Part 1 Profile of a Case Manager
Chapter 1 The Case Manager as Catalyst, Problem Solver, Educator
Chapter 2 The Case Manager’s Universe
Chapter 3 Insurance Providers and Administrators
Chapter 4 Insurance Lines and Health Benefit Plans
Chapter 5 Legal Responsibilities of the Case Management Profession
Chapter 6 Ethical Responsibilities of the Case Management Profession
Chapter 7 Case Manager Credentialing
Part II Case Management Process
Chapter 8 Communications
Chapter 9 The Case Management Work Format and Process
Chapter 10 Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, Disease Management, and Case Management
Chapter 11 Working Effectively with Claims Departments: Case Managers in Consulting Roles
Part III Case Management Administration and Outcomes Management
Chapter 12 Financial and Quality Assurance Reporting
Chapter 13 Managing a Case Management Department: Your Role as Department Head or Independent Case Manager
Part IV Emerging Trends and Opportunities
Chapter 14 Obesity: The New Epidemic
Chapter 15 Our Nation’s Multiculturalism and Challenges to Case Managers
Chapter 16 Health Literacy and Adherence Issues
Chapter 17 Pharmaceuticals: The Ever-Evolving World
Chapter 18 The Aging Population, Medical Advancements, and New Case Management Considerations
Chapter 19 Dying in America
Chapter 20 The Growing Need for Direct-to-Consumer, Community-Based Case Managers: Our Changing Times
Chapter 21 Behavioral Health
Part V Cases in Profile
Chapter 22 Care at Home
Chapter 23 Managing a Long-Term Case
Chapter 24 Public Sector Case Management
Chapter 25 Cases in Profile
Chapter 26 Continuum Concepts
Appendix A Additional Resources
Appendix B Glossary
Appendix C Case Management and Healthcare Web Sites
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