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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
NEWand 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
NEWand 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, withexpert descriptions and direction on areas including:
Case management roles, functions, tools, and processes
Plans, clinical pathways, and use of technology
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
Hussein M. Tahan, PhD, RN, has more than 25 years of experience in acute care nursing in a variety of settings and health care systems. He is currently the System Vice President for Nursing Professional Development and Workforce Planning for MedStar Health.
Teresa M. Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, has more than 30 years of experience in health care, and is a respected expert in care coordination and professional case management practice. She currently focuses on private case management, professional education, writing, and program strategy, design, and implementation.