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As health care reform continues to unfold and performance-based payment models make more headway, emergency providers are pushing the boundaries beyond what the market has traditionally expected from this field of expertise.
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The debate raging over whether it is wrong or right for lawmakers to be looking at ways to limit ED utilization may be missing the more important discussion.
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In today's fragmented healthcare world, case managers are so inundated with tasks that care coordination and transition management often suffer, as this case study illustrates.
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Its not just enough to be a terrific case manager. To become a solo practitioner, you also need to be able to market yourself.
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Many EDs have found ways to streamline their triage processes and slash door-to-provider times. Such department-level improvements are important, but eventually ED administrators have to deal with the inpatient side of the equation for those patients who need to be admitted for further treatment.
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If youre tired of the same routine, dealing with your organizations bureaucracy and policies and procedures, and being just another employee who has to take the cases your supervisor gives you, it might be time to look into starting your own case management business as a solo practitioner.
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Independent case managers should purchase malpractice insurance to protect themselves from possible legal action if the patients whose care they manage experience an adverse outcome, says Elizabeth Hogue, Esq., a Washington, DC, attorney specializing in healthcare issues.
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Its great to be on your own, make your own schedule, and do the work you love, but there are a lot of challenges associated with starting and maintaining a business as an independent case manager.