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Individuals who are dually eligible for Medicare and Medicaid have complex medical and social service needs, and many also have behavioral health issues, making coordination of care a challenge.
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UCares care coordinators are the hub for communication among providers treating the Minneapolis health plans dual eligible members enrolled in one of two care plans depending on their age.
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A lot of people think they want to work for themselves, but they find out its not glamorous, and it does take a lot of hard work.
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There's a lot more to being an independent case manager than just announcing that you're open for business. Being successful takes a lot of planning.
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There is no denying the appeal of immediate bedding. When it works well, patients get attention right away, and their needs are addressed in short order. But veterans of the approach will tell you that making such a practice a reality in a busy ED requires administrative commitment and persistence.
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The new healthcare arena offers case managers the opportunity to go out on their own as independent practitioners, but there is a downside to being your own boss.
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Occupational back injuries are an ongoing hazard in healthcare, particularly among nurses who have to move patients and perform other tasks that could cause injury.
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After being a nurse for nearly 30 years and a case manager for 11 years, Cheryl Acres started her independent case management company specializing in managing the care of clients with complex needs.
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Most readmission efforts are focused on patient education and engagement during and after discharge, says Paul Shorrosh, founder and CEO of AccuReg Patient Access Solutions in Mobile, AL.
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While the beginning stages of the effort may not have been pretty, Washington states coordinated program to tamp down costs related to high ED utilization by Medicaid recipients has not only exceeded expectations in terms of cost savings, now emergency medicine professionals are eager to apply the partnerships formed as part of the approach to other health care problems.