9 Real-Life Success Strategies from Healthcare Case Managers

Tuesday, June 19th, 2012
This post was written by Jackie Lyons

Accountable care, night shifts and holistic medicine are a few strategies paying off for real-life case managers.

HIN asked healthcare case managers to share the single most successful strategy their organization has employed. Here is what they had to say:

Hillary Calderon, RN, Senior Manager of Corporate Case Management for HCA: Focusing on initiatives, quality driven and clinical excellence.

Linda Conroy, RN, BSN, Clinical Integration Case Manager for Hartford Physician Hospital Organization (HPHO): The HPHO is working with Hartford Hospital to reduce the rate of readmissions for our patients that are discharged with a primary diagnosis of congestive heart failure. We are working with several home care agencies and skilled nursing facilities to provide improved transition of care and education to both family and patient.

Stacey B. Hodgman, MS, RN-BC, CCDS, CPUM, District Director of Case Management for Kindred Healthcare, Board of Directors for the Case Management Society of New England: We continue to improve our efforts with care coordination and care management as we strategize to become the post-acute care provider of choice for our market areas in the country. We are working with the Pioneer ACOs to identify ways we can help ensure progression of care through the continuum and reduce readmissions. This is an exciting time for us, as it is for our nation, as we embark upon a new healthcare delivery system.

Barbara King, BSN, RN, Co-Founder and President of NurseValue, Inc.: We provide custom solutions to our clients. Our experience opens the door to complicated case referrals. We then use our understanding of the health system, our knowledge of health, injury and illness, and our collaborative communication process to drive cases to the most successful end point possible. Our clients appreciate the fact that we have developed a successful case management model that combines the telephonic and field case management services in a unique delivery system that provides a cost conscious solution.

Barbara (Bobbi) Kolonay, RN, BSN, MS, CCM, Owner of Options for Elder Care, Medical Care Management Services for Seniors: We are having tremendous success managing and assuring quality of life with a group of individuals the medical community has given up on – those with a diagnosis of Alzheimer’s disease. Where modern medicine often fails this group, ancient medicine and holistic practices is working!

Sonia Morrison, RN, CM, BSN, RN case manager at Salinas Valley Memorial Healthcare System (SVMHCS), Nurse Assessment Consultant and Educator for veterans at Visiting Angels of Santa Cruz: Expanding the role of case management to include p.m. shifts.

Victoria Powell, RN, CCM, LNCC, CNLCP, CLCP, MSCC, CEAS II, Founder and President of VP Medical Consulting, LLC: The one thing we do better than most other case management firms has to do with the way in which we approach each case. We have experience in the legal system both within and outside of workers’ compensation. The experience gleaned from working in the legal system means a new way of managing claims. Rather than focusing just on the situation as it stands before us, we are also looking toward the future. It is like a game of chess. Each case decision made now may result in a different outcome and open up new issues which need to be addressed in the future.

Linda Van Dillen, RN, BA, CCM, Executive VP/Partner of S&H Medical Management Services, Inc.: We have recently worked to update and upgrade our vocational program. Vocational consultants in each of our territories have become certified ergonomic assessment specialists (CEAS.) Our physical demand analyses are very highly regarded and as a result of this upgrade to our services, we have doubled our vocational team in the past couple years!

Miriam Weiss, MSN, RN, CCM, Care Manager at Amerigroup Corporation, Care Manager Consultant, Per Diem, at CareManagers Inc.: It is moving forward to acquire NCQA recognition in New Jersey.

For more success strategies, and metrics and measures on current and planned case management initiatives, check out 2012 Healthcare Benchmarks: Case Management, a new 60-page resource from HIN presented in more than 70 easy-to-follow graphs and tables.

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