Care Management Job Description

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  care management job description: CMSA's Integrated Case Management Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN, Rebecca Perez, MSN, RN, CCM, FCM, Corine Latour, PhD, RN, 2018-01-28 Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition.
  care management job description: Handbook of Geriatric Care Management Cathy Cress, 2007 This book is a reference which addresses the many settings that geriatric care managers find themselves in, such as hospitals, long-term care facilities, and assisted living and rehabilitation facilities. It also includes case studies and sample forms.
  care management job description: Care Management in Practice for the Registered Manager Award NVQ 4 Andrew Thomas, Lynda Mason, Sharon Ford, 2003 This title contains theory and skills that candidates will need for the Registered Managers Award and is matched to the NVQ Level 4 Care Management Standards. Written in a jargon-free style, it presents information, theories and cases studies, all of which is placed in the context of care.
  care management job description: Care Management Bryan Glastonbury, Joan Orme, 2015-12-31 The book argues that care management could create fundamental changes in the operation of British social services departments, but that it also has embodied in it the basic values of the social work profession. It explores how the job of the front line social worker and line manager in social service departments might be changed by the implementation of care management. In doing this it highlights the need from the outset for basic workload strategies to ensure that care really is managed effectively.
  care management job description: Handbook of Geriatric Care Management Cathy Jo Cress, 2015-10-26 Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.
  care management job description: CMSA Core Curriculum for Case Management Hussein M. Tahan, Teresa M. Treiger, 2016-07-05 The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation
  care management job description: Handbook of Geriatric Care Management Cress, 2015-11-02 Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.
  care management job description: Introduction to Health Care Management Buchbinder, Nancy H. Shanks, 2016-03-28 This concise, reader-friendly, introductory healthcare management text covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader’s imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered.
  care management job description: Management of Animal Care and Use Programs in Research, Education, and Testing Robert H. Weichbrod, Gail A. (Heidbrink) Thompson, John N. Norton, 2017-09-07 AAP Prose Award Finalist 2018/19 Management of Animal Care and Use Programs in Research, Education, and Testing, Second Edition is the extensively expanded revision of the popular Management of Laboratory Animal Care and Use Programs book published earlier this century. Following in the footsteps of the first edition, this revision serves as a first line management resource, providing for strong advocacy for advancing quality animal welfare and science worldwide, and continues as a valuable seminal reference for those engaged in all types of programs involving animal care and use. The new edition has more than doubled the number of chapters in the original volume to present a more comprehensive overview of the current breadth and depth of the field with applicability to an international audience. Readers are provided with the latest information and resource and reference material from authors who are noted experts in their field. The book: - Emphasizes the importance of developing a collaborative culture of care within an animal care and use program and provides information about how behavioral management through animal training can play an integral role in a veterinary health program - Provides a new section on Environment and Housing, containing chapters that focus on management considerations of housing and enrichment delineated by species - Expands coverage of regulatory oversight and compliance, assessment, and assurance issues and processes, including a greater discussion of globalization and harmonizing cultural and regulatory issues - Includes more in-depth treatment throughout the book of critical topics in program management, physical plant, animal health, and husbandry. Biomedical research using animals requires administrators and managers who are knowledgeable and highly skilled. They must adapt to the complexity of rapidly-changing technologies, balance research goals with a thorough understanding of regulatory requirements and guidelines, and know how to work with a multi-generational, multi-cultural workforce. This book is the ideal resource for these professionals. It also serves as an indispensable resource text for certification exams and credentialing boards for a multitude of professional societies Co-publishers on the second edition are: ACLAM (American College of Laboratory Animal Medicine); ECLAM (European College of Laboratory Animal Medicine); IACLAM (International Colleges of Laboratory Animal Medicine); JCLAM (Japanese College of Laboratory Animal Medicine); KCLAM (Korean College of Laboratory Animal Medicine); CALAS (Canadian Association of Laboratory Animal Medicine); LAMA (Laboratory Animal Management Association); and IAT (Institute of Animal Technology).
  care management job description: Introduction to Health Care Management Sharon B. Buchbinder, Nancy H. Shanks, Bobbie J Kite, 2019-10-14 Introduction to Health Care Management, Fourth Edition is a concise, reader-friendly, introductory healthcare management text that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader’s imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and marketing, information technology, and human resources, are all thoroughly covered. Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher-friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health.
  care management job description: Introduction to Health Care Management Sharon Buchbinder, Nancy Shanks, 2011-07-22 Instructor Resources: Tranisition Guide, Instructor's Manual, PowerPoint Slides, Case Studies, TestBank, Traditional Syllabus, and an 8-week online course Syllabus
  care management job description: Quantitative Methods in Health Care Management Yasar A. Ozcan, 2005-08-19 As health care organization leaders use data more consistently in decision making, it is important they understand the quantitative methods that help convert data to information. Quantitative Methods in Health Care Management provides important insights into the various quantitative methods, detailing many different problems and their solutions. It contains numerous helpful exhibits and graphics that explain and demonstrate the methods presented. It also provides a readable narrative for the manager who wants a high-level refresher on quantitative methods.”
  care management job description: Ambulatory Care Management and Practice Albert E. Barnett, Gloria G. Mayer, 1992 The all-in-one guide to a successful ambulatory care business! This co mprehensive handbook presents effective methods of providing health ca re within the ambulatory care setting, including: information on how t o structure and organize a medical group, the role of the medical dire ctor; professional and technical nursing; the collaboration of physici ans and nurses; staffing and scheduling methodologies; quality assuran ce; utilization review; risk management; information systems; and much more.
  care management job description: Cases in Health Care Management Sharon B. Buchbinder, Nancy H. Shanks, Dale Buchbinder, Bobbie J. Kite, 2022-07-25 The new Second Edition of Cases in Health Care Management is a collection of over 100 new and cutting-edge case studies designed to help illustrate the challenges related to managing the health care services. Organized into nine content areas, from Leadership, Management, and Quality/Patient Safety; to Health Disparities and Cultural Competence, Ethics, and more, these realistic scenarios span the full spectrum of issues that can arise in a variety of health care services settings. Appropriate for all levels of higher education, this text engages students in active learning through lively writing and storytelling techniques that pull them into the story while giving them fresh, provocative real-world scenarios to analyze and critique. Furthermore, the authors have incorporated diversity, equity, and inclusion (DEI) and cultural competency throughout to encourage greater cultural awareness, sensitivity, and fairness. Key features: more than one hundred new cutting-edge cases written by experts in the field, new matrix (Appendix B) highlights topic areas related to each case and helps instructors assess the suitability of each case for different student audiences (community college, undergraduate, or graduate students), discussion questions and additional resources for students are provided for each case. Case study guidelines and instructions, with rubrics for evaluation of student performance are provided in Appendix A. Instructors' case study guides to facilitate class and online discussions are part of the instructor resources-available to qualified instructors--
  care management job description: Success in Practical/Vocational Nursing - E-Book Patricia Knecht, 2016-07-19 A market-leading must-have and part of the LPN Threads series, Success in Practical/Vocational Nursing, From Student to Leader, 8th Edition provides you with everything you need to succeed in both nursing school and in a career in LPN/LVN nursing. With a strong emphasis on leadership, this clear, comprehensive new edition discusses the higher-level roles and responsibilities of an LPN/LVN leader, the skills necessary to become a successful LPN/LVN, and the future of the field. It is filled with opportunities for you to test your understanding as you read, as well as practice NCLEX review questions at the end of each chapter to prepare you for the NCLEX-PN® Examination. Collaborative Care boxes highlight challenges that occur in emerging community and continuing care workforce settings, and give you examples of leadership and management opportunities for LPN/LVNs in any health care setting you may find yourself. Critical Thinking boxes include activities that could be used in a flipped classroom experience, and provide you with critical thinking and problem solving opportunities throughout the chapter to enhance your understanding. Try This boxes provide students and instructors with clinical simulations or activities related to topics discussed in the text that can be utilized in simulation or role-play scenarios in class. Professional Pointers boxes give advice on nursing best practices in the professional arena during and after nursing school. Get Ready for the NCLEX® Examination! section at the end of the text contains key points, additional learning activities, and review questions for the NCLEX® Examination (including alternate format items in every chapter). Presents tips on taking the NCLEX-PN examination and information on applications, interviews, and the job search, including electronic resumes. Full-color design, cover, photos, and illustrations make this text visually appealing, pedagogically useful and easy to read. Numbered objectives open each chapter and provide a framework for content. Key points at the end of each chapter summarize chapter highlights and serve as an excellent review tool. Key terms with phonetic pronunciations are at the beginning of each chapter and in full color at first mention in the text, and assist you in improving and supplementing your terminology and language skills before you enter clinical practice. References and Suggested Readings lists are arranged by chapter at the end of the book to provide you with resources for further understanding of text concepts. NEW! Community Resources chapter covers tools and resources that you can find within your community to help you with learning, personal, and family needs that could interfere with success in school. NEW! Work Force Trends chapter discusses the most current issues, challenges, and concerns with the LPN/LVN workforce. NEW! Storytelling narratives at the beginning of each chapter use true stories to enhance learning and demonstrate the relevancy of key topics.
  care management job description: Leadership and Nursing Care Management - E-Book Diane Huber, 2013-10-01 Uniquely organized around the AONE competencies, this trusted resource gives you an easy-to-understand, in-depth look at today’s most prevalent nursing leadership and management topics. Coverage features the most up-to-date, research-based blend of practice and theory related to topics such as: the nursing professional's role in law and ethics, staffing and scheduling, delegation, cultural considerations, care management, human resources, outcomes management, safe work environments, preventing employee injury, and time and stress management. UNIQUE! Chapters divided according to AONE competencies for nurse leaders, managers, and executives. Research Notes in each chapter summarize relevant nursing leadership and management studies and highlight practical applications of research findings. Case Studies at the end of each chapter present real-world leadership and management situations and illustrate how key concepts can be applied to actual practice. Critical Thinking Questions at the end of each chapter present clinical situations followed by critical thinking questions to help you reflect on chapter content, critically analyze the information, and apply it to the situation. A new Patient Acuity chapter uses evidence-based tools to discuss how patient acuity measurement can be done in ways that are specific to nursing. A reader-friendly format breaks key content into easy-to-scan bulleted lists. Chapters are divided according to the AONE competencies for nurse leaders, managers, and executives. Practical Tips boxes highlight useful strategies for applying leadership and management skills to practice.
  care management job description: Social Care Management, Strategy and Business Planning Trish Hafford-Letchfield, 2011-02-15 Social Care Management, Strategy and Business Planning is a comprehensive guide to strategic social care management, covering all the knowledge and skills that managers in the 21st century must have, and showing how to make theory a practical reality. The book aims to make business planning a more accessible and user-friendly process, offering practical advice on how to tackle the everyday tasks which good social care management should involve. Topics covered include strategic planning, business development, commissioning and contracting, project management, decision-making, risk, and evaluation techniques. The book also acknowledges the challenges of working collaboratively within a complex legislative and policy framework and juggling different aspects of the management tasks whilst retaining professional identities and ethics. Also included are practical examples and lively tips and comments from practising managers on their experiences in different areas of business planning. This book will be essential reading for anyone involved in managing or leading practice either in the front line or at a more strategic level. It will be useful to post-qualifying social work students and is particularly valuable to anyone following a management training programme.
  care management job description: Principles of Health Care Management Seth Goldsmith, 2011 Principles of Health Care Management: Foundations for a Changing Health Care System, Second Edition, is today's authoritative guide for future administrators aspiring to manage healthcare organizations amid changing consumer behavior and shifting economic and regulatory headwinds. In addition to fundamental healthcare management principles, this revised edition includes a review of the most recent healthcare legislation, a trove of industry case studies, and a vital new chapter on the managerial challenges of 21st-century healthcare consumerism. University of Massachusetts Professor Emeritus and former senior healthcare executive Set-B. Goldsmith combines foundational theory and illustrative real-world experience in this must-read text. Principles of Health Care Management: Foundations for a Changing Health Care System, Second Edition, is the comprehensive, essential resource for the next generation of healthcare, managers faced with navigating tomorrow's U.S. healthcare system. The Second Edition Features: Updated strategies for managing a healthcare organization in a recession A managerial model for accountability An examination of crucial corporate compliance rules New case studies on the credit crunch, employee dismissals, hospital-acquired infection, technology, and ethics.
  care management job description: Case Management Suzanne K. Powell, Hussein M. Tahan, 2018-02-26 Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management
  care management job description: Nursing Case Management Elaine Cohen, Toni G. Cesta, 2004-08-26 This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities
  care management job description: Social Work Case Management Michael J. Holosko, 2017-01-30 Social Work Case Management: Case Studies From the Frontlines by Michael J. Holosko is an innovative book that equips readers with the knowledge and skills they need to be effective case management practitioners in a variety of health and human service organizations. A must-read for students and professionals in social work, this important work introduces a unique Task-Centered Case Management Model built around the unifying principles of the profession—person-in-environment, strengths-based work, and ecological perspective. Over twenty case studies by case managers and professionals offer innovative practice insights, illustrating the practice roles and responsibilities of today's case managers and the realities of conducting case management in today’s growing, exciting, and challenging field.
  care management job description: CMSA Core Curriculum for Case Management , 2008 This text contains the core body of knowledge for case management practice as delineated by the Case Management Society of America (CMSA), the largest professional organization of case managers. The core curriculum provides a synthesis of case management evolution, and presents essential elements, concepts, and vision for current and future case management practice. This edition is significantly expanded to reflect the dynamic changes taking place in case management. Each chapter is organized in a consistent format that includes learning objectives; introduction; important terms and concepts; key definitions; and references.
  care management job description: Success in Practical/Vocational Nursing - E-Book Lisa Carroll, Janyce L. Collier, 2022-06-08 Take an exciting journey to success in your LPN/LVN career! Emphasizing leadership and clinical judgment skills, Success in Practical / Vocational Nursing: From Student to Leader, 10th Edition helps you navigate your way through nursing school, examinations, the job search, and success in professional practice. It describes the building blocks essential to a successful career, such as critical thinking, ethics, effective communication, and an understanding of your role in the nursing process. Also useful are review questions to help you get ready for the NCLEX-PN® examination. Written by educators Lisa Falgiatore Carroll and Janyce Collier, this edition adds new insight into the ways self-empowerment can help you achieve positive outcomes in class and on the job. - Basic career information includes the value of the LPN, workforce trends, state regulations governing LPN practice, and insight into safe practice and NCLEX-PN® success. - Learning features in each chapter include objectives and key terms with phonetic pronunciations, with definitions in the text and in the glossary. - Storytelling narratives at the beginning of specific chapters use real-life scenarios to provide context for the topic. - Get Ready for the NCLEX-PN® Examination section at the end of each chapter includes key points, critical thinking scenarios, additional learning resources, and review questions with answers at the back of the book. - Test-taking and interview preparation tips prepare students to take the NCLEX-PN Examination and guide you through the job search, applications, and interviews — including electronic resumes. - Critical Thinking boxes provide opportunities to practice problem solving. - Coordinated Care boxes develop leadership and management skills with hints, tools, and activities. - Keep in Mind boxes introduce the underlying theme of each chapter. - Professional Pointers boxes give advice on nursing best practices in practice settings. - Try This! boxes challenge students to imagine, visualize, and think outside the box. - Full-color design makes this text visually appealing and easy to read. - References cite evidence-based information and can be found in the back of the book. - NEW! Next-Generation NCLEX® (NGN) Examination-style questions are provided at the end of each chapter. - NEW! Empowerment boxes introduce tools that can affect positive outcomes in class, clinicals, and professional practice. - NEW! Updated content includes delegation, preparing students for leadership positions immediately upon graduation, and the latest on clinical judgment.
  care management job description: Families Caring for an Aging America National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults, 2016-12-08 Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
  care management job description: The Case Manager's Training Manual David W. Plocher, Patricia L. Metzger, 2001 Stem Cell and Bone Marrow Transplantation
  care management job description: Legal Nurse Consulting Practices Vernon J. Geberth, 2010-02-19 Over the past generation, the practice of legal nurse consulting has grown to include areas such as life care planning, risk management, and administrative law, as well as taking on a more diversified role in both criminal and civil law and courtroom proceedings. First published in 1997, Legal Nurse Consulting, Principles and Practices provided pro
  care management job description: Connecting Care for Patients: Interdisciplinary Care Transitions and Collaboration Barbara Katz, 2018-10-29 Connecting Care for Patients: Interdisciplinary Care Transitions and Collaboration addresses practical strategies for creating connected, seamless, and transparent health care for patients in settings outside of the hospital. It presents antidotes to healthcare fragmentation caused by inefficient care, patient safety problems, patient dissatisfaction, and higher costs. The text focuses on clinical case management, interdisciplinary referrals and conferencing, cross functional team meetings, tracking patients in value-based purchasing programs, inpatient liaison visits, structured collaboration with physician groups, and referral sources and development of clinical community networking groups. Further, it explores tools for patient self-management support, effective integration of technology, family caregiver engagement, and techniques for addressing health disparities and other high-risk care gaps.
  care management job description: Case Management of Long-term Conditions Janet Snoddon, 2010-03-29 The importance of appropriate and effective management of patient with long term chronic conditions cannot be underestimated. Case Management of Long-Term Conditions aims to provide all appropriate practitioners (including nurses, pharmacists, physiotherapists, and social care practitioners) who might be involved in delivery of proactive case management with a practical understanding of how their knowledge and skills can be utilised to improve outcomes for people with chronic long-term conditions. The text contains some broad reflections on care and service delivery based on reviews of evidence and views from clinicians in the use of these skills and competencies to deliver improved outcomes for clients.
  care management job description: Job Description Manual for Medical Practices Courtney H. Price, Alys Novak, 1999 This comprehensive manual helps you develop an effective strategy for job-description implementation, shows you how to conduct appropriate job analyses and helps you understand the attendant legal issues. Includes a disk of generic jo + descriptions to use as-is or modify for your practice.
  care management job description: Success in Practical/Vocational Nursing - E-Book Signe S. Hill, Helen Stephens Howlett, 2012-09-04 Part of the LPN Threads series, Success in Practical/Vocational Nursing: From Student to Leader, 7th Edition helps you develop the practical knowledge and problem-solving skills you need for a successful career as an LPN/LVN. This edition features up-to-date content that is logically organized with concepts that build on each other as you progress through the material. 1-2-3-approach walks you through the steps of what you need to do and how to do it. A separate chapter on critical thinking and plentiful critical thinking exercises encourage you to apply your knowledge to solve problems in both academic and personal situations. Coverage of Medicare helps you understand the costs of managed care, especially in long-term settings for older adults, and how it affects LPN/LVN practice and patients. Keep In Mind boxes prompt you to consider the underlying theme as you read the chapter. New Research and Evidence Based Practice chapter addresses topics commonly encountered in LPN/LVN practice. New technology content helps you understand the role of simulation in nursing education and the proper etiquette for using electronic devices. Content reflects the concepts contained in the most current NCLEX-PN test plan. Professional Pointers throughout the text offer valuable advice on expectations in the professional arena during and after nursing school. Revised chapter on Health Care Systems reflects the implementation of dramatic changes. Updated nutrition and dietary information includes new MyPlate information. The latest protocols from the NAPNES, including student confidentiality, keeps you updated on your national association's practice standards. Revised, updated, and expanded culture content allows you to provide culturally sensitive care.
  care management job description: A Case Manager's Study Guide Denise Fattorusso, Campion Quinn, 2004 This is the most comprehensive print and electronic combination study guide case management certification! It contains the most up-to-date information, assures a uniform base knowledge for the successful case manager, and provides: study questions and practice exams to help you assess your skills and needs.
  care management job description: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
  care management job description: Profiles and Portfolios of Evidence Ruth Pearce, 2003 This series provides readers with a real grounding for Foundation studies across healthcare disciplines. The text demonstrates how theory has a practical application, as well as testing student's knowledge.
  care management job description: Success in Practical/Vocational Nursing Signe S. Hill, Helen Stephens Howlett, 2012-09-04 Using an engaging, interactive, 1-2-3 approach, this text helps you develop problem-solving skills that will be useful throughout your nursing career. Active participation and application of critical thinking are utilized through questions, quizzes, and self-assessments to provide you with practical and efficient aids to learning. You will also discover learning strategies, tips on taking the NCLEX-PN®, guidance on the job search, and an in-depth discussion of supervision, delegation, assignment of tasks, and the distinctions among them. An LPN Threads Series title. UNIQUE! 1-2-3 approach in a clear, simple, engaging writing style instructs you in what you need to do and how to do it. UNIQUE! Learning Exercises challenge you to imagine, visualize, and think outside the box. UNIQUE! Leadership Activities provide exercises to practice and develop leadership skills and Leadership Hints provide helpful pointers to follow and remember when in various leadership situations. UNIQUE! Management Tools and Management Hints provide practical instructions, resources, and tips to use when in a management situation. UNIQUE! Offers time-management tips to help prioritize. Integrates wellness and personal care throughout the text, including information and coping skills for stress management and burnout, nutrition and exercise, the impaired nurse, and co-dependency. Includes separate chapters on Ethics Apply to Nursing and Nursing and the Law that address pertinent legal and ethical issues that directly and indirectly affect LPN/LVNs. Features information on Medicare and the many changes that affect health care, including health care settings, medication coverage, and the costs of managed care. Includes a separate chapter on learning strategies for the adult student and updated approaches for traditional and returning students. A separate chapter on critical thinking and many critical thinking exercises promotes the development of critical thinking and problem solving skills in both academic and personal situations. Includes updated State Boards of Nursing and Internet Resources Appendixes with the most up-to-date addresses for nursing boards and website addresses for nursing, medical, and health-related information as an all-in-one ready resource for you as you prepare to enter the work world. UNIQUE! Keep In Mind boxes located in each chapter introduce readers to the underlying theme in the chapter. UNIQUE! Evolve Student Resources includes 230 NCLEX Exam-Style Interactive Questions per chapter, with correct response and rationales for both correct and incorrect responses, to encourage self-study and review. UNIQUE! The Learning During School, for the NCLEX-PN, and Beyond chapter includes new content on the role of simulation in nursing education and etiquette for electronic device use, such as cell phones and iPods. UNIQUE! The Personal Health Promotion chapter helps you provide a positive role model for patients with new content on MyPyramid, the benefits of exercise, personal steps to help prevent hospital-acquired infections, burnout versus stress, and tips for personal safety. UNIQUE! Culture content has been expanded content addressing the growing needs of patient care for special populations and to help students develop cultural sensitivity. Includes the latest protocols from NAPNES regarding standards of practice and educational competencies that LPN/LVN nursing students need to know.
  care management job description: Integrated Care Lori E. Raney, M.D., Gina B. Lasky, Ph.D., M.A.P.L., Clare Scott, L.C.S.W., 2017 Real-life examples provided by clinical staff who made the transition to collaborative care are woven into the text, providing insight into the goals of improving outcomes, patient satisfaction, and cost containment.
  care management job description: Integrated Care Lori E. Raney, Gina B. Lasky, Clare Scott, 2017-04-26 Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: Often efforts to implement an integrated care program fail because the model is more than just plug and play. To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives. As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.
  care management job description: Chronic Illness Care Timothy P. Daaleman, Margaret R. Helton, 2018-02-24 This book offers a comprehensive overview to chronic illness care, which is the coordinated, comprehensive, and sustained response to chronic diseases and conditions by a range of health care providers, formal and informal caregivers, healthcare systems, and community-based resources. Using an ecological framework, which looks at the interdependent influences between individuals and their larger environment, this unique text examines chronic illness care at multiple levels and includes sections on the individual influences on chronic illness, the role of family and social networks, and how chronic care is provided across the spectrum of health care settings; from home to clinic to the emergency department to hospital and residential care facilities. The book describes the organizational frameworks and strategies that are needed to provide quality care for chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. The book also addresses the changing workforce needs in health care, and the fiscal models and policies that will be required to meet the needs of this population, with a focus on sustaining the ongoing transformation in health care. This book acts as a major reference for practitioners and students in medicine, nursing, social work, allied health, and behavioral medicine, as well as stakeholders in public health, health policy, and population health.
  care management job description: A Case Manager’s Study Guide Nancy E. Skinner, Stefany H. Almaden, 2018-03-20 A Case Manager's Study Guide: Preparing for Certification, Fifth Edition is an essential study guide for case managers preparing to take the Certified Case Manager (CCM) exam offered by the Commission for Case Manager Certification (CCMC). Based on the five knowledge domains and eight essential activities from the CCMC, it contains hundreds of questions and answers with comprehensive rationales. Completely updated and revised, the Fifth Edition reflects the latest CCM exam blueprint.
  care management job description: Representing the Elderly Client Thomas D. Begley (Jr.), Jo-Anne Herina Jeffreys, 2004-01-30 Are you ready to go beyond advising and planning to actively advocating the interests of your elderly clients? You can be, with this two volume handbook from two veteran elder law advocates. In a systematic and practical fashion, the authors address each key practice issue and provide an overview of the basic rules and guiding statutes/regulations, in-depth analysis of elder law practice together with guiding case law, and step-by-step explanation of the advocacy process, revealing how law operates in the real world and where things can go wrong. Plus you'll get their practice-tested minisystem for effective advocacy. After an introductory section explores basic principles, Representing the Elderly Client: Law and Practice addresses the six areas you'll encounter most often: Medicaid Special Needs Trusts Medicare and Managed Care Elder Abuse Nursing Home and LTC Facilities Intra-family and Postmortem Advocacy for Elderly Clients and Heirs. Practice forms, flowcharts, and tables put all essential information at your fingertips. The forms contained in the Author's Advocacy Mini-systems will save you hours of preparation time. Start finding effective solutions to your elderly clients' problems with Representing the Elderly Client: Law and Practice. Along with your Representing the Elderly Client two-volume print set, you'll receive a FREE CD-ROM containing word processing documents used in handling some of elder law's most complex concerns.
  care management job description: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Job Description RN Care Manager - Hometown Health Center
Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing established Care Management criteria. Performs initial and periodic …

JOB DESCRIPTION Director of Care Management, Quality …
Develop and implement care management programs, standing delegated orders, management protocols, policies, and departmental strategy in consultation with senior leadership. Supervise …

Care Manager - Improving Primary Care Team Guide
Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing established Care Management criteria. Performs initial and periodic …

Registered Nurse Care Manager Job Description
In collaboration with the physician and interdisciplinary team, the RN Care Manager develops and implements an individualized care plan designed to promote the patient, family/caregiver’s …

Job description Care Manager Care Manager Job …
Education: The Care Manager will research and determine the best informational material for each client based on their diagnosis/ need, and arrange for this material to be presented to the …

Job Description - NACHC
Position Summary: The RN Care Manager is a practice-based RN who directly supports SCRFHC’s highest risk patients. In collaboration with other members of the healthcare team, …

RN Case Manager Utilization & Care Management - UW Health
Performs care management functions for complex medical patients and promotes improved health outcomes for culturally diverse populations through population assessment and screening for …

Licensed Practical Nurse (Chronic Care Management)
The successful Licensed Practical Nurse (LPN) will be accountable for the full patient care cycle and is expected to assess, plan, implement, monitor and evaluate actions required to meet the …

Care Manager Job Description - mihealths.com
Provides care and counseling in collaboration with the care manager, provides in-person assessment and phone encounters with chronically ill patients and their family members, as …

JOB DESCRIPTION: Care Manager - capitolkids.org
Mar 1, 2019 · The Care Manager coordinates and facilitates the Wraparound process of working with youth and families utilizing a strength-based team approach to ensure family’s needs are …

CARE MANAGER JOB DESCRIPTION - HESSCO
• Develop and implement care plans based on assessment, guidelines and consumer needs. • Participate in interdisciplinary meetings with clinical staff to determine appropriate level of care. …

JOB DESCRIPTION Position Title CARE MANAGER …
Under the direction of the Home and Community Care Service Manager, the Care Manager is the primary person responsible for assisting clients and their support systems in maintaining the …

Position Description| Care Manager - Southern Cross Care …
Provide guidance and assistance to subordinate staf, acting as a role model for the provision of care. Participate in the resident admission/entry, review, and evaluation assessment processes.

Department: Pay Type: Reviewed on: Revised: POSITION …
Collaborates with all clinical staff, patients, and families to ensure that a comprehensive individualized plan of care is in place and up-to-date. Monitors productivity on a daily basis and …

JOB DESCRIPTION Associate Director of Care Management
Jul 22, 2023 · Develop and implement care management programs, standing delegated orders, management protocols, and departmental strategy in consultation with senior leadership. …

Care Manager Job Description - ibhpartners.org
The care manager is responsible for coordinating and supporting mental health care within the clinic and for coordinating referrals to clinically indicated services outside the clinic.

JOB DESCRIPTION: Care Manager Supervisor - capitolkids.org
Mar 1, 2019 · Provide critical information to Senior Management regarding quality service delivery and resources. Serve as a liaison to the Contracted Systems Administrator on matters directly …

JOB DESCRIPTION - caretoyouhealthcare.co.uk
Lead and direct the senior team in assessing, monitoring, reviewing and managing the care of service clientele. Assist the Managers in recruitment, Induction, probation, Supervision and …

Lead Care Manager Job Description - mypacifichealth.com
A. Provide supervision and guidance to care management staff, such as care managers and community health workers B. Share best practices and lessons learned to support the …

SteppingStone Adult Day Health
The Care Manager will work closely with patients and their families to develop a personalized care plan that meets their unique needs and goals, and will provide ongoing support and guidance …

Job Description RN Care Manager - Hometown Healt…
Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing …

JOB DESCRIPTION Director of Care Management, Qualit…
Develop and implement care management programs, standing delegated orders, management …

Care Manager - Improving Primary Care Team Guide
Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing …

Registered Nurse Care Manager Job Description
In collaboration with the physician and interdisciplinary team, the RN Care Manager develops and implements an …

Job description Care Manager Care Manager Jo…
Education: The Care Manager will research and determine the best informational material for each client …