| certified case management requirements: CCM Certification Made Easy Andrea Morris, 2016-07-20 We are extremely pleased to tell you that CCM Certification Made Easy has been updated to it's Second Edition, and includes all the new material recently added to the CCM Exam. Every subdomain is covered on the exam. CCM Certification Made Easy is clearly the most complete CCM Exam prep book you can buy.Up to date - every area has been revisited for this updated edition to keep pace with the substantial changes in healthcare and the CCM Exam.Includes a condensed versions of the CCMC's Glossary of Terms that are an essential resource to pass the CCM Exam.Includes a website link to download a free companion workbook and study strategies that countless case managers have used to pass the CCM Exam at no extra charge. |
| certified case management requirements: 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. |
| certified case management requirements: The Case Manager's Handbook Catherine M. Mullahy, 2013-06-20 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. |
| certified case management requirements: 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 |
| certified case management requirements: Foundations of Case Management Deanna Cooper Gillingham, 2021-10-16 |
| certified case management requirements: 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. |
| certified case management requirements: Social Work Case Management Betsy Vourlekis, 2017-07-05 This new practice text provides a series of readings focusing on case management in a number of fields and in a variety of settings with different client populations. Each chapter examines a major component of case management practice by presenting information about an innovative program from a different location around the country. In conjunction, these readings provide a road map to social work case management.In addition to offering up-to-date practice approaches and examining the functions and skills of case management in depth, the authors provide the policy information needed for putting this traditional form of social work practice into today's service delivery context. |
| certified case management requirements: Care Manager Certification Exam Secrets Study Guide Care Manager Exam Secrets Test Prep, 2018-04-12 Our comprehensive Care Manager Test study guide is written by our test experts, who painstakingly researched every topic and concept you need to know to pass your Care Manager Test. Our original research into the Care Manager Certification Exam, offered by the National Academy of Certified Care Managers (NACCM), reveals specific content areas and skills that are critical for you to know on the Care Manager Test. We've taken that information and developed a study guide that is guaranteed to help you be successful on the Care Manager Test.'-- |
| certified case management requirements: Case Management Nurse Exam , 2018-04-12 ***Includes Practice Test Questions*** Case Management Nurse Exam Secrets helps you ace the Case Management Nurse Exam without weeks and months of endless studying. Our comprehensive Case Management Nurse Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. Case Management Nurse Exam Secrets includes: The 5 Secret Keys to Case Management Nurse Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive Content review including: Case Management Plan, Clinical Practice, Practice Guidelines, Algorithms, Myocardial Infarction, Intravenous Therapy, Psychosocial Assessment, Outcome Indicators, Discharge Planning, Cultural Differences, Cultural Competency, Advanced Directives, Transitional Care Planning, Life Care Planner, Disease Management Program, Predictive Modeling, Premature Infant, Geriatric Case Management, Five D's of Depression, Behavioral Illnesses, Case Management Information Systems, Data Warehouse, Asthma, Emergency Assistance, Vocational Education, Subacute Setting, Disposable Medical Supplies, Durable Medical Equipment, Retrospective Review, Term Preauthorization, Private Payers Groups, and much more... |
| certified case management requirements: CCM Certification Study Guide 2020-2021 Trivium Case Manager Exam Prep Team, 2019-09-23 You're probably thinking this is just another typical study guide. Because we know your time is limited, we've created a product that isn't like most study guides. With Trivium Test Prep's unofficial CCM Certification Study Guide 2020-2021: Exam Prep Book and Practice Test Questions for the Certified Case Management Exam you'll benefit from a quick but total review of everything tested on the exam with real examples, graphics, and information. Imagine having your study materials on your phone or tablet! Trivium Test Prep's NEW CCM Certification Study Guide 2020-2021 comes with FREE online resources, including: practice questions, online flashcards, study cheat sheets, and 35 tried and tested test tips. These easy to use materials give you that extra edge you need to pass the first time. CCMC was not involved in the creation or production of this product, is not in any way affiliated with Trivium Test Prep, and does not sponsor or endorse this product. Trivium Test Prep's CCM Certification Study Guide 2020-2021 offers: A full review of what you need to know for the Next Generation ACCUPLACER exam Practice questions for you to practice and improve Test tips to help you score higher Trivium Test Prep's CCM Certification Study Guide 2020-2021 covers: Introduction Case Management Concepts Principles of Practice Psychosocial Aspects Healthcare Management and Delivery Healthcare Reimbursement Rehabilitation ...and includes 1 FULL practice test! |
| certified case management requirements: A Guide for Nurse Case Managers Charlotte Cox, 2010-08-12 The position of nurse case managers can be a rewarding but challenging career, as these managers play a vital role in a patient’s care. In A Guide for Nurse Case Managers, author Charlotte Cox provides an insightful guide to this evolving field of medicine. Geared for those working in hospital settings, clinics, and health plan offices, this helpful reference text provides guidelines, tips, and tools for becoming a successful nurse case manager. With more than thirty years of health care experience, Cox provides a detailed overview of this important nursing position that works to usher a patient through the health care system. A Guide for Nurse Case Managers • defines the case manager role; • provides an understanding of the basics of utilization and case management; • gives an overview of Medicare and Medicaid procedures; • discusses the care planning process; • shows how to structure a community resource base. Whether you are a new case manager, a student, or a seasoned nurse needing a refresher about job basics, A Guide for Nurse Case Managers will help to shape your practice, provide valuable tips and reference tools, and help you with proven organizational ideas to succeed in the career. |
| certified case management requirements: CCM Certification Made Easy Deanna Gillingham, 2014-12-04 Written specifically to help you pass the Certified Case Manager (CCM) exam, this book is the ultimate resource for case managers preparing for examination. It has been created and organized based on the Commission for Case Manager Certification (CCMC) exam blueprint by a certified case manager, so readers can feel confident that they are studying pertinent material.Each of the books chapters address one of the six knowledge domains covered on the exam: case management concepts, principles of practice, psychosocial aspects, healthcare management, rehabilitation, and healthcare reimbursement. Each chapter is further broken down to cover each of the topics outlined in the exam blueprint.CCM Certification Made Easy provides a comprehensive yet concise review of the core material needed to pass the CCM exam, and is provided in a well organized, easy to read format, to help you make the most efficient use of your study time. No filler or fluff, just the facts. |
| certified case management requirements: Book Alone Denise Fattorusso, Campion E. Quinn, 2012-06-25 A Case Manager's Study Guide: Preparing for Certification, Fourth Edition is the perfect study guide for new case managers preparing to take the Certified Case Manager (CCM) exam and practicing case managers who are recertifying. Based on the Commission for Case Manager Certification (CCMC) six knowledge domains and eight essential activities, it addresses new changes passed and legislative updates resulting in significant changes in healthcare and case management. New topics include patient-centered care, readiness to change, evidence-based case management, and management outcomes. Completely updated and revised, A Case Manager's Study Guide: Preparing for Certification, Fourth Edition contains nearly 700 questions and comprehensive answer rationales. Included with the book is an online Access Code for Navigate TestPrep, a dynamic and fully hosted online assessment tool designed to help nurses prepare for certification examinations by offering case-based questions, detailed rationales, and robust reporting. Navigate TestPrep: A Case Manager's Study Guide also sold separately. * Randomized questions create new exams on each attempt * Monitors results on practice examinations with score tracking and time on each task * Reporting tools evaluate progress and results on each attempt Don't forget to visit our nursing certification website: www.NursingCertificationSuccess.com. |
| certified case management requirements: Ccm Exam Flashcard Study System Mometrix Media Llc, 2010 |
| certified case management requirements: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
| certified case management requirements: The ASQ Certified Manager of Quality/Organizational Excellence Handbook Sandra L Furterer, Douglas C Wood, 2021-01-25 This handbook is a comprehensive reference designed to help professionals address organizational issues from the application of the basic principles of management to the development of strategies needed to deal with today’s technological and societal concerns. The fifth edition of the ASQ Certified Manager of Quality/Organizational Excellence Handbook (CMQ/OE) has undergone some significant content changes in order to provide more clarity regarding the items in the body of knowledge (BoK). Examples have been updated to reflect more current perspectives, and new topics introduced in the most recent BoK are included as well. This handbook addresses: • Historical perspectives relating to the continued improvement of specific aspects of quality management • Key principles, concepts, and terminology • Benefits associated with the application of key concepts and quality management principles • Best practices describing recognized approaches for good quality management • Barriers to success, common problems you may encounter, and reasons why some quality initiatives fail • Guidance for preparation to take the CMQ/OE examination A well-organized reference, this handbook will certainly help individuals prepare for the ASQ CMQ/OE exam. It also serves as a practical, day-to-day guide for any professional facing various quality management challenges. |
| certified case management requirements: ADKAR Jeff Hiatt, 2006 In his first complete text on the ADKAR model, Jeff Hiatt explains the origin of the model and explores what drives each building block of ADKAR. Learn how to build awareness, create desire, develop knowledge, foster ability and reinforce changes in your organization. The ADKAR Model is changing how we think about managing the people side of change, and provides a powerful foundation to help you succeed at change. |
| certified case management requirements: CCM Certification Study Guide - Certified Case Manager Exam Secrets, Full-Length Practice Test, Step-by-Step Review Video Tutorials: [4th Edition] Mometrix, 2021-01-04 Mometrix Test Preparation's CCM Certification Study Guide - Certified Case Manager Exam Secrets is the ideal prep solution for anyone who wants to pass their Certified Case Manager Exam. The exam is extremely challenging, and thorough test preparation is essential for success. Our study guide includes: * Practice test questions with detailed answer explanations * Tips and strategies to help you get your best test performance * A complete review of all CCM test sections * Care Delivery and Reimbursement Methods * Psychosocial Concepts and Support Systems * Quality and Outcomes Evaluation and Measurements * Rehabilitation Concepts and Strategies * Ethical, Legal, and Practice Standards Mometrix Test Preparation is not affiliated with or endorsed by any official testing organization. All organizational and test names are trademarks of their respective owners. The Mometrix guide is filled with the critical information you will need in order to do well on your CCM exam: the concepts, procedures, principles, and vocabulary that the Commission for Case Manager Certification (CCMC) expects you to have mastered before sitting for your exam. The Care Delivery and Reimbursement Methods section covers: * Managed care healthcare delivery system * Long-term care cases * Case management * Challenges presented by HIV/AIDS patients The Psychosocial Concepts and Support Systems section covers: * Chronic illness and disability * Support programs * Cultural competence * Successful and unsuccessful negotiations The Quality and Outcomes Evaluation and Measurements section covers: * Quality improvement * AHRQ * Performance improvement * Adjusted Clinical Group system The Rehabilitation Concepts and Strategies section covers: * Rehabilitation delivery systems * Short-term and long-term disability plan * Assistive device The Ethical, Legal, and Practice Standards section covers: * Ethical issues * HIPAA's main objectives * Case management accreditation requirements * Changes taking place in the healthcare field ...and much more! Our guide is full of specific and detailed information that will be key to passing your exam. Concepts and principles aren't simply named or described in passing, but are explained in detail. The Mometrix CCM study guide is laid out in a logical and organized fashion so that one section naturally flows from the one preceding it. Because it's written with an eye for both technical accuracy and accessibility, you will not have to worry about getting lost in dense academic language. Any test prep guide is only as good as its practice questions and answer explanations, and that's another area where our guide stands out. The Mometrix test prep team has provided plenty of CCM practice test questions to prepare you for what to expect on the actual exam. Each answer is explained in depth, in order to make the principles and reasoning behind it crystal clear. We've helped hundreds of thousands of people pass standardized tests and achieve their education and career goals. We've done this by setting high standards for Mometrix Test Preparation guides, and our CCM Certification Study Guide - Certified Case Manager Exam Secrets is no exception. It's an excellent investment in your future. Get the CCM review you need to be successful on your exam. |
| certified case management requirements: Nursing Case Management Margaret Leonard, Elaine A. Miller, 2012 Rev. ed. of: Case management review and resource manual / Anne Llewellyn and Margaret Leonard. 3rd ed. 2009. |
| certified case management requirements: Cscm Exam Flashcard Study System Mometrix Media Llc, 2010 |
| certified case management requirements: 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 |
| certified case management requirements: Fundamentals of Contract and Commercial Management Jane Chittenden, 2014-01-01 This ground-breaking title from the world s leading authority on contemporary contracting best practices, the IACCM (International Association for Contract and Commercial Management) delivers a lively and practical complete insight into the contracting process which is useful in both business and personal life. Contracts are the language of business, and this book gives readers the essentials that can make a difference to any deal, no matter how big or small. Designed for the non-contract business professional, this book takes project managers and other professionals through the basic process and gives them a road map to improved results, increased value, and successful outcomes In this book you ll find sensible guidance and approaches to ensure business success. Case studies showing you what can go wrong and what can go right -- bring theory into the real world. Checklists give confidence and enable you to be certain that you have asked and answered the right questions as you go through any deal. This real-world approach demonstrates the value of effective contracting. This is not dry, academic prose. It is compelling and dynamic advice and tools to manage business relationships for both buyers and sellers. |
| certified case management requirements: Health and Human Services Issues United States. General Accounting Office, 1993 Discussing major policy, management, and program issues facing Congress and the Clinton administration in the area of health and human services, this pamphlet provides recommendations for the Department of Health and Human Services (HHS) regarding the social security system, the welfare system, preventing child abuse, and safeguarding the nation's food supply. Following an overview of important issues facing the nation, the second section suggests steps to bolster public confidence in the social security system, including building the system's trust fund by increasing contribution levels and modernizing computer systems. The next section provides recommendations for continuing the welfare reform movement and the implementation of the Family Support Act, such as developing automated data systems to effectively manage caseloads, setting goal-oriented program performance standards, and identifying and sharing effective initiatives between states. The fourth section suggests that HHS provide states with greater flexibility in using government funds to prevent child abuse through early intervention and that a national foster care system be developed to provide outcome-oriented data on child welfare services. The final section proposes that an agency-wide system for tracking regulation development be implemented in the Food and Drug Administration to improve agency effectiveness and better allocate existing resources. Includes references for 22 related GAO products. (BCY). |
| certified case management requirements: Michigan Court Rules Kelly Stephen Searl, William C. Searl, 1922 |
| certified case management requirements: Certified Rehabilitation Counselor Examination Preparation Fong Chan, PhD, CRC, Fong Chan, 2011-11-14 Print+CourseSmart |
| certified case management requirements: Nursing Case Management Elaine Liebman Cohen, Toni G. Cesta, 1993 A resource for nurse managers and clinicians with a guide to assessing an organization's readiness for nursing case management. This is the second edition of the title, which gives information on how to prepare an action plan and evaluate its success. New topics include technology and ethical issues. |
| certified case management requirements: 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. |
| certified case management requirements: A Case Manager's Study Guide Denise Fattorusso, Campion E. Quinn, 2012 Review Guides/Certification Prep/Pocket Guides |
| certified case management requirements: The ASQ Certified Quality Auditor Handbook Lance B. Coleman, 2020-02-01 The value of the ASQ Certified Quality Auditor Handbook, Fifth Edition, is clear. It is designed to help new auditors gain an understanding of the field and prepare for the ASQ CQA exam. In addition, experienced auditors can refer to it as a helpful reference; audit managers and quality managers can rely on it for guiding their auditing programs; and trainers and educators can use it for teaching fundamentals. This in-depth overview of quality auditing represents auditing practices for internal and external applications. It provides practical guidance for both system and process auditors as well. Many current topics have been expanded to reflect changes in auditing practices since 2012, with guidance from the recent 2017 update of ISO 19011. In addition, readers will find example audit situations, stories, and review comments to enhance their understanding of the field. Topics covered include the common elements of all types of system and process audits (quality, environmental, safety, and health): Auditing fundamentals, including types of quality audits, purpose and scope of auditing, terms and definitions, roles and responsibilities of participants, and professional conduct The audit process, from preparation and planning, to performance and reporting, to follow-up and closure Auditor competencies, including resource management, conflict resolution, communication, interviewing, and team dynamics Audit program management and business applications, including staffing, training and development, program evaluation, organizational risk management, and best practices Quality tools and techniques, including problem-solving tools, process improvement techniques, basic statistics, verification, and validation This book is an encyclopedia of all major bodies of information a new or experienced quality auditor would need. It covers both the qualitative and the quantitative, which is a strength. I can't think of a quality auditor that would not find this work helpful. Kim H. Pries, CRE, CQE, CSQE, CSSBB, CMQ/OE, CQA This handbook will be helpful to those who are new to auditing or require more in-depth knowledge of the implementation of an audit program. Boxed examples or scenarios provide some of the practical challenges encountered during auditing. Govind Ramu, ASQ Fellow, Co-Author ASQ SSGB Handbook, Author ASQ CSSYB Handbook Lance B. Coleman, Sr. has over 25 years of leadership experience in the areas of quality engineering, Lean implementation, quality, and risk management in the Medical Device, Aerospace, and other regulated industries. He has presented, trained, and consulted throughout the United States and abroad. Lance is currently a Director of Quality for IDEX Health and Science, LLC, in Oak Harbor, Washington. |
| certified case management requirements: Assisted Living Nursing Ethel Mitty, EdD, RN, Barbara Resnick, PhD, CRNP, FGSA, FAANP, FAAN, 2009-07-13 Designated a Doody's Core Title! Caring for the older adult population is a challenge and the goal of nursing practice is to help preserve or restore an older adult's function and maximize their well-being and quality of life. This book is a wonderful resource for assisted living clinicians and nurses who wish to serve this population. It is well written, easy to read, and well organized so it can be used as a textbook for nursing students in geriatric nursing. Score: 94, 4 stars --Doody's This book, written by and for nurses across the spectrum of nurse providers (advanced practice nurses, delegating nurses, and the direct care workforce), covers all aspects of management as well as the many common clinical problems and syndromes we encounter among older adults. Further, this book proposes wonderful assessment and intervention material that will help the entire health care team keep residents within their AL communities through early recognition and management of acute illnesses. Kudos to our nursing colleagues for editing this publication and may it serve as the useful guide for AL residents across the country. --John B. Murphy, MD President, American Geriatrics Society Professor of Medicine and Family Medicine Warren Alpert Medical School of Brown University This book provides a comprehensive overview of both management activities and clinical competencies for assisted living nurses. The authors provide practical guidelines and decision-making models to help nurses address both the large- and small-scale challenges of their daily practice. With Assisted Living Nursing, readers can gain the essential problem-solving and task management skills critical to their daily work. The contributors cover a wide range of topics, including: Management Ethics in nursing practice Regulatory oversight and reimbursement Organizational culture Leadership theories and styles Conflict resolution Finance and budget management Risk assessment Clinical Practice Admission-transfer-discharge assessment Infection Control Cultural aspects of care Geriatric clinical syndromes and disorders Palliative and hospice care principles Rehabilitation/restorative nursing Theories of aging Ultimately, this book serves as the definitive, one-stop resource, addressing virtually every topic of interest to assisted living nurses. |
| certified case management requirements: The Hospital Case Management Orientation Manual Peggy Rossi, Bsn, Mpa, CCM, Karen Zander, 2014-06-12 The Hospital Case Management Orientation Manual Guide is a comprehensive resource that supplements of initial training for new case managers. This book explains what to document, where to document it to ensure appropriate level of care and reimbursement, and how to avoid unnecessary denials. This book's focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate. |
| certified case management requirements: CCM Certification Made Easy Rachael Flug, 2020-08 CCM Certification Made Easy is the only book written by a case manager specifically to prepare case managers for taking the CCM Exam administered by the Commission for Case Management Certification. It has been organized according to their most recent exam outline. Each chapter is a knowledge domain that is broken down to addresses each subdomain addressed under that knowledge domain. These subdomains are bold with an underline for easy identification. CCM Certification Made Easy is comprehensive yet concise and provides a firm foundation for any case manager preparing for this exam. |
| certified case management requirements: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
| certified case management requirements: Core Curriculum for Ambulatory Care Nursing Candia Baker Laughlin, 2013-01-01 The Core Curriculum for Ambulatory Care Nursing (3rd Edition) has been organized and expanded to address the educational needs of nurses new to the specialty and those with experience, as well as to provide a review for those who seek specialty certification as an ambulatory care nurse. |
| certified case management requirements: Cancer Registry Management Herman R. Menck, 2011 |
| certified case management requirements: 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 |
| certified case management requirements: Contract Management Body of Knowledge, Sixth Edition National Contract Management Association, 2019-07-20 |
| certified case management requirements: Case Management Certification Practice Q&A Springer Publishing Company, 2021-10-20 Prepare for your Certified Case Manager (CCM®) or Nursing Case Management Certification (CMGT-BC™) exam with Case Management Certification Practice Q&A. With 360 high-quality questions and comprehensive rationales based on the most recent Commission for Case Manager Certification (CCMC) exam blueprint, this essential resource is designed to help you sharpen your specialty knowledge with practice Q&A organized by exam topic and strengthen your test-taking skills with a 180-question practice test. Combined, it gives you everything you need to pass the first time, guaranteed! Key Features Includes 360 questions with in-depth rationales that address both correct and incorrect answers Offers two study options—by exam topic area and full 180-question practice test Provides key information about the PNCB and American Nurses Credentialing Center (ANCC) case management certification exams Boosts your confidence with a 100% pass guarantee (details inside) CCM® is a registered trademark of the Commission for Case Manager Certification (CCMC). CCMC is the sole owner of its certification programs. CCMC does not endorse this exam preparation resource, nor does it have a proprietary relationship with Springer Publishing Company. CMGT-BC™ is a registered trademark of the American Nurses Credentialing Center (ANCC). ANCC is the sole owner of its certification programs. ANCC does not endorse this exam preparation resource, nor does it have a proprietary relationship with Springer Publishing Company. |
| certified case management requirements: Cphq Study Guide 2020 and 2021 - Chpq Exam Secrets Study Guide, Full-Length Practice Exam, Detailed Answer Explanations Mometrix Test Prep, 2020-07-28 Mometrix Test Preparation's CPHQ Study Guide 2020 and 2021 - CHPQ Exam Secrets Study Guide is the ideal prep solution for anyone who wants to pass their Certified Professional in Healthcare Quality Exam. The exam is extremely challenging, and thorough test preparation is essential for success. Our study guide includes: * Practice test questions with detailed answer explanations * Tips and strategies to help you get your best test performance * A complete review of all CPHQ test sections * Management and Leadership * Information Management * Performance Measurement and Improvement * Patient Safety Mometrix Test Preparation is not affiliated with or endorsed by any official testing organization. All organizational and test names are trademarks of their respective owners. The Mometrix guide is filled with the critical information you will need in order to do well on your CPHQ exam: the concepts, procedures, principles, and vocabulary that the Healthcare Quality Certification Board (HQCB) expects you to have mastered before sitting for your exam. The Management and Leadership section covers: * Certified Professional in Healthcare Quality * Leadership values * Organizational culture * Voluntary accreditation processes * Facilitating change within the healthcare system The Information Management section covers: * Design and Data Collection * Measurement * Analysis * Communication The Performance Measurement and Improvement section covers: * Planning * Implementation * Education and Training * Evaluation and Integration The Patient Safety section covers: * Integrating patient safety concepts * Written hospital safety plans * Patient safety technology * Integrating safety into organizational activities * Risk management ...and much more! Our guide is full of specific and detailed information that will be key to passing your exam. Concepts and principles aren't simply named or described in passing, but are explained in detail. The Mometrix CPHQ study guide is laid out in a logical and organized fashion so that one section naturally flows from the one preceding it. Because it's written with an eye for both technical accuracy and accessibility, you will not have to worry about getting lost in dense academic language. Any test prep guide is only as good as its practice questions and answer explanations, and that's another area where our guide stands out. The Mometrix test prep team has provided plenty of CPHQ practice test questions to prepare you for what to expect on the actual exam. Each answer is explained in depth, in order to make the principles and reasoning behind it crystal clear. We've helped hundreds of thousands of people pass standardized tests and achieve their education and career goals. We've done this by setting high standards for Mometrix Test Preparation guides, and our CPHQ Study Guide 2020 and 2021 - CHPQ Exam Secrets Study Guide is no exception. It's an excellent investment in your future. Get the CPHQ review you need to be successful on your exam. |
| certified case management requirements: Certified Compliance Manager Global Compliance Institute, 2021 CCM is considered the most advanced, comprehensive certificate in the field of compliance and anti-money laundering. Compliance and AML Specialists around the globe need a complete working knowledge of every aspect of the compliance role in order to gain experience and build their career, which is why our training covers the following: Customer Onboarding and KYC Anti-Money Laundering (AML) and Counter-Terrorism Financing (CTF) Advanced AML Investigations International Sanctions and Embargoes Regulatory Compliance Management FATCA & CRS Our CCM training is based on the comprehensive, highly effective Know-How Concept. Our CCM study guide is practical and user-friendly, utilizing modules that organize the information in a highly intuitive way for easy learning. Our CCM Certification gives you the competitive advantage you need to draw the attention of recruitment agencies looking for Compliance and AML Managers. Our CCM Certification gives employees in the Banking and Financial Sector, the knowledge they need to better understand Compliance and AML, helping them implement strong Compliance Programs and Supervisory Practices. Our CCM Certification is recognized internationally by financial institutions, governments, and regulators. |
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