Transcription of Care Management Institute Guidelines
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Care Management Institute Guidelines
Care Management Institute Guidelines Formed by the American Association of Managed Care Nurses CMI Committee American Association of Managed Care Nurses (AAMCN) 4435 Waterfront Drive, Suite 101 Glen Allen, Virginia 23060 Phone: American Association of Managed Care Nurses Care Management Institute Guidelines Table of Contents Foreword 3 Care Manager Title Definition 4 Expertise/Credentials Necessary for the Role 5 Case-Load 6 Performance Measures 7
Reduced volumes of appeals and grievances over turn or punitive costs Improve hospital and ER utilization Improved Medical Loss Ratio (MLR) Improved use of formulary and generic medication Operational Outcomes * Operational Outcomes are suggestions and often are based on each organization’s accreditation standards.
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