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When CMS instituted a linkage between cost and quality of healthcare, hospitals and healthcare systems required case management models to change and adapt to quality and cost-saving measures, like implementing value-based purchasing programs. Case managers now need to look at the designs of their case management models and staffing ratios of their departments to meet the changing landscape.
This two-part series will review key elements needed to transform your case management department. Part I of the series will cover roles and functions of different staff members in a case management department. Our experts will discuss the Standards of Practice for social workers and nurse case managers defined by the Case Management Society of America and apply those standards to contemporary roles to help social workers and nurses perform their jobs.
|- Role #1 - Goals & functions of patient flow||- Role #7 - Psychosocial assessment & counseling||- CMSA case management Standards of Practice|
|- Role #2 - Utilization & resource management||- CMSA case management Statement of Philosophy||- Integrating case management skill sets|
|- Role #3 - Key functions of denial management||- CMSA guiding principles for case management||- Complimentary case management skill sets|
|- Role #4 - Goals & functions of variance tracking||- Applying variety of case management roles||- Social worker expertise & referral process|
|- Role #5 - Transitional & discharge planning||- Integrated case management models||- Shared roles between RN case managers & social workers|
|- Role #6 - Quality management & the case manager||- Case management resources||And there's more!|