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Case managers today work in a broader range of venues than ever before. Professionals from a variety of backgrounds are finding that they, too, are practicing in the case management field.
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Independence Blue Cross takes a three-pronged approach to helping members manage their health care with its newly expanded Connections SM Health Management Program.
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Through a team approach that involves case managers, vocational rehabilitation counselors, and on-site job coaches, CIGNA Group Insurance has developed a successful return-to-work program for members who are severely injured or experience debilitating illnesses.
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Since Harvard Pilgrim Health Care, based in Wellesley, MA, started its Health Advance care management system to intervene with at-risk members before they require intensive medical services, the hospitalization rate for members in the program has been cut in half.
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Involving members in goal setting and getting them to take personal responsibility for their own health are keys to the success of Harvard Pilgrim Health Cares Health Advance Care Management system, according to Liz Estabrook, RN, manager of care management for the Wellesley, MA-based health plan.
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The publicly insured members covered by Horizon-Mercy often have psychological and social needs along with their medical conditions. To better serve these needs, the Trenton, NJ, health plan for the publicly insured started a social work program in May 1997.
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A comprehensive asthma management program has paid off for Care Choices HMO of Farmington Hills, MI.
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End-of-life care may be the most difficult subject youll take up with your clients, but youll be doing them a big disservice if you dont discuss it.
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When case managers at Highmark Blue Cross and Blue Shield bring up advance directives with their patients, they are well prepared.
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Traditional disease management programs that help patients manage their diseases after they become costly are like arriving at the scene of an accident that has already happened, John Palumbo asserts.