Case Management in Health Care
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Nurse Managers Leading the Way

Nurse Managers Leading the Way | Case Management in Health Care | Scoop.it
Nurse managers need to understand the fundamentals of policy changes and how these relate to the financial health of their organization.
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 #nursemanager #nursingmanager #nursemanagement #nursingmanagement #casemanage Good article on nurse management and the future of nursing managers.

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Case Management in Health Care
Provides articles and discussion in case and care management in health care delivery today.
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How one health system closed its utilization management visibility gap

How one health system closed its utilization management visibility gap | Case Management in Health Care | Scoop.it
One health system closed utilization management gap by adopting Xsolis' AI-driven Dragonfly platform, improving peer reviews and inpatient appeals.
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How one health system closed its utilization management visibility gap

 

Utilization management

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August 13, 3:43 PM
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Burnout in nursing workforces

Burnout in nursing workforces | Case Management in Health Care | Scoop.it
Burnout in nursing affects nurses’ mental health, job satisfaction, care quality, and patient safety. This collection welcomes original research examining the prevalence, key risk factors, outcomes, and underlying mechanism across nursing settings.
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Burnout in nursing workforces

 

Burnout in nursing

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August 7, 2:50 PM
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The Value of Research and Evidence-Based Practice... : Professional Case Management

Patient complexity continues to rise due to multimorbidity, co-occurring behavioral health needs, and persistent health-related socia
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The Value of Research and Evidence-Based Practice... : Professional Case Management

 

Understanding case management

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Reimagining Rural Maternal and Child Health

Reimagining Rural Maternal and Child Health | Case Management in Health Care | Scoop.it
Rural Health Transformation Program Insights (Download) Maternal and child health (MCH) outcomes continue to raise national concern despite ongoing targeted initiatives, community-based interventions, and executive measures aimed at improving population health and saving lives. Although maternal mortality rates have decreased in recent years, the United States  has seen maternal deaths well above global rates compared […]
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Reimagining Rural Maternal and Child Health

 

Rural hospitals

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July 17, 12:50 PM
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Nursing Workforce Challenges: Why Nurses Should Be Treated as Critical Infrastructure

Discover why nurses should be treated as critical infrastructure and how workforce shortages, retention, and long-term investment impact patient care.
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Nursing Workforce Challenges: Why Nurses Should Be Treated as Critical Infrastructure

 

The importance of nurses

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July 10, 1:10 PM
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Why patient satisfaction must become a people strategy outcome

Why patient satisfaction must become a people strategy outcome | Case Management in Health Care | Scoop.it
Experience is broad, created through every interaction an employee has with a leader, a team, a patient, a process and the organization itself.
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Why patient satisfaction must become a people strategy outcome

 

Important outcomes

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Over half of Medicaid enrollees say they’re unaware of upcoming work requirements

Many enrollees don’t know they’ll need to report work, education or volunteer hours starting in less than six months in order to stay covered, according to a recent survey from the Health Management Academy.
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Over half of Medicaid enrollees say they’re unaware of upcoming work requirements

 

Understanding Medicaid

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Improving Claims Management, Utilization Review, and Care Coordination Across Payer-Provider Ecosystems Using Data Analytics | Healthcare IT Today

Improving Claims Management, Utilization Review, and Care Coordination Across Payer-Provider Ecosystems Using Data Analytics | Healthcare IT Today | Case Management in Health Care | Scoop.it
It is a well-known and well-discussed fact that all of the best decisions are backed by data. In the payer-provider ecosystem, the big areas that use a lot of data-backed decisions are claims management, utilization review, and care coordination. To get a better understanding of the specifics on data analytics' role, we reached out to
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Improving Claims Management, Utilization Review, and Care Coordination Across Payer-Provider Ecosystems Using Data Analytics | Healthcare IT Today

 

Improving case management

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Building end-to-end, intelligent patient flow at scale

Building end-to-end, intelligent patient flow at scale | Case Management in Health Care | Scoop.it
Intelligent patient flow management reduces length of stay and boarding by integrating capacity, admission, and discharge planning with AI-driven insights.
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Building end-to-end, intelligent patient flow at scale

 

Patient flow scale

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April 20, 1:05 PM
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Integrated Case Management Services to Close Gaps in Patient Care

Integrated Case Management Services to Close Gaps in Patient Care | Case Management in Health Care | Scoop.it
Bionic Bloom and Neurodivergent Empowerment Institute Launch Integrated Case Management Services to Close Gaps in Patient Care INDIANAPOLIS, IN / ACCESS Newswir
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Integrated Case Management Services to Close Gaps in Patient Care

 

Improving patient care

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April 9, 2:35 PM
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Tips for How Workers’ Compensation Nurse Case Managers Can Prepare for Major Cuts to Rural Healthcare Resources - WorkersCompensation.com

Tips for How Workers’ Compensation Nurse Case Managers Can Prepare for Major Cuts to Rural Healthcare Resources - WorkersCompensation.com | Case Management in Health Care | Scoop.it
The Case Manager Healthcare in general is undergoing a profound transformation—in this article, I wanted to look at an area many of us don’t think about because we live in an urban or suburban area. Rural areas across the country are set to be hit the hardest as the Big Beautiful Bill is implemented after | WorkersCompensation.com
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Tips for How Workers’ Compensation Nurse Case Managers Can Prepare for Major Cuts to Rural Healthcare Resources - WorkersCompensation.com

 

Nurse case managers in rural centers

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March 31, 2:24 PM
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Implementing allied healthcare professionals in transitional care for older adults with mental health needs: A scoping review | PLOS One

Implementing allied healthcare professionals in transitional care for older adults with mental health needs: A scoping review | PLOS One | Case Management in Health Care | Scoop.it
Introduction Older adults experience several transitions in care, which can be challenging and stressful. Transitional care ensures continuity of care by addressing patients’ healthcare needs before discharge and providing ongoing community support. Although transitional care improves patient outcomes and reduces hospital readmissions, its role in addressing mental health (MH) needs in older adults remains underexplored. This scoping review describes the literature on the integration of allied healthcare (AHC) professionals in transitional care for older adults with MH needs. Method Following PRISMA-ScR guidelines, we analyzed 14 peer-reviewed articles (2010–2024) on transitions for older adults with cognitive impairment, dementia, depression, or suicide risk. Thematic analysis identified key roles, lessons, and patient needs in transitional care provided by AHC professionals. Results AHC professionals, including social workers, occupational therapists, pharmacists, and physical therapists, contributed through discharge planning, physiotherapy, medication reviews, MH counseling, and resource navigation. For caregivers, they provided education on dementia care, behavior management, and psychosocial support, improving caregiver well-being and interactions with persons with dementia. Transitional care interventions reduced caregiver stress and, in some cases, hospital readmissions. Challenges included suboptimal medication management for persons with dementia. Key facilitators were flexible delivery methods (e.g., telehealth), tailored interventions, and dementia-specific education. Conclusion AHC professionals are vital to transitional care for older adults with MH needs, offering tailored support to patients and caregivers. Enhanced integration, interdisciplinary collaboration, caregiver education, and addressing systemic barriers could improve care quality. Future research should focus on standardizing interventions and optimizing medication management.
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Implementing allied healthcare professionals in transitional care for older adults with mental health needs: A scoping review | PLOS One

 

Helping others find the care they need

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March 25, 3:04 PM
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How AI Helps Care Managers Do More With Smaller Teams?

How AI Helps Care Managers Do More With Smaller Teams? | Case Management in Health Care | Scoop.it
Care managers are overworked. Increased caseloads, complicated patients, and shrinking care teams have made an already challenging job even more difficult. AI
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How AI Helps Care Managers Do More With Smaller Teams?

 

AI and case management

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August 18, 2:04 PM
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Nurses learn how to care for patients – they should also learn how systems can fail them

Nurses learn how to care for patients – they should also learn how systems can fail them | Case Management in Health Care | Scoop.it
Even skilled nurses can make mistakes when systems are badly designed. Human factors training could help nurses recognise and reduce these risks.
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Nurses learn how to care for patients – they should also learn how systems can fail them

 

Understanding the healthcare system

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August 11, 1:46 PM
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The patient perspective: Reframing efficiency in hospital care

The patient perspective: Reframing efficiency in hospital care | Case Management in Health Care | Scoop.it
What makes patients see care as efficient? Our survey of 254 patients uncovered three insights on communication, access, and coordination that can improve both patient experience and operational performance.
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The patient perspective: Reframing efficiency in hospital care

 

Efficacy and Hospital Care

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August 6, 4:34 PM
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EFT Tapping for Depression: A Self-Help Technique for Stress, Anxiety, and Emotional Relief - Giving Voice to Depression: Real Stories & Expert Support for Depression and Mental Health | Lyssna här...

EFT Tapping for Depression: A Self-Help Technique for Stress, Anxiety, and Emotional Relief - Giving Voice to Depression: Real Stories & Expert Support for Depression and Mental Health | Lyssna här... | Case Management in Health Care | Scoop.it
What if there were a free, portable tool you could use almost anywhere to help reduce stress and emotional overwhelm?

In this episode, Terry and Bridget explore Emotional Freedom Technique (EFT) — commonly known as tapping — with EFT expert Brad Yates.

Tapping combines gentle stimulation of acupressure points with focused attention on thoughts and emotions. Supporters of the technique describe it as a way to calm the body's stress response while creating space for emotional healing.

Brad explains:

 What EFT tapping is  How tapping may help reduce stress and anxiety  Why acknowledging difficult emotions is important  How stress can become intertwined with depression  Why small improvements matter  How tapping can create hope when you feel stuck 

Listeners are guided through a complete tapping session focused on depression, self-compassion, gratitude, and emotional relief.

Whether you're curious about EFT, looking for new depression coping tools, or simply interested in practical mental health techniques, this episode offers a guided introduction you can follow along with in real time.

As Brad reminds listeners:

Even moving from a "9" to an "8.75" is evidence that change is possible.

Primary Topics Covered:

EFT (Emotional Freedom Technique)  Tapping for depression  Tapping for anxiety  Stress reduction techniques  Self-help tools for depression  Gratitude practices  Emotional regulation  Self-compassion  Managing overwhelming emotions  Hope and resilience

Timestamps:

00:01:28 – Introduction to EFT tapping and why listeners requested coping tools00:02:14 – What EFT is and how it combines emotional and physical stress relief00:04:06 – Research on stress reduction and cortisol00:04:30 – Why EFT is free, portable, and accessible00:05:13 – Small improvements create hope00:05:59 – Step-by-step explanation of tapping points00:06:44 – Why EFT starts by acknowledging difficult feelings00:09:13 – Stress, depression, and unresolved emotional experiences00:10:20 – Guided EFT session for depression begins00:13:43 – Opening to the possibility of feeling better00:14:05 – Gratitude as part of emotional healing00:15:13 – Choosing happiness in the present moment00:16:04 – Worthiness, self-love, and releasing old beliefs00:17:14 – Evaluating emotional shifts after tapping00:17:48 – Why EFT can be useful when depression makes everything feel difficult

Explore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/
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July 31, 4:06 PM
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UnitedHealth, Centene eye Medicaid rebound amid work rules risks - Modern Healthcare

UnitedHealth, Centene eye Medicaid rebound amid work rules risks - Modern Healthcare | Case Management in Health Care | Scoop.it
Medicaid insurers are counting on pay raises from states about to be squeezed by nearly $1 trillion in federal budget cuts.
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UnitedHealth, Centene eye Medicaid rebound amid work rules risks - Modern Healthcare

 

Medicaid

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July 17, 12:49 PM
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Case Management

Case Management | Case Management in Health Care | Scoop.it
Advance care planning has always been personal. It is one of the most human conversations that occurs in healthcare. It asks patients, families, caregivers, and clinicians to talk about goals, values, fears, treatment preferences, and what should happen if the patient is no longer able to speak for themselves. But advance care planning is also […]
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Case Management

 

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June 18, 4:12 PM
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Transforming Care Delivery Through Clinical Device Management | Healthcare IT Today

Transforming Care Delivery Through Clinical Device Management | Healthcare IT Today | Case Management in Health Care | Scoop.it
The following is a guest article by Adam Byer, Chief Delivery Officer at iTech AG The implementation of technology in healthcare has driven incredible scientific discoveries and improved outcomes. However, the rise of connected devices and integrated systems has also created increasingly complex environments to manage. Historically, healthcare technology management has treated clinical devices as static
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Transforming Care Delivery Through Clinical Device Management | Healthcare IT Today

 

Healthcare delivery

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June 3, 3:49 PM
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Costly Care: Why Healthcare is So Expensive –

Costly Care: Why Healthcare is So Expensive – | Case Management in Health Care | Scoop.it
The No Surprises Act is a federal law designed to protect patients from unexpected medical bills that arise when they unknowingly receive care from
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Costly Care: Why Healthcare is So Expensive –

 

The high prices of healthcare

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May 11, 2:36 PM
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When a patient is discharged but refuses to leave: Lessons for your practice

When a patient is discharged but refuses to leave: Lessons for your practice | Case Management in Health Care | Scoop.it
At Tallahassee Memorial Hospital, a patient remained in her inpatient room for months after being formally discharged in October 2025. The hospital ultimately filed a lawsuit to have her removed.
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When a patient is discharged but refuses to leave: Lessons for your practice

 

Understanding patient discharge

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April 30, 4:01 PM
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Current Approaches to the Management of Acute Surgical and Medical Emergencies: A Structured Narrative Review | Cureus

Current Approaches to the Management of Acute Surgical and Medical Emergencies: A Structured Narrative Review | Cureus | Case Management in Health Care | Scoop.it
Acute surgical and medical emergencies constitute a major cause of morbidity and mortality, placing demands on healthcare systems due to sudden onset, rapid progression, and the requirement for immediate intervention. Optimal outcomes depend on early recognition, structured assessment, and coordinated multidisciplinary care involving emergency medicine, surgical teams, and critical care services. This structured narrative review provides an evidence-informed overview of contemporary approaches to the assessment, diagnosis, and management of acute surgical and medical emergencies, with emphasis on clinically applicable pathways. The review addresses key domains including epidemiology and risk stratification, principles of initial assessment and stabilisation, and diagnostic strategies incorporating laboratory biomarkers and advanced imaging modalities. Management of common acute surgical and medical emergencies is examined, alongside current pharmacological interventions such as antimicrobial therapy, analgesia, sedation, and anticoagulation within high-acuity settings. The role of interdisciplinary integration, post-intervention monitoring, and timely escalation of care is highlighted as a determinant of continuity and outcome optimisation. Emerging innovations, including artificial intelligence-based clinical decision support systems, tele-emergency medicine, and minimally invasive emergency procedures, are discussed for their potential to enhance diagnostic accuracy, triage efficiency, and therapeutic precision. Persistent challenges include heterogeneous presentations, inconsistent guideline implementation, and unequal access to emergency services. Future efforts should prioritize standardized pathways, validated technologies, and integrated care models.
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Current Approaches to the Management of Acute Surgical and Medical Emergencies: A Structured Narrative Review | Cureus

 

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April 10, 3:32 PM
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Medicare: Where does $1.1 trillion go — and where should it go? | Medical Economics

Medicare: Where does $1.1 trillion go — and where should it go? | Medical Economics | Case Management in Health Care | Scoop.it
MedPAC opens April meeting with deliberations on data that will be part of June report to Congress.
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Medicare: Where does $1.1 trillion go — and where should it go? | Medical Economics

 

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April 8, 1:13 PM
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Remote monitoring technology helps Brooklyn resident manage high blood pressure

Remote monitoring technology helps Brooklyn resident manage high blood pressure | Case Management in Health Care | Scoop.it
When 57-year-old Brooklyn resident Timothy Rhonda visited Park Ridge Family Health Center at NYU Langone with dangerously high blood pressure, he worried he might once again end up in the hospital.
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Remote monitoring technology helps Brooklyn resident manage high blood pressure

 

Remote monitoring

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March 27, 3:16 PM
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Value Based Care Benefits of Strong Acute and Post-Acute Care Collaboration | Healthcare IT Today

Value Based Care Benefits of Strong Acute and Post-Acute Care Collaboration | Healthcare IT Today | Case Management in Health Care | Scoop.it
If there's ever been a team sport in healthcare, it's value based care. As much as a healthcare organization thinks they can do it alone, value based care requires coordination across the entire care continuum. That's the reality that University of Maryland Medical System faced when they were working on their value based care efforts.
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Value Based Care Benefits of Strong Acute and Post-Acute Care Collaboration | Healthcare IT Today

 

Value based care

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