Webinar Description:

To provide the participants with an understanding of how hospitals can implement a clinically focused case management model to meet the regulatory and reimbursement challenges in today’s healthcare environment.

This Webinar will define the basic model, listing its key functions, as well as the role responsibilities for those individuals who comprise the staff in a Clinical Case Management Department. Tools and processes will be shared for selection of “talented staff” which is the most crucial component for a model’s success.

Target Audience:

• Department heads
• Supervisors
• Human Resources
• Senior Leadership
• Physician Leadership
• Case Management and Social Work Staff
• Middle managers (Directors of Case Management,Utilization Management, Social Services, Discharge Planning)
• Case Managers/Utilization Managers
• Social Workers
• Discharge Planners
• Senior managers (PI Directors, Chief Nursing Officers, Vice-President of Patient Care Services, etc.)

Webinar Objectives:

• Define a clinical focused case management model
• Name the benefits of a clinical focused case management model
• Explain the key functions of a clinical focused case management model
• List the key role responsibilities of the healthcare team
• Recognize how to select “talented staff”
• Describe an effective orientation and on-going education process
• Name the three most common barriers impacting success

Webinar Agenda:

• A clinical focused case management model defined
  • Key elements and functions of a clinical focused case management model
  • Process flow in the clinical focused case management model
  • Utilization review, case management, care coordination, resource management
• Clinical Focused Case Management Models
  • Unit based to physician based- pros and cons
  • Implementation strategies for critical care access hospitals and hospitals 100 beds
• List the key role responsibilities of the healthcare team in implementing a clinical focused case management model
• Matrix to define roles
• Job descriptions and performance evaluation samples
• Hiring the most talented staff - Sample behavioral questions
  • Selection matrix
• Organizational chart
• Orientation Process
• Annual and On-going in-service tools
• Managing the Patient Admission Assessment Process
• Implementing the Patient Discharge Process
• The Impact of the clinical case management process on patient flow
• Common barriers encountered
• Line listing of the supporting infrastructure for an effective clinical focused case management

This course has been approved for 1.2 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.