Product Details

 

The role of the case management leadership is one of the most challenging, complex positions in any healthcare setting. Case management leaders are expected to have a comprehensive skill set ranging from clinical expertise to reimbursement.  Additionally, case management leaders need strong management skills to leverage their relationship with interdisciplinary departments and communicate effectively with their executive team. These skills are critical for managing staff, developing their budgets, ensuring compliance with state and federal regulations, creating transitional care plans, and implementing value-based reimbursement models.

This two-part series will focus on the role of case management leadership. Our experts will provide leadership best practices with operational strategies for each practice and review the latest information leaders must know to produce optimal outcomes. What happens in case management outcomes today will impact value-based reimbursement penalties in the future.

Get your leadership training today!

 

On-Demand: Part I

After this webinar, participants will be able to:

1. Describe the role of an effective case management leader.
2. Identify top challenges case management leaders face.
3. Discuss optimal strategies to address leadership challenges.

Webinar Outline:

Developing a case management model

- Pros & cons for models	- Department business plan
- Case management as a business model	And more!

Maintaining an operational focus

- Roles & staffing	- Clerical support & access points
- Timeliness in assessments & reassessments	- Physician advisor
- Creating a proposal for key roles	- Sense of urgency
- Maximizing staffing	And more!

Ensuring vertical & horizontal relationships in your organization

- Vertical & horizontal relationships	- Eliminating siloes
- Working with the interdisciplinary team	- Role of the practice council
- Physician relationships	- Revenue cycle
- Payer contracts	- Next level of care providers
- Reporting your dashboard outcomes	- Senior leader relationship

Creating physician collaboration

- Relationship with key physician groups	- Physician education
- Feedback of outcomes to physicians	- Rounding

Managing hospital access & exit points

- Purpose of access & exit point case managers	- Impact of access points on revenue cycle
- Two-Midnight rule	- Utilization & discharge planning
- Compliance at access points	And more!

 

On-Demand: Part 2

After this webinar, participants will be able to:

1. Discuss optimal strategies to address leadership challenges.
2. Implement gap analysis and strategies to optimize case management leadership.
3. Integrate value-based reimbursement with the case management department.
4. Develop an effective case management department dashboard.

Webinar Outline:

Ensuring compliance

- Department level compliance	- Staff level compliance
- Compliance audit	- Feedback on audit results
- Developing a dashboard	And more!

Optimizing orientation, staff development & succession plan

- Hiring best case managers & social workers	- Orientation
- Staff development	- Succession planning
- Annual competencies	- There's more!

Aligning with value-based reimbursement

- IPPS annual proposed & final rules

- Proposed discharge planning

Being results oriented

- Tracking data	- Reporting results
- Department dashboard	- Improving results

Understanding your gap

- Gap analysis

- Improving your leadership skills

 

Toni Cesta, PhD, RN, FAAN is a founding partner of Case Management Concepts, LLC. Dr. Cesta is the author of eight books, a frequently sought-after speaker, lecturer and consultant and is considered one of the primary thought leaders in the field of Case Management. Dr. Cesta also writes a monthly column called Case Management Insider in AHC Media’s Hospital Case Management newsletter. She has been active in the research and development of Case Management for over 20 years.

 

Beverly Cunningham, MS, RN is a founding partner of Case Management Concepts, LLC.  She has a 25-year deep working knowledge of case management with specific expertise in denials management, patient flow and the role of the Case Manager and Social Worker in the Case Management process. She has served as a Commissioner on the Commission for Case Management Certification and is a fellow with the Advisory Board. Bev is also the former Vice President of Resource Management at Medical City Dallas Hospital.