The Case Manager's Handbook / Edition 2by Catherine M. Mullahy
Pub. Date: 04/01/1998
Written by an active and nationally recognized case management consultant, The Case Manager's Handbook, Second Edition is the ultimate howto guide designed to define good case management, examine the case management process and present practical procedural information. Virtually every chapter has been revised. New chapters and sections have been added to cover timely topics including ethics, legislation, disease management, managed care, credentialing groups, endoflife issues, and donotrecussitate orders, and much more. Packed with triedandtrue approaches to care and claims management, you'll find this book to be an excellent daily reference or a resource for a different approach. It can be used as a training guide for new case managers, or a teaching tool for client groups.
Table of ContentsContents: PROFILE OF A CASE MANAGER * The Case Manager as Catalyst, Problem Solver, Educator * The Case Manager’ s Universe * Insurance Providers and Administrators * Insurance Lines and Health Benefit Plans * Legal and Ethical Responsibilities of the Case Management Profession * CASE MANAGEMENT PROCEDURES * Communications * The Case Management Work Format and Process * Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, and Case Management * Working Effectively with Claims Departments: Case Managers in Consulting Roles * CASE MANAGEMENT ADMINISTRATION AND FINANCIAL CONSIDERATIONS * Financial and Quality Assurance Reporting * Managing a Case Management Department: Your Role as Department Head or Independent Case Manager * TRENDS AND OPPORTUNITIES IN CASE MANAGEMENT * Case Manager Credentialing * Industry Directions * CASE MANAGEMENT IN ACTION: CASES IN PROFILE * Care at Home * Managing a Long-Term Case * Techniques for AIDS Cases * Public Sector Case Management * Cases in Profile * Appendixes * Index
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