The world of healthcare is changing rapidly and so is the role of case management in that world! Whether you are reading or hearing about value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments, transitions in care, or accountable care organizations, case management is at the center of it all!

Reimbursement has changed dramatically as has utilization management, transitional planning, and length of stay management. The Centers for Medicare & Medicaid Services (CMS) has incorporated changes that have an impact on payments related to readmissions, length of stay, and the cost of care. No one is in a better place to address these issues than case managers! Finally, how do all these roles come together in a cohesive way to meet your departments and organization’s needs?

The webinar will start with some of the fundamental issues about case managers, including reimbursement systems, the history of case management, and common trends in the field. Then, the presenter will review three of the most imperative roles for acute case managers; discuss utilization management, including rules, regulations; and cover strategies for incorporating utilization into a daily routine. In addition, the presenter will discuss insights and up-to-date information on discharge planning, including new rules instituted in 2020. The presenter will also provide an in-depth review of care coordination, a vital, but often forgotten role for hospital case managers.

The series will end with a discussion of how to integrate the roles and functions that have been reviewed, as well as a comparison of two state-of-the-art case management models. Whether you are new to case management or a seasoned pro, this webinar series will provide you with the latest and most up-to-date topics and information that you will need to be at the top of your game and produce the best outcomes for yourself, your patients, and your organization.

Objectives:-

Webinar 1

Foundations for Case Management Practice in 2021 and Beyond!

Thursday, September 30, 2021, 11:00 AM EST - 12:30 PM EST

• Summarize the history of case management
• Review how case management fits into today’s healthcare system
• Discuss the ways in which case management is a strategy for managing cost and quality under the latest CMS reimbursement models.

Webinar 2

Utilization Management: Rules, Regs and How To’s

Thursday, September 30, 2021, 01:00 PM EST - 02:30 PM EST

• Describe the differences between utilization review and utilization management
• Discuss the best strategies for managing utilization reviews and other issues related to utilization management
• Identify ways in which a strong utilization management process can reduce payment denials.

Webinar 3

Discharge Planning: Best Practices Including a Review of the Conditions of Participation

Thursday, September 30, 2021, 02:45 PM EST - 03:45 PM EST

• Characterize discharge planning as a process, not an outcome
• Discuss the new CMS changes related to transitional and discharge planning and how they can impact your practice
• Identify best practice strategies for transitioning patients across the continuum of care.

Webinar 4

Care Coordination: Managing Cost and Length of Stay

Friday, October 01, 2021, 11:00 AM EST - 12:30 PM EST

• Understand the key elements of effective care coordination
• Discuss ways in which to incorporate care coordination into your daily workflow
• Identify how care coordination can be derailed and how you can keep it on track.

Webinar 5

Acute Care Case Management: Roles, Functions, and Models

Friday, October 01, 2021, 12:45 AM EST - 02:30 PM EST

• Describe the different skill sets and roles of RN case managers and social work case managers
• Review specialty case management roles and determine new or updated roles for your contemporary case management department
• Discuss the evolution of case management models
• Identify the best model to ensure a contemporary case management department.

Who Should Attend?

• RN case managers
• Nursing directors
• Social workers
• Case management personnel
• Social work staff
• Post-acute care providers
• Home care personnel
• Physician advisors
• Chief Medical Officer
• Chief Nursing Officer
• Compliance Officer
• Emergency Department Personnel
• Joint Commission Coordinator
• Quality Improvement personnel
• Risk Manager
• Legal Counsel
• Other interested personnel