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    Core Skills for Hospital Case Managers A Training Toolkit for Effective Outcomes

    ISBN-10: 1601463537
    ISBN-13: 9781601463531
    Author(s): Tony Cesta, Beverly Cunningham
    Description: Core Skills for Hospital Case Managers: A Training Toolkit for Effective OutcomesToni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RNAs of June 20, 2014, contact hours for nurses are no longer available with this product.Finally--an affordable,  More...
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    List Price: $399.00
    Publisher: Opus Communications
    Binding: Hardcover
    Size: 10.75" wide x 11.25" long x 2.25" tall
    Weight: 3.278
    Language: English

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

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