Case Manager's Handbook (Student Study Guide) by Catherine Mullahy

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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