Core Skills for Hospital Case
Managers: A Training Toolkit for Effective Outcomes Beverly Cunningham, MS, RN, Toni Cesta, PhD, RN,
FAAN
Spiral-bound + bonus CD-ROM
Earn 6 continuing education credits! ISBN 1601463537
978-1601463531
HCPro
June 2009 (click button below for the very best currently available
price for this substantial resource)
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. Topics covered include:
Hospital Case Management 101
Case Manager Role
Roles, Functions, and Caseloads
The Case Management Process
The Case Manager’s Role in
Transitional and Discharge Planning
Utilization Management
Managing Long Length of Stay
Patients
Denials: Prevention and Appeals
Strategies
Reimbursement
The Role of the Case Manager in
Patient Flow
Measuring Success: Strategic Outcome
Measures
Dealing with the Uninsured and
Underinsured
Working with Multidisciplinary Teams
Crucial Communication and Conflict
Resolution
Earn continuing education credits!
This resource is accredited as a
provider of continuing nursing education by the American Nurses
Credentialing Center Commission on Accreditation. This
educational activity for 6 nursing contact hours is provided by
HCPro, Inc.
This program is approved by the
Commission for Case Manager Certification for 12 Continuing
Education Units.
Beverly Cunningham, MS, RN, is vice
president of clinical performance improvement at Medical City Dallas
Hospital, where she is responsible for case management, quality,
health information management, and patient access. Through her
consulting, she directs hospitals, physician groups, and other
healthcare facilities to redesign delivery systems focusing on case
management implementation through a focus on improved clinical and
financial outcomes.
Toni Cesta, PhD, RN, FAAN, is a partner
and consultant for Case Manager Concepts, LLC, in Dallas, TX. She
has been a national and international leader in the field of case
management for 20 years and has authored seven books on the subject.
For those seeking CEUs, the learning
objectives will include:
Discuss the evolution of hospital
case management
Explain the different models of
hospital case management
Determine the various goals of
hospital case management
Examine the various roles of case
management
Discuss the variety of functions
performed by case managers
Discuss the scope of the case
manager position
Examine staffing ratios in various
models
List the steps in the case
management process
Determine the role of case managers
in documentation
Examine case managers' role in
discharge planning List the factors that influence the discharge
planning process
Determine strategies for improving
discharge planning
Discuss how hospital reimbursement
affects utilization management (UM)
List the stages of UM coordination
Determine the affect of outside
influences on UM
Evaluate different payers'
regulations regarding UM
Examine case management's role in
length of stay (LOS)
Evaluate strategies for managing
patients with long LOS
Identify data used to track and
trend LOS
Evaluate the reasons behind denials
Discuss case management's role in preventing denials
Examine case management's roles in
reversing denials
Examine case management's role in
reimbursement
Determine strategies for effective
case management related to reimbursement
Evaluate case management's role in
patient flow
Discuss demand and capacity
management
Identify strategies for managing
patient flow
Identify measurable case management
outcomes
Explain how case managers can track
quality outcome metrics
Discuss other metrics case
management departments can track and trend
Examine ways to create a case
management report card
Discuss the unfunded or underfunded
patient populations
Describe the role of the ED case
manager with unfunded or underfunded patient populations
Evaluate strategies for dealing with
unfunded or underfunded patient populations
Examine strategies for successfully
working with multidisciplinary teams
Describe sources of conflict with
which case managers frequently come in contact
Discuss strategies for reducing
conflict
This is an excellent resource for:
Staff nurses, charge nurses, staff
educators, staff development specialists, directors of education,
nurse managers, and nurse leaders
With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information,
education, training, and consulting products and services in the
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mission is to meet the specialized informational, advisory, and
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