with health issues in the biological, psychological, and social domains to overcome treatment resistance, reduce complications, and reduce cost of care


Advanced Case Management

Advanced Case Management

Author: Norma Radol Raiff

Publisher: SAGE

Published: 1993-08-19

Total Pages: 204

ISBN-13: 9780803938724

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This overview of issues pertinent to case management in the social services illustrates the diversity of innovative approaches which have been developed. These include: new forms of outreach and assessment; alternative methods for engaging family members and natural supports; and strategies attuned to the needs of culturally diverse constituencies. The degree to which existing services are available to meet clients' needs, and variations in service philosophies and resources are among the issues discussed. Examples from many practice settings illustrate the adaptability of case management.


A Case Manager’s Study Guide

A Case Manager’s Study Guide

Author: Nancy E. Skinner

Publisher: Jones & Bartlett Learning

Published: 2018-03-20

Total Pages: 454

ISBN-13: 1284166791

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A Case Manager's Study Guide: Preparing for Certification, Fifth Edition is an essential study guide for case managers preparing to take the Certified Case Manager (CCM) exam offered by the Commission for Case Manager Certification (CCMC). Based on the five knowledge domains and eight essential activities from the CCMC, it contains hundreds of questions and answers with comprehensive rationales. Completely updated and revised, the Fifth Edition reflects the latest CCM exam blueprint.


A Guide for Nurse Case Managers

A Guide for Nurse Case Managers

Author: Charlotte Cox

Publisher: iUniverse

Published: 2010-08-12

Total Pages: 93

ISBN-13: 1450238564

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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.


Social Work Case Management

Social Work Case Management

Author: Michael J. Holosko

Publisher: SAGE Publications

Published: 2017-01-30

Total Pages: 449

ISBN-13: 1483374467

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Social Work Case Management: Case Studies From the Frontlines by Michael J. Holosko is an innovative book that equips readers with the knowledge and skills they need to be effective case management practitioners in a variety of health and human service organizations. A must-read for students and professionals in social work, this important work introduces a unique Task-Centered Case Management Model built around the unifying principles of the profession—person-in-environment, strengths-based work, and ecological perspective. Over twenty case studies by case managers and professionals offer innovative practice insights, illustrating the practice roles and responsibilities of today's case managers and the realities of conducting case management in today’s growing, exciting, and challenging field.


Advanced Practice Nursing

Advanced Practice Nursing

Author: Lucille A Joel

Publisher: F.A. Davis

Published: 2017-10-20

Total Pages: 531

ISBN-13: 0803667051

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Meet all the challenges of professional practice—whatever your specialty or environment. Noted nursing professionals and educators explore all of the non-clinical roles and responsibilities of an APN and chart a course that will enable you to meet them successfully. You’ll follow the evolution of the APN’s role from a historical perspective to the present and examine the issues and challenges you’ll encounter in the future.


Essential Readings in Case Management

Essential Readings in Case Management

Author: Catherine M. Mullahy

Publisher: Jones & Bartlett Learning

Published: 1998

Total Pages: 342

ISBN-13: 9780834211391

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Bullets in Emergency Medicine: Review and Reminders in Pursuit of Evidence-Based Decisions is a concise guide to the diagnosis and treatment patients in the Emergency Department. Arranged by signs and symptoms as well as by system, this accessible handbook is an ideal reference for use in the Emergency Department and a perfect review for the ACEP boards.