Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice , 4th Edition . Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction:
NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools
NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care
NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development
Offers in-depth, evidence-based guidance on:
The case manager’s roles, functions, and tasks
Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care
The role of the nurse case manager versus social worker role
Strategies that ensure effectiveness of case management models
Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards
The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications
Management of resources and reimbursement concepts
Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation
Ideal preparation for the CCMC exam —offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study
A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management
About the Authors Suzanne K. Powell, RN, MBA, CCM, CPHQ, is Editor-in-Chief, of Professional Case Management: Leading Evidence Based Practice Across Transitions of Care at Lippincott Williams & Wilkins in Philadelphia, Pennsylvania.
Hussein M. Tahan, PhD, RN, is System Vice President of Nursing, Professional Development and Workforce Planning at MedStar Health System Nursing in Columbia, Maryland.
Specs
Edition
4
ISBN/ISSN
9781496384256
Product Format
PB-Paperback
Trim Size
8 3/8 x 10 7/8
Pages
400
Table
10
Edition
4
Publication Date
April 13, 2018
Weight
2.40
Suzanne K Powell RN, MBA, CCM, CPHQ
Editor, Lippincott's Case Management Journal
Hussein M. Tahan PhD, RN
System Vice President Nursing Professional Development and Workforce Planning MedStar Health System Nursing Columbia, Maryland
Table of contents
Part I: Introduction to Case Management Practice 1. Overview of Case Management 2. Roles, Functions, and Preparation of Case Management Team Members 3. Management of Resources and Reimbursement Systems Part II: The Case Management Process and Related Activities 4. The Case Management Process 5. Utilization Management 6. Transitional Planning: Understanding Levels and Transitions of Care Part III: Key Concepts in Case Management Practice 7. Quality Management and Outcomes Evaluation 8. Legal Considerations in Case Management Practice 9. Ethical Principles in Case Management Practice Part IV: Practical Applications 10. Case Management Standards and Professional Organizations 11. Preparation for the Case Management Role 12. Strategies for Success in Case Management Practice
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