1. What Is a Case Manager? -- 2. Goals of Case Management -- 3. Essential Characteristics and Job Responsibilities -- 4. Opportunities in Nursing Case Management -- 5. Insurance -- 6. Utilization Management -- 7. Legal Issues for Case Managers -- 8. Ethical Issues and Dilemmas -- 9. Quality Improvement and Risk Management -- 10. Discharge Planning: Understanding the Levels of Care and Transfers -- 11. Introduction to the Case Management Process -- 12. Stage I: Case Screening and Selection -- 13. Stage II: Assessment - The Critical Link Between the Patient and the Treatment Plan -- 14. Stage III: Coordination and Development of Treatment and Discharge Plans -- 15. Stage IV: Continuous Case Management - Monitoring, Reassessing, Reevaluating -- 16. Stage V: Implementation of the Final Plan -- 17. Stage VI: Final Evaluation - Postdischarge Follow-up and Case Closure -- 18. Job Stress Versus Success Factors for Case Management -- 19. A Day in the Life of a Nurse Case Manager
20. A Case Study With and Without Case Management -- 21. Case Studies -- Appendix A: The Medicare DRGs -- Appendix B: Important Addresses and Phone Numbers
Bibliography
Includes bibliographical references (pages 351-360) and index
