Introduction to Care Coordination and Case Management

 

In today’s increasingly complex healthcare system, care coordination and case management are needed more than ever to produce optimal member outcomes, decrease the cost of care, and ensure the effective utilization of healthcare services. This course focuses on the use of care coordination and case management within the payer setting. In this course, you will learn about the function of care coordination and case management, the need for these services, common challenges you may encounter, and the latest goals, philosophies, and guiding principles of these functions. Finally, you will learn about the seven critical steps in the care coordination and case management process and tangible benefits and superior outcomes these steps produce for providers, members, and payer organizations.

$19.95

Hours: 1.00
REL-PI-0-ICCCM

Certificates

Certificates provided by accrediting body (9 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

1.0 HOURS


Provider #50-290 This activity is approved for 1.00 contact hours.

Florida Board of Nursing CE

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


Relias Learning, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

Association of Social Work Boards

1.0 HOURS


Relias, LLC, #1273, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Relias, LLC maintains responsibility for the program. ASWB Approval Period: 2/10/2018-2/10/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, posttests. This module is Text-based.

Social workers participating in this course will receive 1.00 Clinical continuing education clock hours.

New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit

1.0 HOURS


Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.

As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.

Social workers will receive 1.00 continuing education hours for participating in this course. This activity is approved for 1.00 contact hours.

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

Commission for Case Manager Certification

1.0 HOURS


This activity is approved for 1.00 contact hours.

Course Details

Course Code: REL-PI-0-ICCCM
Hours: 1
Type: Online Course
Content Expiration Date: 5/31/2019
Learning Objectives:
Define two functions of care coordination and case management in the payer setting.

Describe how effective care coordination and case management goes beyond clinical perspectives to drive more encompassing healthcare improvement.

Summarize two key benefits that care coordination and case management create for providers, members, and payer organizations.

Describe two key components involved in the care coordination and case management process.

Outline:
Section 1: Introduction
A. About This Course
B. Learning Objectives
Section 2: General Concepts
A. A Fragmented System
B. Defining Two Terms
C. Benefits of Case Management
D. Philosophy and Principles
E. Common Misconceptions
F. The Role of Case Management
G. The Goals of Case Management
H. Knowledge Domains
I. Gaps in Care
J. Bridging the Gaps
K. Review
L. Summary
Section 3: The Case Management Process
A. An Overview of the Process
B. Identification
C. Methods for Identification
D. Post Identification Screening
E. Beginning Case Management
F. Assessment
G. Data Discovery
H. Member Engagement and Interview
I. Findings Report
J. Planning
K. Implementation Monitoring and Care Coordination
L. Follow Up
M. Transitional Care
N. Evaluation
O. Review
P. Summary
Section 4: Conclusion
A. Summary
B. Course Contributor
C. Resources
D. References
E. Congratulations

Instructor: Danyell Jones
Danyell Jones is a recognized leader in the healthcare industry with more than 10 years of diverse experience at the executive level. Ms. Jones has been published in a number of leading healthcare industry magazines and journals, and has been responsible for the development and execution of training programs for some of the nation’s largest Managed Care, Insurer, Provider, and Health System organizations. Disclosure: Danyell Jones has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: intermediate and advanced level Case Managers; intermediate and advanced level Nurses; intermediate and advanced level Social Workers; in the following settings: Health and Human Services; and the following practice categories: General Nursing.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.
Accommodations
If you require special accommodations to complete this module, please contact Relias Learning Customer Support by calling (800) 381-2321 or emailing support@reliaslearning.com