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As health care organizations tighten their belts to deal with today's health care environment, case managers report working harder with fewer raises and benefits.
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Patient education managers faithfully assess written materials to make sure they are appropriate for people with low health literacy or poor reading skills.
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You probably get the feeling, more often than you'd like, that there is more to the story than what a worker is telling you about an injury. There are several possible reasons for the facts not adding up.
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In Cheyenne, WY, a regional medical center, a small health plan, and a community-based provider group are working together to develop an accountable care organization with the goal of reducing fragmentation, waste, and variance in care.
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The term disease management has grown in popularity and widespread usage over the past decade to the point that it is assumed most case managers and related professionals know exactly what this term means. Although case managers may believe that they understand at least the basics of disease management, it is important to step back and carefully consider its definition and protocols.
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Case managers come from a variety of professional backgrounds and practice in a number of specialized areas. They may work in hospitals, outpatient environments, insurance, third-party providers, or home health, or may specialize in nursing, behavioral health, social work, vocational rehabilitation, physical therapy, or occupational therapy.
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Recognizing that employee groups are not all the same, Blue Cross and Blue Shield of North Carolina offers customized health and wellness programs for its employer-group customers.
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As employers grapple with rising health care costs, theyre starting to realize that the key to cutting costs is to keep their employees healthy, rather than waiting until theres an illness to manage, says Connie Commander, RN, CCM, ABDA, CPUR.
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Quality professionals and the organizations that evaluate them place a great emphasis today on standards core measures, evidence-based practices, and consistent processes. A dynamic seemingly at odds with this emphasis is the fact that patients are individuals, with unique needs and desires about their care.
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As performance improvement programs and the ability to track data and trends from outcomes-based quality improvement reports have become more sophisticated, home health agencies report improvements in all categories, except hospital readmission rates.