The Case Manager's Survival Guide

Winning Strategies for Clinical Practice


  • Toni 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
  • Hussein Tahan, MS, DNSc(C), RN, CNA, Director of Nursing, Cardiothoracic and Vascular Services, New York Presbyterian Hospital, Columbia Presbyterian Medical Center, New York, NY

This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences.
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Case managers in various settings, nurse care managers, nurse managers, clinical specialists, masters programs in nursing case management


Book information

  • Published: December 2002
  • Imprint: MOSBY
  • ISBN: 978-0-323-08259-4

Table of Contents

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

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