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Case Management Advisor

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  • CMs help seniors understand treatment plans

    When selected Medicare beneficiaries being treated at University of Michigan Health System facilities are discharged from the hospital medical unit or treated and released from the emergency department, case managers at the University of Michigan Faculty Group Practice Medical Management Center call them to make sure they have follow-up appointments and that they understand their treatment plan.
  • Promotoras link providers with the community

    Promotoras, or specially trained community health workers, help bridge the gap between members of the community and the medical providers at St. Elizabeth Health Center in Tucson, AZ.
  • Patients receive all their interventions in one place

    Monthly diabetes group visits, where patients receive all their recommended tests and examinations in one place, are an effective and cost-efficient way to help diabetics keep their disease under control, but they take a lot of organization, says Donna Zazworsky, RN, MS, CCM, FAAN, manager of network diabetes care, faith community nursing and telemedicine for Carondelet Health Network in Tucson, AZ.
  • Chronic care program helps diabetics learn to manage their disease

    A chronic care program for diabetics at St. Elizabeth Health Center in Tucson, AZ, provides recommended care at a reduced cost and copay, helps them develop self-management goals, and supports them when they go back into their communities.
  • Health care system offers challenges, opportunities

    One of the biggest challenges facing case managers today is educating the consumer and other health care providers about what case managers do and the value they bring to the table, says Jeff Frater, RN, BSN, CCM, new president for the Case Management Society of America (CMSA).
  • Empowering seniors to take responsibility

    The goal of Health Net's Special Needs Plan for seniors with elevated cholesterol is to empower the members to become more informed and responsible for their own medical care in cooperation and collaboration with their physicians, says Richard Jacobs, MD, MBA, chief medical officer for Health Net of Arizona Inc.
  • Plan targets seniors with high cholesterol

    As part of its efforts to take a proactive approach to heart disease, Health Net Inc. has launched the first-ever Medicare Advantage Special Needs Plan designed specifically for seniors with high cholesterol.
  • Personal visits help CMs establish rapport

    Face-to-face contact is an essential part of managing the care of patients with end-stage renal disease, says Cristina Walter, MS, RN-BC, CCM, CCP, regional operations director, DaVita VillageHealth.
  • Outcomes not improving for back and neck pain

    Despite higher costs for imaging and therapy for back and neck problems of employees, work limitations and disability claims aren't improving, says a new study.
  • Musculoskeletal injuries cut 75% with this program

    Fifty more trucks produced a year. That's the result of regaining just six more days of productivity per injured employee, as a result of a musculoskeletal disability management program implemented in Warrenville, IL-based Navistar's truck division.