Study Guide For Case Manager's Handbook / Edition 3

Study Guide For Case Manager's Handbook / Edition 3

by Catherine Mullahy

binding type PBSee more details below


binding type PB

Product Details

Jones & Bartlett Learning
Publication date:
Edition description:
Product dimensions:
9.00(w) x 6.00(h) x 0.29(d)

Table of Contents

Part IProfile of a Case Manager
Chapter 1The Case Manager as Catalyst, Problem Solver, Educator1
Chapter 2The Case Manager's Universe5
Chapter 3Insurance Providers and Administrators9
Chapter 4Insurance Lines and Health Benefit Plans15
Chapter 5Legal Responsibilities of the Case Management Profession23
Chapter 6Ethical Responsibilities of the Case Management Profession31
Chapter 7HIPAA: The Health Insurance Portability and Accountability Act35
Part IICase Management Procedures
Chapter 8Communications39
Chapter 9The Case Management Work Format and Process45
Chapter 10Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, Disease Management, and Case Management53
Chapter 11Working Effectively with Claims Departments: Case Managers in Consulting Roles61
Part IIICase Management Administration and Financial Considerations
Chapter 12Financial and Quality Assurance Reporting67
Chapter 13Managing a Case Management Department: Your Role as Department Head or Independent Case Manager75
Part IVTrends and Opportunities in Case Management
Chapter 14Case Manager Credentialing81
Chapter 15Cultural Issues87
Chapter 16Behavioral Health91
Chapter 17Dying in America95
Chapter 18Industry Directions101
Part VCase Management in Action: Cases in Profile
Chapter 19Care at Home107
Chapter 20Managing a Long-Term Case113
Chapter 21Techniques for AIDS Cases119
Chapter 22Public Sector Case Management125
Chapter 23Cases in Profile129

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