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Salaries for case managers are increasing but the vast majority of case managers are working far more than the typical 40-hour week, according to the 2011 Hospital Case Management Salary Survey.
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In the December 2011 issue of Case Management Insider we discussed the roles most commonly used by case managers in today's acute care setting. These included the following:
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If you're not paying as much attention to documentation and medical necessity for Medicaid patients as you do for those covered by Medicare, your hospital is likely to suffer when the Medicaid Recovery Audit Contractor (RAC) program starts on Jan. 1, 2012.
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When it comes to helping their patients or clients learn to take responsibility for their own healthcare, the first thing case managers have to do is to get to know them and become familiar with their family situation, says B.K. Kizziar, RN-BC, CCM, CLP, owner of B.K. & Associates, a Southlake, TX, case management consulting firm.
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New initiatives being developed as a result of healthcare reform, such as the patient-centered medical home and the accountable care organization, are new models of care delivery, but the concepts are not new to case managers, says Mary Beth Newman, MSN, RN-BC, CMAC, CCP, MEP, CCM, program manager, case management, WellPoint Centers of Medical Excellent, based in Mason, OH, and president of the Case Management Society of America (CMSA) with headquarters in Little Rock, AR.
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Technology is beneficial to people designing programs to impact the health behaviors of their patient population base, says Jason L. Bittle, community health improvement coordinator at Hanover (PA) Hospital Wellness and Education Center.
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The U.S. healthcare system, with a focus on outpatient visits for acute problems, might not be supporting patients with chronic illness in their everyday lives to manage their health.
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Providing written information for the patient with heart failure to use at home is important for reinforcing what was taught, says Eileen Brinker, RN, MSN, heart failure program coordinator at the University of California, San Francisco (UCSF) Medical Center.
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The Agency for Healthcare Research and Quality (AHRQ) has launched an initiative with the Ad Council to encourage clinicians and patients to engage in effective two-way communication to ensure safer care and better health outcomes.
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Depending on where you live, the changing healthcare environment could mean opportunities or challenges, case managers across the country say.
