Includes bibliographical references (p. 799-817) and index.

The case manager as catalyst, problem solver, educator -- The case manager's universe -- Insurance providers and administrators -- Insurance lines and health benefit plans -- Legal responsibilities of the case management profession -- Ethical responsibilities of the case management profession -- Case manager credentialing -- Communications -- The case management work format and process -- Integrated case management : preadmission, concurrent review, utilization review, disease management, and case management -- Working effectively with claims departments : case managers in consulting roles -- Financial and quality assurance reporting -- Managing a case management department : your role as department head or independent case manager -- Obesity : the new epidemic -- Our nation's multiculturalism and challenges to case managers -- Health literacy and adherence issues -- Pharmaceuticals : the ever-evolving world -- Our aging population, medical advancements, and new case management considerations -- Dying in America -- The growing need for direct-to-consumer, community-based case managers : our changing times -- Behavioral health -- Care at home -- Managing a long-term case -- Public sector case management -- Cases in profile -- Continuum of care initiatives.