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Case Manager 4

Utilization Management: What Does it Really Mean? And Where Should it Reside?: Boot Camp Ep. 4 (Series) 1.5 CME/CE

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Product Details

 Utilization Management: What Does it Really Mean? And Where Should it Reside?: Boot Camp Ep. 4 (Series)
Speakers: Toni Cesta, PhD, RN, FAAN & Bev Cunningham, MS, RN, ACM    Code: T200511
Duration:  90 min.      Format: On Demand    Credits: 1.5 Credit Hour CE

 

Utilization management was the first role applied in acute care case management models.  It was first known as utilization review but has evolved into something much more comprehensive than that. Today it encompasses elements of resource management and denials management as well.  Physicians, both the practicing physician and the physician advisor are often left out of this important process and must be included in any contemporary case management utilization management model.  This program will review the role of utilization management as it applies to today’s contemporary case management models. Included will be best-practice suggestions for your practice with tips and strategies for stream-lining the process and making it as efficient as it can be. Additionally, discussed will be the importance of utilization management collaboration in the case management role, whether it is housed with the RN case manager role or outside of it.

Are you familiar with a Case Manager Utilization Management Model?

 

Call us at 800.688.2421 or add this event to your cart above.

Learning Objectives:

  • Review transitioning the utilization review model from Case Managers.
  • Overview of Hospital Executives and CM leaders in the workplace.
  • Discuss best practice models to ensure maximum payout and reimbursement for departments.


Your Speakers: 

Toni Cesta, PhD, RN, FAAN  

Toni

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, ACM

Toni

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.

 

 

Disclosure:

This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 1.5 clock hour(s)..

 

Accreditation and Credit Designation:

CCMC: The Commission for Case Manager Certification certifies case managers and provides valuable continuing education credits for Case Management Advisor and Hospital Case Management. The CCMC is non-profit and the largest nationally accredited organization certifying case managers. The commission prides itself on promoting quality practice, ethical standards and behavior, science-based knowledge development, and raising awareness of the role of case managers

ANCC: Relias LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Contact hours [1.0] will be awarded to participants who meet the criteria for successful completion. California Board of Registered Nursing, Provider CEP#13791.

Launch Date:

This CE activity available for streaming on May 11th, 2020

Expiration:

This CE activity is valid until May 11th, 2023.

 

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