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Case Management Jobs

RN — Patient Resource Mgmt. Mgr.
MSHA — Franklin Woods Community Hospital
Johnson City, Tennessee
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Supervisor — Utilization Review, Denials and Appeals
Cottage Health
Santa Barbara, California
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Care Coordination Manager
Sentara Healthcare
Suffolk, Virginia
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Medicare slow to adopt telemedicine due to cost concerns
Kaiser Health News
Donna Miles didn't feel like getting dressed and driving to her physician’s office or to a retailer's health clinic near her Cincinnati home. For several days, she had thought she had thrush, a mouth infection that made her tongue sore and discolored with raised white spots. When Miles, 68, awoke on a wintry February morning and the pain had not subsided, she decided to see a doctor. So she turned on her computer and logged on to, a service offered by her Medicare Advantage plan, Anthem BlueCross BlueShield of Ohio.
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Case Management Advocacy: A call to action
Bills have been introduced in Washington, which address issues affecting your daily practice and adversely impacting patient care. The Improving Access to Medicare Coverage Act and the Medicare Audit Improvement Act represent opportunities for case managers to voice concerns related to observation status/the three-day stay requirement and the CMS Recovery Audit Program (formerly RAC). Over the coming months, you will periodically receive email calls to action regarding these issues, which contain a link to ACMA's online Grassroots Action Center. You can also learn more and make your voice heard anytime at Please take a few moments and contact Congress to request support of these bills. ACMA has already provided a message to help you get started — simply customize/add your personal experience, sign your name and send. One click, it's that easy. There is strength in numbers, so we also encourage you to share these issues and direct your colleagues and non-member advocates to join the effort via ACMA's Grassroots Action Center at
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Compass: Directional training for case managers
Version 2.0 now available:
  • Professional narration and audio
  • 10 CEs for nurses, social workers and ACMs
  • Expanded and updated content — an increase from 15 to 18 modules
  • New modules on accountable care organizations (ACOs), the Two-Midnight Rule and more
  • E-manual available online for print and download
Learn more at

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We'll work around your schedule: Online educational offerings from ACMA
ACMA is offering several new online webinars. These webinars provide an economical source of continuing education, especially for those who are not able to travel to conferences or do not have live events in their area. Hear from leaders in the field, at your own convenience, on your schedule.

About E-Learning with ACMA: E-Learning is a platform that offers a growing library of webinar sessions. This library currently includes sessions from the 2014 ACMA Leadership Conference and other webinars. ACMA continues to add content frequently — both live and on-demand sessions. All are economically priced and provide the leading education you have come to expect from ACMA. Visit the E-Learning website to register for a webinar, purchase on-demand, or peruse the library — click here.

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Nation's uninsured rate drops sharply in Affordable Care Act era
Modern Healthcare
The number of Americans who had no health insurance last year was at one of the lowest levels ever recorded, according to an authoritative government survey released recently. About 36 million people, or 11.5 percent of the entire population, were uninsured in 2014. That's down from 16 percent in 2010, when President Barack Obama's Affordable Care Act was signed into law. More than 170 million people had private health plans.
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Hospitals could face financial strain if Supreme Court upends ACA
Kaiser Health News
A decision by the justices to throw out subsidies in the three dozen states that chose to use instead of establishing their own marketplace could shift more uncompensated care costs to hospitals. Meanwhile, news outlets also estimate how many people within certain states might lose their subsidies. Conventional wisdom says big corporations that employ lots of people in a state generally call the shots with local politicians, especially when those corporations are the source of major campaign contributions.
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Medicaid & CHIP: April 2015 Monthly Applications, Eligibility Determinations and Enrollment Report
Centers for Medicare & Medicaid Services
This monthly report on state Medicaid and Children's Health Insurance Program (CHIP) data represents state Medicaid and CHIP agencies' eligibility activity for the calendar month of April 2015. This report measures eligibility and enrollment activity for the entire Medicaid and CHIP programs in all states, reflecting activity for all populations receiving comprehensive Medicaid and CHIP benefits in all states, including states that have not yet chosen to adopt the new low-income adult group established by the Affordable Care Act.
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Does your post cute referral process benefit YOU and YOUR post acute care partners?

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ON-Q PainBuster with ON-Q® SilverSoaker™ gets patients back to normal faster by automatically and continuously delivering a local anesthetic, to relieve post-op pain, through an antimicrobial catheter, which may destroy or inhibit the growth of microorganisms on the catheter.

Use of hospitalists on overnight shift doesn't change patient outcomes
Historically, residents were on their own on the overnight shift in hospitals, making decisions about patient care. In recent years, many teaching hospitals have established an overnight academic hospitalist program — which puts a hospitalist physician in charge of supervising overnight medical residents — in response to concerns for patient safety and quality of care. But a recent study found that in one such program at the Penn State Hershey Medical Center, having an on-site, attending-level physician provide overnight supervision did not make a difference in quality of care.
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Marrying healthcare cost control measures with quality improvements raises challenges
Kaiser Health News
Modern Healthcare reports on the upsides, and potential downsides, of increased price transparency for consumers trying to make medical decisions. And Marketplace looks at efforts in Oregon to pair sicker and more expensive patients with social services to provide personalized medicine. Consumers are demanding more transparency around healthcare costs, but there are limits to how much that information can help them make decisions and it could end up costing them more in the end.
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Alternative to the Status Quo
Secondary review and audit defense services, delivering timely, cost-effective and accurate status reviews and determinations. Call 1-844-4Resonant or visit us for more information.
Air Care 1
Welcome to a different kind of air ambulance service. We not only get you there faster and safer by employing the most advanced technology — we also provide holistic care to create a unique, comforting experience. MORE

5 ways community health worker programs can improve post-ACA
Community health worker programs are more relevant than ever in the U.S. amid the current emphasis on outcomes and value, but these initiatives still must overcome several significant barriers in order to succeed, according to an opinion piece published in the New England Journal of Medicine. After a storied history that began in 1800s Russia and continued with "barefoot doctors" in 1920s China, CHWs have gained increasing traction in the U.S. thanks in no small part to Affordable Care Act provisions, according to the article.
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CBO report on ACA repeal pits economic growth against personal freedom
Modern Healthcare
Last year, Modern Healthcare profiled a young New Yorker, Philip Murray, who was grateful the Affordable Care Act allowed him to buy affordable individual health insurance. That let him focus on developing his own software company to help students prepare for the Medical College Admission Test, rather than his having to get a job with health benefits. The ACA "helps me build a business, be productive, get my product out, and possibly even hire some help," said Murray, then 33, who did not vote for Barack Obama in either 2008 or 2012.
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AHA raises concerns over proposed inpatient rule for FY 2016
AHA News
The AHA supports a number of provisions in the inpatient prospective payment system proposed rule for fiscal year 2016, but is concerned about the rule's cuts to disproportionate share hospital payments, lack of data transparency and certain proposed changes to the Inpatient Quality Reporting Program and Hospital Readmissions Reductions Program, AHA Executive Vice President Rick Pollack told the Centers for Medicare & Medicaid Services in comments submitted today. Among other comments, the AHA expressed concern that the rule does not propose any changes to the two-midnight policy.
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Date Event Location More Info
July 30-31 Florida Chapter Orlando Details
Aug. 8 Georgia Chapter Atlanta Details
Sept. 18 North Carolina Chapter Charlotte Details
Sept. 19 ACMA Maryland Chapter Baltimore Details
Oct. 3 Western Pennsylvania Chapter Pittsburgh Details
Oct. 10 Virginia Chapter Richmond Details
Oct. 12 Great Lakes Chapter Novi Details
Oct. 20 Illinois Chapter Rosemont Details
Oct. 24 Connecticut Chapter Uncasville Details

  For the full ACMA event map, click here.



Tyler Neese, ACMA Director of Communications and Public Policy, 501.907.2262
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Colby Horton, Vice President of Publishing, 469.420.2601

Ryan Clark, Content Editor, 202.684.7160  
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