The Case Manager's Handbook / Edition 5

Hardcover (Print)
Rent from
(Save 64%)
Est. Return Date: 09/22/2014
Used and New from Other Sellers
Used and New from Other Sellers
from $74.99
Usually ships in 1-2 business days
(Save 24%)
Other sellers (Hardcover)
  • All (16) from $74.99   
  • New (13) from $74.99   
  • Used (3) from $82.83   

More About This Textbook


Written by renowned author Catherine Mullahy, The Case Manager’s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam.

Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager’s Handbook, Fifth Edition is the “go-to” resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act.

Significantly updated and revised, it contains eight new chapters:
* Hospital Case Management: Changing Roles and Transitions of Care
* Patient Centered Medical Home, ACOs, Health Exchanges
* Evidence-Based Practice
* Public Sector Reimbursement
* Predictive Modeling
* Pain Management
* Health Technology, Trends, and Implications for Case Managers
* The Affordable Care Act of 2010: Implications for Case Managers

Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices.

Read More Show Less

Product Details

  • ISBN-13: 9781284033601
  • Publisher: Jones & Bartlett Learning
  • Publication date: 6/20/2013
  • Edition description: New Edition
  • Edition number: 5
  • Pages: 875
  • Sales rank: 137,038
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.90 (d)

Table of Contents

Pt. I Profile of a Case Manager 1
Ch. 1 The Case Manager as Catalyst, Problem Solver, Educator 3
Ch. 2 The Case Manager's Universe 25
Ch. 3 Insurance Providers and Administrators 39
Ch. 4 Insurance Lines and Health Benefit Plans 47
Ch. 5 Legal Responsibilities of the Case Management Profession 77
Ch. 6 Ethical Responsibilities of the Case Management Profession 117
Ch. 7 HIPAA: The Health Insurance Portability and Accountability Act 145
Pt. II Case Management Procedures 165
Ch. 8 Communications 167
Ch. 9 The Case Management Work Format and Process 193
Ch. 10 Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, Disease Management, and Case Management 299
Ch. 11 Working Effectively with Claims Departments: Case Managers in Consulting Roles 345
Pt. III Case Management Administration and Financial Considerations 375
Ch. 12 Financial and Quality Assurance Reporting 377
Ch. 13 Managing a Case Management Department: Your Role as Department Head or Independent Case Manager 463
Pt. IV Trends and Opportunities in Case Management 521
Ch. 14 Case Manager Credentialing 523
Ch. 15 Cultural Issues 535
Ch. 16 Behavioral Health 543
Ch. 17 Dying in America 549
Ch. 18 Industry Directions 569
Pt. V Case Management in Action: Cases in Profile 581
Ch. 19 Care at Home 583
Ch. 20 Managing a Long-Term Case 599
Ch. 21 Techniques for AIDS Cases 615
Ch. 22 Public Sector Case Management 635
Ch. 23 Cases in Profile 643
App. A: Additional Resources 675
App. B: Glossary 695
App. C: Case Management and Health Care Web Sites 719
Index 723
About the Author 749
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)