In today’s healthcare environment, case management plays a critical role in ensuring patients receive the care they need across the continuum of services. As a result, the Comprehensive Case Management Training for Healthcare Professionals course equips healthcare providers with complex patient care skills. Furthermore, this training guides you through the essential principles of case management, including patient assessment. Whether you’re new to case management or seeking to refine your skills, this course empowers you to deliver high-quality care.
What You Will Learn:
- Specific duties of case managers
- Stages of the case management process
- Ethical issues that arise in case management
- Communication skills essential for case management
- Using interdisciplinary collaboration to enhance case management outcomes
Details:
Course length: 2 hours and 15 minutes; CME: 2.25
Languages: American English
Key features: Audio narration, learning activity, and post-assessment.
American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians. Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Through high-quality educational activities, we aim to address the identified educational gaps and to support the continuous professional development of our medical community. American Medical Compliance designates this activity for a maximum of 2.25 AMA PRA Category 1 Credits. Physicians should only claim this credit for their complete participation in this activity.
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What is Case Management?
Case management involves a professional helping a patient develop a comprehensive plan that coordinates the support services needed to optimize healthcare outcomes. In this way, case management aims to ensure that patients receive the right care at the right time. This includes not only medical services but also social support and community resources. Moreover, by creating individualized care plans, case managers play a key role in improving patient outcomes.
The CMS Interim Final Rule
The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC) to implement section 6052 of the Deficit Reduction Act of 2005 (DRA). As a result, this rule guides how Medicaid will reimburse for case management services. In addition, the rule distinguishes between different types of case management, outlining specific required functions. By clarifying these definitions, CMS helps healthcare professionals understand how to structure case management services.
Serving as the Point of Contact
In case management, the healthcare professional serves as the primary point of contact for assigned program areas. In this role, responsibilities include coordinating between patients, healthcare providers, and community services. Additionally, the case manager manages documentation and ensures that all services are delivered in a timely manner. By acting as the central hub for communication, the case manager prevents details from being overlooked. Ultimately, this role maintains continuity of care.
Program Evaluation
Program evaluation plays a critical role in case management, ensuring that the services provided are effective and aligned with patient needs. Specifically, it systematically assesses the processes and overall impact of case management programs. By collecting data on service delivery and health outcomes, case managers identify areas for improvement. Furthermore, regular evaluation helps healthcare organizations ensure that their case management practices are achieving desired goals. Ultimately, program evaluation drives the continuous evolution of case management services.
The Initial Nursing Assessment
The initial nursing assessment serves as the first step in the five steps of the nursing process. In this step, nurses systematically collect data related to the patient’s health status, needs, and concerns. During the assessment, nurses sort and organize the information gathered to ensure that it is relevant and comprehensive. For example, this data may include the patient’s medical history and other psychosocial needs. Nurses document and communicate this data clearly to other healthcare providers. Therefore, the initial nursing assessment lays the foundation for the development of a personalized care plan.
