Erase the battle lines: how to cut out conflicts with MCO case managers.
With managed care penetration increasing, it's more important than ever for hospital case managers to find ways to resolve the inevitable conflicts that arise with their managed care-based counterparts. Typical conflicts include struggles over authorization, vendor selection, lack of contact, and access to the patient. Some conflicts can be resolved simply by increasing the level of communication--usually by having managed care case managers stationed in the hospital itself. But even when contact is only by telephone, there are steps you can take to ease the tension. One way is simply to keep managed care case managers informed regarding such things as return admissions by problem patients. Effective discharge planning practices also can strengthen bonds, especially when it comes to patients with complex care needs.
D019090:Case Management / Q000458:organization & administration*; D003220:Conflict, Psychological; D006761:Hospitals; D006801:Humans; D007400:Interprofessional Relations; D008329:Managed Care Programs; D017008:Negotiating; D010347:Patient Care Planning; D010348:Patient Care Team; D010351:Patient Discharge; D011369:Professional-Patient Relations; D014481:United States