Nursing Case Management; A Practical Guide to Success in Managed Care / Edition 1

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Editorial Reviews

Doody's Review Service
Reviewer: Alice Weydt, MS, RN (Immanuel St. Joseph Hospital)
Description: This new nurse case management book describes the nurse case management process, which includes assessment, case selection, continuous case management, coordination and development of treatment/discharge plan, final evaluation and/or past discharge follow-up, and implementation of the final plan. The book describes the qualifications and nurse case management role in addition to case studies demonstrating the positive impact of the nurse case management patient/client outcomes.
Purpose: The purpose is to provide a practical guide to implementing a nurse case management process in a managed care environment.
Audience: This book is targeted for novice nurse case managers, members of interdisciplinary health care teams, and hospital administrators as a reference for implementing and evaluating a nurse case management process.
Features: The overall organization and book design is clear and succinct. The title is descriptive of the content.
Assessment: This nurse case management reference is an excellent tool for nurses, physicians, social workers, nursing educators, and hospital administrators. The book provides a comprehensive overview of the nurse case management process and is appropriate for novice nurse case managers in helping them better comprehend their role as well as for organizations that are exploring options to better meet healthcare needs in a capitated healthcare environment. The overall book design is easy to follow and describes a process to implement and evaluate a nurse case management model. The book makes a valuable contribution to organizing relevant information that facilitates a better understanding of the power of the nurse case management process.
Alice Weydt
This new nurse case management book describes the nurse case management process, which includes assessment, case selection, continuous case management, coordination and development of treatment/discharge plan, final evaluation and/or past discharge follow-up, and implementation of the final plan. The book describes the qualifications and nurse case management role in addition to case studies demonstrating the positive impact of the nurse case management patient/client outcomes. The purpose is to provide a practical guide to implementing a nurse case management process in a managed care environment. This book is targeted for novice nurse case managers, members of interdisciplinary health care teams, and hospital administrators as a reference for implementing and evaluating a nurse case management process. The overall organization and book design is clear and succinct. The title is descriptive of the content. This nurse case management reference is an excellent tool for nurses, physicians, social workers, nursing educators, and hospital administrators. The book provides a comprehensive overview of the nurse case management process and is appropriate for novice nurse case managers in helping them better comprehend their role as well as for organizations that are exploring options to better meet healthcare needs in a capitated healthcare environment. The overall book design is easy to follow and describes a process to implement and evaluate a nurse case management model. The book makes a valuable contribution to organizing relevant information that facilitates a better understanding of the power of the nurse case management process.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780397552344
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 2/28/1996
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 392
  • Product dimensions: 6.49 (w) x 9.27 (h) x 0.80 (d)

Table of Contents

1 What Is a Case Manager? 3
2 Goals of Case Management 11
3 Essential Characteristics and Job Responsibilities 17
4 Opportunities in Nursing Case Management 33
5 Insurance 45
6 Utilization Management 77
7 Legal Issues for Case Managers 143
8 Ethical Issues and Dilemmas 169
9 Quality Improvement and Risk Management 187
10 Discharge Planning: Understanding the Levels of Care and Transfers 209
11 Introduction to the Case Management Process 241
12 Stage I: Case Screening and Selection 247
13 Stage II: Assessment - The Critical Link Between the Patient and the Treatment Plan 253
14 Stage III: Coordination and Development of Treatment and Discharge Plans 263
15 Stage IV: Continuous Case Management - Monitoring, Reassessing, Reevaluating 269
16 Stage V: Implementation of the Final Plan 281
17 Stage VI: Final Evaluation - Postdischarge Follow-up and Case Closure 285
18 Job Stress Versus Success Factors for Case Management 295
19 A Day in the Life of a Nurse Case Manager 309
20 A Case Study With and Without Case Management 315
21 Case Studies 319
Appendices 331
Appendix A: The Medicare DRGs 333
Appendix B: Important Addresses and Phone Numbers 347
Bibliography 349
Glossary 361
Index 373
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