Case Management : A Practical Guide to Education and Practice - Part 2

Case Management : A Practical Guide to Education and Practice - Part 2 is organized by AAACEUs. This Course has been approved for a maximum of Credit Hours: 18.

Course Overview:
This course is Case Management A Practical Guide for Education and Practice, the second session includes seasoned, comprehensive guidance on the case management process, transitions of care, and the importance of utilization management in the everyday case management role. Included in the text book are multiple guidelines and case studies to assist with understanding these complex topics.

Outline:
The Case Management Process and Related Activities:
• The Case Management Process
• Utilization Management
• Transitional Planning: Understanding Levels and Transitions of Care

Objectives:
Upon completion the student will be able to:
• Describe each stage of the case management process.
• Determine the essential components of a case management assessment.
• Describe how the Medicare Conditions of Participation (CoP) infuse every stage of the case management process.
• Describe the use of criteria and guidelines in the utilization management process.
• Differentiate between the various types of reviews.
• Differentiate between various admission statuses.
• Determine the role of the case manager in utilization management.
• Define the terms discharge planning, transitional planning, transitions of care and levels of care.
• Discuss the relationship between transitions of care and levels of care.
• Differentiate skilled from non-skilled care.
• Explain the relationships among transitional planning, utilization management, and reimbursement.