October 1, 2010
Case Management Monthly

To begin to think about separating the UR function from the case management role, you must question the validity of the functional model

October 1, 2010
Case Management Monthly

Private care managers assist patients who have complex care needs such as coordination of multi-specialty appointments, medication management, and transportation.

October 1, 2010
Case Management Monthly

Several case managers have recently received denial letters from their regions’ Medicare Advantage (MA) for medically necessary readmissions.

August 27, 2010
Case Management Monthly

Working with a patient who is leaving against medical advice (LAMA) can be difficult. Although the physician responsible for the patient’s medical care is primarily involved in this situation, discharge planners frequently become involved when the patient has continuing care needs. 

October 1, 2010
Case Management Monthly

Teaching noncompliant patients how to cheat seems counterproductive, but this strategy saved lives in one medical center’s renal patient population.

October 1, 2010
Case Management Monthly

One setting alone doesn’t possess all the services required to fulfill a patient’s needs. Employees at each setting have different talents, skills, and knowledge needed to achieve all the care needs.