Case Management in Health Care is a comprehensive reference designed to educate nurses and other health care professionals on the processes involved in case management. This reference discusses interventions and collaboration efforts that are necessary to move the patient through the continuum of care. It explores the changes in case management and it explains the financial, legal, and service aspects of this field. It is appropriate for nursing students (undergraduate and graduate) as well as for practicing case managers.
Unit 1 Changes and Tools for Case Management Chapter 1 Introduction to Changes and Tools for Case Management Chapter 2 Changes in Case Management NEW! Chapter 3 Case Management and Technology Unit 2 Managed Care, Insurance and Funding Programs, and Utilization Challenges Chapter 4 Introduction to Funding Chapter 5 Managed Care Chapter 6 Insurance and Funding Programs Chapter 7 Childrens Health Coverage Programs and Services Chapter 8 Department of Defense Health Care and Veteran Benefits Chapter 9 Other Insurance, Funding, and Health Care Services Chapter 10 Utilization Management Challenges Unit 3 Legal and Legislative Issues Chapter 11 Introduction to Legal and Legislative Issues Chapter 12 Protecting Ones Self from Malpractice Chapter 13 Legislative Issues Impacting Health Care Unit 4 Complex Care Chapter 14 Introduction to Complex Care Chapter 15 Disease Management Chapter 16 Case Management of the Transplant Patient Chapter 17 Case Management of the Mentally Ill Patient Chapter 18 Geriatric Consideration Chapter 19 Pharmaceuticals and Enteral Therapy Unit 5 Post Acute Care Chapter 20 Introduction to Post Acute Care Chapter 21 Overview of Post Acute Care Chapter 22 Skilled Nursing Facility Chapter 23 Home Health Agency Care Chapter 24 Hospice and the Transition to End of Life Care Chapter 25 Emergency Department Nurse Case Manager Unit 6 Quality, Credentialing, and Audits Chapter 26 Introduction to Quality, Credentialing, and Audits NEW! Chapter 27 Quality Management for Case Managers NEW! Chapter 28 The Importance of Credentialing NEW! Chapter 29 Audits Appendix: Synopsis of Community Agencies Glossary Index
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