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Case Management Practice
The Human Algorithm: Integrating Artificial Intelligence (AI) into Professional Case Management Practice While Upholding the CMSA Standards of Practice
BY CATALINA KHALAJ, PMHNP-BC, MSN, RN, CCM, ACM, CMGT-BC In an era of unprecedented technological advancement, professional case managers stand…
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Utilization management
Beyond the Authorization: Navigating the Evolving Challenges of Utilization Management
BY JANET COULTER, MSN, MS, RN, CCM, FCM Mention utilization management (UM), and many healthcare professionals immediately think of prior…
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Association News
ACCESS and the Future of Chronic Care: CMSA Helps Define the Role of Case Management
When the Centers for Medicare & Medicaid Services (CMS) introduces a new care delivery model, healthcare organizations begin asking how…
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President's Message
The Heart of Leadership
BY JANET COULTER, MSN, MS, RN, CCM, FCM There are moments in life when you accept an opportunity knowing it…
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Integrated Case Management
Interdisciplinary Teamwork Using Care Coordination and Integrated Case Management (CCICM): The Key to Breaking Traditional Health Care Silos
BY ANGELA SIMMONS, MSW, LCSW, CCM AND BINA STITT, MPA, MSN, RN, CCM Back in 2016, two major VA offices—…
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Post-acute care
Internal Authorization, External Impact: A Case Management Innovation to Reduce Length of Stay and Improve Throughput
BY COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMGT-BC, CMCN, ACM-RN, FCM, FAACM Delays in payer authorization for post-acute services remain one…
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Case Management Practice
Bridging Adolescence and Adulthood: Case Management for Transitional-Age Young Adults
BY HEATHER KELLY, MSN, RN, BCPA, CPC A child’s eighteenth birthday marks an abrupt and consequential transition, not only socially…
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Care Coordination
Optimizing Hospital Throughput Using Direct Bill Skilled Nursing Facility Partnerships: A Three-Year Review of the OhioHealth-Laurels Healthcare Model
BY JACQUELINE (JACQUI) BASTIAN, BSN, RN, MSOL, CCM, KATE COFFIELD AND AMY CAMPBELL-TUMBLIN In early 2023, OhioHealth and The Laurels Healthcare launched a direct-bill,…
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Case Management Leadership
From Strategy to Structure: Developing a Heart Failure Care Management Program
BY HEIDI STEINHEBEL, RN, BSN, CCM Heart failure represents a significant national health crisis, accounting for more than one million hospitalizations…
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Case Management Practice
Resilience Is Not a Buzzword: It’s a Practice
I can’t thank you enough for picking up that extra project; I know how busy you are." BY AMANDA LEIGH…