Course Code: REL-PAY-0-CCCMI
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Summarize two key functions and benefits of care coordination and case management in the payer setting.
Describe how effective care coordination and case management surpass clinical perspectives to facilitate more encompassing healthcare improvement.
Describe two key components involved in the care coordination and case management process.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: General Concepts
Care Fragmentation
Fragmentation Examples
Impact of Fragmentation
Definitions
Care Coordination
Case Management
Disease Management
Benefits of CM
CM Principles
Case Manager Responsibilities
The Role of CM
Goals of CM
Knowledge Domains
Gaps in Care
Bridging the Gaps
Review
Summary
Section 3: The Case Management Process
Process Overview
Identification
Methods for Identification
Screening
Cyclical Process
Step 1: Assessment
Data Discovery
Member Engagement and Interview
Findings Report
Step 2: Planning
Step 3: Implementation and Care Coordination
Step 4: Follow-Up
Step 5:Transitions of Care
Transitional Care Functions
Step 6: Evaluation and Measurement
Review
Summary
Section 4: Conclusion
Course Summary
Course Contributor
Resources
References
Exam and BrainSparks
Instructor: Cathryn Ayers, RN
Cathryn Ayers, RN, MSN has nearly 10 years of critical care experience. She was active in multiple committees to improve patient safety, executed staff education activities, and managed the new graduate orientation program for those entering intensive care units. Cathryn obtained a license for massage and bodywork therapy in 2012 and graduated from the University of North Carolina at Greensboro in 2016 with a Master of Science in Nursing Education. She has provided telephonic case management services and developed program materials to facilitate positive outcomes for people with rare conditions across the United States. Cathryn has a passion for teaching and helping others to be their best.
Target Audience:
The target audience for this course is: Care and Case Managers; Nursing Personnel; Social Workers; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.