Case Management: An Overview
The cost of healthcare in the U.S. has been on a steady incline, while health outcomes and the ease of navigating the healthcare system have declined significantly over the past decades. Government and non-government payers are calling for hospitals and medical groups to improve access to care and quality while also controlling costs. Case managers are critical team members to facilitate these changes.
The cost of healthcare in the U.S. has been on a steady incline, while health outcomes and the ease of navigating the healthcare system have declined significantly over the past decades. Government and non-government payers are calling for hospitals and medical groups to improve access to care and quality while also controlling costs. Case managers are critical team members to facilitate these changes.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
Commission for Case Manager Certification
This program has been pre-approved by The Commission for Case Manager Certification to provide 1.0000 hours of continuing education credit to CCM® board certified case managers.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Michigan Board of Nursing
Michigan Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Indicate the role of a case manager across the healthcare continuum.
Identify the nine components of the case management process.
Recognize tools that case managers use to facilitate the case management process.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Case Management: An Overview
Case Management
Summary
Section 3: The State of Healthcare in the U.S.
U.S. Healthcare
Improving Healthcare
Payers
Medicare
Medicaid / CHIP
Private Insurance
Ensuring Quality Care
Summary
Section 4: The Case Management Process
The Case Management Process
Screening/Assessment
Case Management Across the Healthcare Continuum
Study Findings
Summary
Section 5: Case Management Tools
Current Literature and Guidelines
Communication
Behavioral and Nursing Theories
Chronic Care Model
Summary
Section 6: The Future of Case Management
The Future of Case Management
Chronic Medical Conditions
Aging Population
Health Equity
Social Determinants of Health
Mental Health Services
Summary
Section 7: Clinical Vignette
Meet Your Patient
Section 8: Conclusion
Course Summary
Course Contributors
References
Dr. Schwegel is an Acute Care Nurse Practitioner and the Director of an Acute Case Management program. She has a doctorate of nursing practice with an emphasis on quality health care outcomes. Her case management experience includes acute, transitional and complex case management.Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments.
The target audience for this course is: Case Managers; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, 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.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
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.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
