Case Management: A Practical Guide to Success in Managed Care / Edition 2

Case Management: A Practical Guide to Success in Managed Care / Edition 2

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by Suzanne K. Powell
     
 

The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management

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Overview

The Second Edition of this comprehensive "how to" text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition—chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies.

Product Details

ISBN-13:
9780781718837
Publisher:
Lippincott Williams & Wilkins
Publication date:
01/28/2000
Edition description:
Second Edition
Pages:
544
Product dimensions:
6.10(w) x 9.10(h) x 1.10(d)

Meet the Author

Table of Contents

Pt. IIntroduction to Case Management
1Overview of Case Management2
2Case Management Job Responsibilities and Essential Skills55
3Credentials, Organizations, Guidelines, and Standards95
Pt. IIBasic Concepts in Case Management
4Insurance128
5Utilization Management166
6Legal Issues in Case Management237
7Ethical Issues and Dilemmas296
8Quality Reviews and Risk Management328
Pt. IIIThe Case Management Process
9Discharge Planning: Understanding Levels of Care and Transfers354
10The Case Management Process410
Pt. IVPractical Applications
11Job Stress Versus Success Factors in Case Management468
12Case Management by Proxy: Case Studies489
Glossary501
Index511

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