| Part I | Profile of a Case Manager | |
| Chapter 1 | The Case Manager as Catalyst, Problem Solver, Educator | 1 |
| Chapter 2 | The Case Manager's Universe | 5 |
| Chapter 3 | Insurance Providers and Administrators | 9 |
| Chapter 4 | Insurance Lines and Health Benefit Plans | 15 |
| Chapter 5 | Legal Responsibilities of the Case Management Profession | 23 |
| Chapter 6 | Ethical Responsibilities of the Case Management Profession | 31 |
| Chapter 7 | HIPAA: The Health Insurance Portability and Accountability Act | 35 |
| Part II | Case Management Procedures | |
| Chapter 8 | Communications | 39 |
| Chapter 9 | The Case Management Work Format and Process | 45 |
| Chapter 10 | Integrated Case Management: Preadmission, Concurrent Review, Utilization Review, Disease Management, and Case Management | 53 |
| Chapter 11 | Working Effectively with Claims Departments: Case Managers in Consulting Roles | 61 |
| Part III | Case Management Administration and Financial Considerations | |
| Chapter 12 | Financial and Quality Assurance Reporting | 67 |
| Chapter 13 | Managing a Case Management Department: Your Role as Department Head or Independent Case Manager | 75 |
| Part IV | Trends and Opportunities in Case Management | |
| Chapter 14 | Case Manager Credentialing | 81 |
| Chapter 15 | Cultural Issues | 87 |
| Chapter 16 | Behavioral Health | 91 |
| Chapter 17 | Dying in America | 95 |
| Chapter 18 | Industry Directions | 101 |
| Part V | Case Management in Action: Cases in Profile | |
| Chapter 19 | Care at Home | 107 |
| Chapter 20 | Managing a Long-Term Case | 113 |
| Chapter 21 | Techniques for AIDS Cases | 119 |
| Chapter 22 | Public Sector Case Management | 125 |
| Chapter 23 | Cases in Profile | 129 |