OpenPlacement Community > Questions > Tagged: Case Management

Observation and Outpatient Surgery

asked June 20, 2014 | 0 followers | follow | 2 answers

Hi all,
I am curious how you would handle the following situation at your facility:
Medicare patient placed in outpatient observation from the ER with chest pain r/o MI. MI is ruled out and the physician orders GB testing. Patient not currently in any pain, no nausea/vomiting, no abnormal labs and tolerating diet. Test shows a few small stones and the physician orders lap chole to be done the following day.
The stay will be over 48 hours before the scheduled surgery and does not meet IP criteria.

RN Case Manager

asked February 11, 2014 | 0 followers | follow | 2 answers

Up to this point we have had a standard BSN requirement for our RN Case Managers. I am having more and more difficulty finding BSN prepared RNs with at least 5 years of acute care experience. My question is what are others requiring for education levels for their CMs?

Outpatient Case Management

asked January 31, 2014 | 0 followers | follow | 2 answers

I’d like to hear from any hospital case management department that has out-patient case management responsibilities that would go beyond typical case management discharge planning activities such as setting up homecare, sub-acute rehab, etc. We would like to hear what you have to say so we can learn more. Thanks in advance.

Cost Savings

asked January 28, 2014 | 0 followers | follow | 2 answers

We have having difficulty like everyone, being profitable on Medicare inpatients. Does anyone have any ideas of cost saving measures that Case management or Nursing can implement?

ACMA Certification

asked January 2, 2014 | 0 followers | follow | 2 answers

Any recommendations for providing my staff with options to become Certified in Case Management?? I understand that ACMA provides a certification for hospital based Case Management, different than the CCM Certification which seems to be more global. Neither is currently a requirement at our institution. Thank you in advance.

Physician Based Case Manager

asked December 16, 2013 | 0 followers | follow | 1 answers

We are planning to implement physician based case managers for our hospitalists. In trying to map out the logistics, I am hoping to learn from my colleagues on how this can be done efficiently and effectively. We will be utilizing a hybrid case management model, since the only physician based case managers will be exclusively for the hospitalists and the balance of the case managers will remain unit based. Any insight, processes, and lessons learned about physician based CM would be greatly appreciated. Thank you in advance.

Case Management Assessment Time Frame

asked November 18, 2013 | 0 followers | follow | 1 answers

Do any of you have hard and fast rules regarding a time frame by which a CM must see every patient? Is it the day after admission? Is it only if they fall out by screening tool? Does every patient in your hospital get assessed by CM? Thanks!


Case Management Reporting Structure

asked October 17, 2013 | 0 followers | follow | 0 answers

Who does Case Management (UR/Denial Management/Social Service/Discharge Planning) report to in your organization? Are you able to point me to literature to support the rationale for the reporting structure you are using?

Swing Beds

asked October 9, 2013 | 0 followers | follow | 0 answers

Please help me clarify a situation: When a pt needs to go to a swing bed this is essentially a rehab transfer, correct? Our Transfer Center is saying this would be a transfer to an acute care facility and as such would need the same paperwork as an IP-IP transfer. I am saying it is a rehab transfer and would not need any IP-IP paperwork, but would be handled just as any other rehab transfer. Who is correct?

Translation Services

asked October 2, 2013 | 0 followers | follow | 1 answers

Hello #OpenCommunity!Greetings! I have been given responsibility for the translation program at my organization in addition to Case Management and Denial Management. I am looking for contacts who could provide Job Descriptions for lead and staff Translators. Please reply if you have either item! Your assistance it greatly appreciated.

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