The Case Manager's Survival Guide, Winning Strategies for Clinical Practice, 2nd Edition

The Case Manager's Survival Guide

2nd Edition Winning Strategies for Clinical Practice

By Toni G. Cesta, PhD, RN, FAAN, Director of Case Management, Saint Vincent Catholic Medical Centers of New York, Manhattan Region; Principal, Case Manager Solutions, LLC, Tucson, AZ and Hussein A. Tahan, MS, DNSc(C), RN, CNA, Director of Nursing, Cardiothoracic and Vascular Services, New York Presbyterian Hospital, Columbia Presbyterian Medical Center, New York, NY


1. Introduction to Case Management
2. Financial Reimbursement Systems
3. Case Management Models
4. Role of the Nurse Case Manager
5. Utilization Management
6. Transitional Planning
7. Disease Management
8. Skills for Successful Case Management
9. Nurse Case Manager's Documentation
10. Hiring Case Managers: Role of the Candidate and the Interviewer
11. Curricula and Certification in Nurse Case Management
12. Developing Case Management Plans
13. Quality Patient Care
14. Measuring the Effectiveness of a Case Management Model
15. Linking JCAHO to Case Management
16. Legal Issues in Case Management
17. Application of Legal Concepts to Case Management Practice
18. Ethical Issues in Case Management
19. Internet Resources and Case Management

APPENDICES
A. Community Nurse Case Management Problem List and Plan of Care
B. Community Nurse Case Management Intervention Flow Sheet and Problem Rating Scale for Outcomes
C. Community-Based Wound Care Pathway and Flow Sheet
D. Home Care Plan for Congestive Heart Failure and Hypertension
E. Sub-Acute Care
E-1 Clinical Guideline for Short-Term
Sub-Acute Admissions
E-2 Referral Assessment Form
E-3 Sub-Acute Data Collection Tool
F. Long-Term Care Resident Assessment Instrument Case Study and Care Plans
G. Pre-Printed Order Sets
H. Documentation Guides for Physicians
I. Case Manager - Inpatient
J. Case Manager - Admitting Office
K. Case Manager - Emergency Department
L. Case Manager - Community
M. Physician Advisor
N. Guide for a Case Manager's Competency-Based Performance Appraisal
O. Performance Management Form - Case Coordinator
Glossary
Index