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The role of the case management leader is one of the most difficult positions in any healthcare setting. The attractive things about a leadership role in case management also makes it one of the most challenging. The implementation of value-based reimbursement by payers, starting with Medicare, sets the scene for a case management department that must straddle the reimbursement system—payment per contractual agreement, provider-risk payments (such as bundled payment), payment for value and combinations of each of these. Additionally, what Medicare does, other payers seem to follow.
Case management leaders are expected to have a skill set that ranges from clinical knowledge and expertise, to knowledge of healthcare finances and reimbursement, to leadership and strong, effective management skills. The case management leader’s leadership and management skills are critical for managing staff, departmental budget, ensuring compliance to state and federal regulations, staff management and development, and engagement in value-based reimbursement models.
The combination of limited resources, coupled with an often middle management role, and a requirement of a wide range of skills and knowledge, all add up to a complex and difficult job. In addition, the leader must stay current in all issues related to case management and often answer to senior leaders who do not completely understand the roles and value that case management can bring to an organization. With value-based reimbursement, the case management leader must not only ensure best practice operations for today, but also strategize for best practice operations for the future. What happens in case management outcomes today, is impacting potential value-based reimbursement penalties in the future.
This 2-part webinar series will address the top 10 challenges a case management leader faces, with strategies to address each of these 10 challenges.
Anyone involved with or interested in case management, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Department Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.
|- Department level compliance||- Audit for compliance||- Develop case management dashboard|
|- Optimize orientation and staffing||- Succession planning||- Proposed rules|
|- Gap analysis||- Improving your leadership skills||And more!|
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