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Case Management Practice
Artificial Intelligence and Innovation in Case Management Nursing
BY HEATHER KELLY, MSN, RN, BCPA, CPC Case management nurses operate at the intersection of clinical care, utilization management, and…
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Long-Term Care
Life Care Planning for Healthcare Professionals: An Overview
BY ANNE GOWING, RN, CRRN, CNLCP®, MSCC, FIG MCP-C, FIG LCP-C As healthcare grows increasingly complex, so too does the…
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Case Management Leadership
Peanuts and Case Managers
BY MICHELLE BRUSIO, MSN, RN, CCM One of my favorite guilty pleasures is collecting and enjoying Charles Schulz's Peanuts.
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Community Health
Every Heart Matters: Empowering Underserved to Manage High Blood Pressure
BY HEIDI STEINHEBEL, RN BSN CCM Hypertension impacts Black African Americans 26% more often than other racial/ethnic groups, and approximately…
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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…