Nobody downloaded yet

Risk Management Issues: Telephonic Case Management - Essay Example

Comments (0) Cite this document
Risk Management issues: Telephonic Case Management Name Institution Risk Management Issues: Telephonic Case Management Introduction Telephonic case management is a sensitive issue which must be highly considered in every hospital setting. It is a proactive strategy which focuses on early intervention which is applied to manage any medical cases that may delay prompt and healthy return to work…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER94.7% of users find it useful
Risk Management Issues: Telephonic Case Management
Read TextPreview

Extract of sample "Risk Management Issues: Telephonic Case Management"

Download file to see previous pages Significantly, telephonic case management is valuable in the provision of essential information on the severity of a given injury, and the complicated issues that may emerge. It also gives a detailed overview on the available opportunities for an early resumption of work. Broadly, it is concerned with the assessment of the injured worker’s medical needs, review, monitoring and evaluation of the available treatment choices, and the facilitation and harmonization of an effective communication among the employer, employees, and claims personnel to assist in a well-timed return to work (Fero et al., 2010). This service greatly impacts on the employers base lines through a reduction on the number of days the employees are off work due to the illness. In the provision of the telephonic case management services a highly qualified staff is required to bridge the gap between the employer and the injured employees. In the hospital facility the telephonic managers bring together the concerns of the hospital administration and any injured hospital staff for a quick treatment and cost settlements to achieve a timely return to work plan. Steps Taken to Address the Risk Management Issue Several steps have been discussed to address the issue of risk management in the hospitals. Remarkably, utilization management has greatly been considered in the push to attain a greater impact in the process of predictive modeling and data analysis. This step incorporates the effective evaluation of medical need, suitability and efficacy of the application of health care, processes and the facilities envisioned in the provision of an appropriate health benefits plan. Notable under this step is the hiring of highly qualified and experienced nurses who have been in the clinical practice for at least three years in the highly demanding and sensitive units in the hospitals such as the neurology, emergency room, radiology and the orthopedic units. There is also the employment of several board certified physicians who are important in the monitoring and evaluation of all the aspects of medical care while carrying out concurrent and retrospective reviews (Reilly et al., 2011). Case management is another step which has been employment by the hospital in its endeavor to solve the risk management issues. This has been provided to enhance a collaborative assessment process, the planning, facilitation of dialogue and timely settlement, the promotion of alternatives and services to meet a client’s health requirements via communication and existing resources to offer better quality, cost effective results. In view of these, a state of the art proprietary soft ware necessary for effective negotiation between the hospital managers and the ill workers has been installed to achieve a timely and cost effective communication. Through the electronic data interfaces (EDI), the hospital administration and the injured employees are able to download the case process, evaluate them and post their responses in time (Reilly et al., 2011). This facilitates a quick conclusion of the claims since the concerned parties can communicate immediately. Another notable step has been employed in the disease management process. Remarkably, disease management is the system of synchronized wellbeing interventions and dialogues for the hospital staff ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Risk Management Issues: Telephonic Case Management Essay”, n.d.)
Retrieved from
(Risk Management Issues: Telephonic Case Management Essay)
“Risk Management Issues: Telephonic Case Management Essay”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Risk Management Issues: Telephonic Case Management

Risk Management Issues

...-to-market basis” (Olson & Wu, p. 73, 2010) and to the dynamic administration of risk disclosures by means of “hedging strategies” (Kolari & Gup, p. 99, 2004). During the last part of 1990’s, a number of well-advertised monetary failures in non-fiscal companies created the issue of whether the method of risk management could be shifted to those settings successfully. A lot has been written on the variation of trading focused risk assessment ways to the commercial setting or, within economic services companies, to conventional businesses of banking. For example, in both cases, the time perspective to calculate risk is a...
12 Pages(3000 words)Essay

Project management risk management

...11.06.06 Project Management/Risk Management At times we realize the planning in advance for the uncertain events of our life. Just as we plan for unforeseen events in our life, project managers also need to prepare for uncertainties affecting their project. All project management skills of a project manager can fall flat in the face of uncertainties and unplanned problems. Any project can encounter uncertainties in the form of increased costs, schedule delays and diminished qualities. Unless tackled these uncertainties can lead to major project disasters. The uncertainties encountered during project execution are the potential project...
5 Pages(1250 words)Essay

Project Management Risk Management

...Risk Template Risk Management plays one of the most important roles in the overall project management. It is often argued that the project managers forget to include the risk element into the overall project management and often face situations for which they are unprepared to deal with. In order to effectively control the project, it is of great importance that the project managers must clearly identify the risks before starting the project and outline their responses against the various risks identified so that an effective and efficient strategy can be developed to...
6 Pages(1500 words)Essay

Risk Management & Project Management

...Uncertainty is defined as an absence of information, knowledge, or understanding regarding the outcome of an action, decision, or event. Risk is actually a measure of the amount of uncertainty that exists. Risk is directly tied to information. Risk is lower with more information and higher with less information. Risk relates primarily to the extent of the ability of a project manager to predict a particular outcome with certainty. The effects of risk can be positive or negative. Positive effects of risk are often referred to as opportunities. Threats are the negative-or "downside"-effects of risk. ...
2 Pages(500 words)Essay

Risk Management Case Study

...Risk Management Risk can be thought of as the chance of an event turning out in a way that makes you worse off. However, not everyone views the same set of circumstances as being equally risky. Some folks are naturally more optimistic, while others it seems are always looking for the worst possible outcome to happen. Everyone must decide for themselves what levels of risk they are comfortable living with. Ideally this would involve everyone actively engaged in the management of the operation, especially family operations. Risk is the probability of an event occurring that can impact the current profit level, financial...
14 Pages(3500 words)Case Study

Risk Management Plan in hospital (2)

...have personal experience being affected by safety risk incidents Value addition to risk assessment Risk control proposals may affect them Some cases for commercial or security reasons, stakeholders may be decided not to be involved Effective communication makes risk management explicit and relevant Adds value to the hospital image Develops trust Integrate multiple perspectives Internal Stakeholders For this issue of safety risk management, the internal stakeholders are Chief of Staff, (Chairperson) Chief Risk Officer Chief of Nursing or designee Clinical Information...
27 Pages(6750 words)Essay

Risk Management / Organisational Risk

...Risk Management Organisational Risk Table of Contents Table of Contents 2 Introduction 3 Concept and Key Challenges of Organisational Risk 5 Contemporary Security Issues Faced by the Organisation and their Responses to Them 8 Asset Risks 9 Information Risks 10 Fraudulent Activities Concerning Threat 11 Management Strategies to Deal with Organisational Risk and Security Issues 12 Conclusion 16 References 18 Bibliography 21 Introduction 7-Eleven, Inc. can be recognised as one of the largest and leading global chain of convenience stores, which was established in the year...
13 Pages(3250 words)Research Paper

Risk management case study analysis

...if they meet the stipulated standards of the country. The climax of consultancy is based on competence of that person rather than the theoretical knowledge alone. Despite the fact that consultants are viewed as the know it all, the client should always take into consideration of the legal rights they have while obtaining the services. Like in this case scenario, there was negligence on the FNP, cardiologist and paediatrician. These consultants have to face the litigation issues based on negligence and omission of work in handling the patient. Conclusion The case scenarios provide spectra in which health care providers learn on full management of patients. In the...
7 Pages(1750 words)Coursework

Project management: Risk management

...Project management: Risk management  How the process will be implemented The process of designing the entire house shall be followed by the real actualization of the project. The process of digging the site will usher in the eventual building. The building will start with the foundation structure, which lays the basis upon which the entire structure shall revolve around. The tunneling of trenches shall be followed by the erection of walls and roofs. The walls shall be plumbed with proper sheathing as the roofs are competently fitted into convenient trusses (Reinhardt, 2008).  After the completion of the foundation, proper design shall be carried out to ensure that the living room, the...
2 Pages(500 words)Assignment

Risk management case

...Risk management Place The success of projects implemented by Information Technologies depends on the risk and risk management, which offers significant benefits to not only a particular project, but to the entire organization and its stakeholders (Didraga, 2013). a. Identify four significant and distinct risks, from the perspective of XYZ Ltd., associated with the project described above. These risks should be specific to this project and not just general risks like the project being late or over budget. Outline an appropriate strategy to manage each of these four risks...
2 Pages(500 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Risk Management Issues: Telephonic Case Management for FREE!

Contact Us