Fundamentals of Case Management : Guidelines for Practicing Case Managers

Developed for professionals and firms who are new to the growing field of insurance-based or external case management, this practical handbook focuses on case management in accident/health and property/casualty insurance including workers' compensation. It presents a step-by-step approach to assist both new and experienced case managers. For the novice, it provides information on roles and responsibilities of a case manager, how to start a case management program, a functional description of insurance systems, and information on hiring and training case managers. More experienced case managers will benefit from discussion of effective marketing to help increase business, better supervision of case managers to maintain quality, and fee negotiation for better cost savings through case management.

* Covers all key aspects of healthcare delivery systems, both inpatient and outpatient. * Addresses cutting-edge issues such as the future of case management, disease management, risk management, telephonic vs. onsite case management, and vocational rehabilitation. * Provides a detailed unit on how to set up and operate an effective case management program. * Includes useful appendices that provide sample forms, report formats, checklists, and examples of criteria that eliminates the need to develop new case management tools.