Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN As of June 20, 2014, contact hours for nurses are no longer available with this product. Finally--an affordable, effective, and consistent training program for your hospital case managers. This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed. Core Skills for Hospital Case Managers is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals. With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills. Table of contents Chapter 1: Hospital Case Management 101 Chapter 2: Case Manager Role Chapter 3: Roles, Functions, and Caseloads Chapter 4: The Case Management Process Chapter 5: The Case Manager's Role in Transitional and Discharge Planning Chapter 6: Utilization Management Chapter 7: Managing Long Length of Stay Patients Chapter 8: Denials: Prevention and Appeals Strategies Chapter 9: Reimbursement Chapter 10: The Role of the Case Manager in Patient Flow Chapter 11: Measuring Success: Strategic Outcome Measures Chapter 12: Dealing with the Uninsured and Underinsured Chapter 13: Working with Multidisciplinary Teams Chapter 14: Crucial Communication and Conflict Resolution Learning objectives: Discuss the evolution of hospital case management Explain the different models of hospital case management Determine the various goals of hospital case management Examine the various roles of case management Discuss the variety of functions performed by case managers Discuss the scope of the case manager position Examine staffing ratios in various models List the steps in the case management process Determine the role of case managers in documentation Examine case managers' role in discharge planning List the factors that influence the discharge planning process Determine strategies for improving discharge planning Discuss how hospital reimbursement affects utilization management (UM) List the stages of UM coordination Determine the affect of outside influences on UM Evaluate different payers' regulations regarding UM Examine case management's role in length of stay (LOS) Evaluate strategies for managing patients with long LOS Identify data used to track and trend LOS Evaluate the reasons behind denials Discuss case management's role in preventing denials Examine case management's roles in reversing denials Examine case management's role in reimbursement Determine strategies for effective case management related to reimbursement Evaluate case management's role in patient flow Discuss demand and capacity management Identify strategies for managing patient flow Identify measurable case management outcomes Explain how case managers can track quality outcome metrics Discuss other metrics case management departments can track and trend Examine ways to create a case management report card Discuss the unfunded or underfunded patient populations Describe the role of the ED case manager with unfunded or underfunded patient populations Evaluate strategies for dealing with unfunded or underfunded patient populations Examine strategies for successfully working with multidisciplinary teams Describe sources of conflict with which case managers frequently come in contact Discuss strategies for reducing conflict Intended audience Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders

Most people learn best through experience, which is why new managers often feel ill-equipped to resolve the frustrations, setbacks, conflicts, and concerns of the people on their team. The Management Training Tool Kit includes all the essential tools to help you face even the most advanced leadership challenges and avoid embarrassing blunders. Psychology professor Alan Clardy supplies thirty-five real-life case studies that explore the important lessons learned by other experienced professionals, including how to troubleshoot plummeting morale, interpersonal conflict, decreased productivity, disruptive employees, sexual harassment claims, and more. With probing discussion questions that help pinpoint core issues, practical solutions that can be used to resolve problems, role-playing analysis exercises that bring the case studies to life, and an inventory to help you assess your unique management style, you’ll gain the skills needed to guide your team through trials and on to success. New managers tossed to the front lines with absolutely no experience are bound to make some mistakes. But The Management Training Tool Kit will help leaders adeptly overcome any obstacle.

"The hospital case manager is the person many turn to when answers are scarce. A case manager can persuade the patient and family/caregiver to become actively involved in the plan of care, and he or she can draw upon resources when nothing seems possible. The information the case manager communicates to the patient, the family/caregiver, the hospital team, and the postacute care providers is paramount to getting the patient the right care in the right place at the right time and potentially avoiding a readmission. Communication is essential to the role of case management, yet crafting a universal message that both the patient and the case manager understand is a challenge for many hospitals."--Back cover.

Networking, negotiating, communicating, leading, career planning--all skills critical to your career success. But did anyone ever teach you these skills? The Career Toolkit will help you master these vital skills and yield outsized returns for your career and your income. Every chapter is packed with dozens of actionable principles, exercises, and practices that will accelerate your success. It's a multivitamin for your career! The Career Toolkit shows you how to design and execute your personal plan to achieve the career you deserve, including: Negotiating a job offer. (This alone will pay for the book.) Creating a dynamic career strategy. Building a high-value network. Developing the fundamental leadership skills that matter most. Managing teams effectively, even as an individual contributor.

Most people learn best through experience. Yet new managers are often tossed on to the front lines with absolutely no experience handling the toughest challenges theyÆll face: people problems. The Management Training Tool Kit includes all the tools you need to prepare your managers for anything. It supplies real-life case studies and analysis exercises for troubleshooting problems such as plummeting morale, interpersonal conflict, decreased productivity, disruptive employees, sexual harassment claims, and more. This innovative training guide features: ò 35 succinct yet nuanced case studies that examine common challenges ò Probing discussion questions that help pinpoint core issues ò Practical solutions that can be put to use resolving problems ò Role-playing exercises that bring the case studies alive ò Guidelines that help trainers lead with skill and accuracy New managers will make mistakes. But The Management Training Tool Kit will help them overcome obstacles with skill and confidence.

Iteration rules product development, but it isn't enough to produce dramatic results. This book champions Radical Product Thinking, a systematic methodology for building visionary, game-changing products. In the last decade, we've learned to harness the power of iteration to innovate faster—we've invested in a fast car, but our ability to set a clear destination and navigate to it hasn't kept up. When we iterate without a clear vision or strategy, our products become bloated, fragmented, and driven by irrelevant metrics. They catch “product diseases” that often kill innovation. Radical Product Thinking (RPT) gives organizations a repeatable model for building world-changing products. The key? Being vision-driven instead of iteration-led. R. Dutt guides readers through the five elements of the methodology (vision, strategy, prioritization, execution and measurement, and culture) to develop a clear process for translating vision into reality, and turning RPT skills into muscle memory. This book offers refreshing solutions to the shortcomings of our current model for product development; be prepared to toss out everything you know about a good vision and learn how to measure progress to create revolutionary products. The best part? You don't have to be a natural-born visionary to produce extraordinary results.