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Core Skills for Hospital Case Managers

Engels | Hardcover | 9781601463531 | 294 pagina's

Tony Cesta, Beverly Cunningham - 9781601463531

 

Engels | Hardcover | 9781601463531 | 294 pagina's

Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes
Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN

As of June 20, 2014, contact hours for nurses are no longer available with this product.
Finally--an affordable, effective, and consistent training program for your hospital case managers.
This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed.
"Core Skills for Hospital Case Managers" is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals.
With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills.Table of contents
Chapter 1: Hospital Case Management 101
Chapter 2: Case Manager Role
Chapter 3: Roles, Functions, and Caseloads
Chapter 4: The Case Management Process
Chapter 5: The Case Manager's Role in Transitional and Discharge Planning
Chapter 6: Utilization Management
Chapter 7: Managing Long Length of Stay Patients
Chapter 8: Denials: Prevention and Appeals Strategies
Chapter 9: Reimbursement
Chapter 10: The Role of the Case Manager in Patient Flow
Chapter 11: Measuring Success: Strategic Outcome Measures
Chapter 12: Dealing with the Uninsured and Underinsured
Chapter 13: Working with Multidisciplinary Teams
Chapter 14: Crucial Communication and Conflict Resolution
Learning objectives: Discuss the evolution of hospital case managementExplain the different models of hospital case managementDetermine the various goals of hospital case managementExamine the various roles of case managementDiscuss the variety of functions performed by case managersDiscuss the scope of the case manager positionExamine staffing ratios in various modelsList the steps in the case management processDetermine the role of case managers in documentationExamine case managers' role in discharge planning List the factors that influence the discharge planning processDetermine strategies for improving discharge planningDiscuss how hospital reimbursement affects utilization management (UM)List the stages of UM coordinationDetermine the affect of outside influences on UMEvaluate different payers' regulations regarding UMExamine case management's role in length of stay (LOS)Evaluate strategies for managing patients with long LOSIdentify data used to track and trend LOSEvaluate the reasons behind denials Discuss case management's role in preventing denialsExamine case management's roles in reversing denialsExamine case management's role in reimbursementDetermine strategies for effective case management related to reimbursementEvaluate case management's role in patient flowDiscuss demand and capacity managementIdentify strategies for managing patient flowIdentify measurable case management outcomesExplain how case managers can track quality outcome metricsDiscuss other metrics case management departments can track and trendExamine ways to create a case management report cardDiscuss the unfunded or underfunded patient populationsDescribe the role of the ED case manager with unfunded or underfunded patient populationsEvaluate strategies for dealing with unfunded or underfunded patient populationsExamine strategies for successfully working with multidisciplinary teamsDescribe sources of conflict with which case managers frequently come in contactDiscuss strategies for reducing conflict
Intended audience
Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders

 

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Core Skills for Hospital Case Managers Engels | Hardcover | 9781601463531 | 294 pagina's
TaalEngels
BindwijzeHardcover
Verschijningsdatumjuni 2009
Aantal pagina's294 pagina's
IllustratiesNee
AuteurTony Cesta | Beverly Cunningham
Co-auteurBeverly Cunningham
UitgeverHcpro Inc.
Editie1
SubtitelA Training Toolkit for Effective Outcomes



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