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Case Management Jobs
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| Case Management Specialist
Children's Hospitals and Clinics of Minnesota
Minneapolis, Minnesota
More Information... |
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Application for the Franklin Award of Distinction
for Transitions of Care Available Online
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The 2014 Franklin Award of Distinction for Transitions of Care application is available online. Newly redesigned to account for recent changes in health care, the Franklin Award now extends its focus to recognize exemplary transitions of care in case management.
The Franklin Award is presented annually by ACMA and The Joint Commission to an organization that exhibits excellence and distinction in hospital/health system case management and transitions of care. Pursuing this national award for excellence in hospital case management and transitions of care provides a unique opportunity to promote the advancement and recognition of case management within your organization, as well as an opportunity to scrutinize your model and processes. Both ACMA and The Joint Commission encourage all organizations with distinctive case management departments to apply.
To learn more about the Franklin Award and download the 2014 application,
click here.
Applications must be received by the ACMA National Office by 5 p.m. CST on Friday, November 29 in order to be considered for this year's award.
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"Since You Asked" Committee Update
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As introduced in the most recent issue of Collaborative Case Management, the "Since You Asked" Committee is an interdisciplinary group of experienced case management professionals committed to answering questions relevant to the practice. In the future, the committee will provide regular updates to this newsletter.
Community Acquired Pneumonia (CAP)...When is hospitalization appropriate?
Community Acquired Pneumonia (CAP) can be managed in the outpatient setting. There are times when it is appropriate to hospitalize these patients. Case managers are tasked with applying objective clinical criteria such as InterQual or Milliman Care Guidelines to guide medical necessity determinations for appropriateness of the treatment setting and level of care. There are times when the patient's clinical condition indicators fall short in meeting the medical necessity for hospitalization. Cases that do not meet the medical necessity criteria for the setting and/or level of care should be referred to a secondary physician reviewer.
An additional piece of information that a case manager could provide to the secondary physician reviewer is Pneumonia Severity Index (PSI) score and/or the CURB-65 score. These prospectively validated clinical prediction tools, endorsed by The American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA), assist the physician to determine which setting, outpatient or inpatient, is clinically appropriate for the patient - read more...
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View the Newest Collaborative Case Management
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The current issue of Collaborative Case Management is now available online in the ACMA Members Only section and set to arrive in your mailbox soon.
With this issue, you will notice a new layout and design. We have not only updated the appearance of the journal, we also expanded its content to provide an extra article per issue.
This issue includes:
- ACMA Public Policy Committee Update - 2014 Hospital IPPS Final Rule: Examining the Inpatient Admission and Two-Midnight Rule Provisions
- Life after the Fellowship: Two Social Workers Provide Insight on the ACMA Social Work Case Management Fellowship and Its Impact on Their Careers
- Decision from Court in Challenge to "Observation Status"
Highlights Need to Pass Legislation
- Since You Asked: A Brief History of the Establishment of Case Management
- Addressing the Practice Gaps and Preparing the Next Generation of Social Work Case Managers: Reflections on the ACMA Social Work Fellowship Program Experience
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