Emergency Department Case Management Essential Skills

An outline of critical roles that the ED case manager plays in the organization, and how to set up an efficient and effective infrastructure for the position to ensure it achieves its purpose.

Managing Long Length of Stay Patients

Guidance for identifying the challenges associated with a long length of stay for patients, plus strategies case managers can use to overcome barriers and expedite care when possible.

Delivering and Completing Appropriate Patient Notices

An overview of some of the main notices that case managers will encounter from government programs and private insurers or third-party payers.

Enhancing Case Manager and Physician Communication and Collaboration

A discussion of the challenges that mark case manager/physician relationships and the strategies that can be used to overcome those challenges.
 

Utilization Review and Utilization Management for Case Managers

The case manager’s role in utilization review (UR) and utilization management (UM), including how to determine whether a case meets medical necessity and other Medicare requirements.

The Role of Case Managers in Addressing the Social Needs of Patients: Charity Care, Community Resources, and More

Strategies for addressing social needs, include screening, working with primary care physicians, accessing charity care, and linking patients with community organizations.

Case Management Strategies for Assisting Challenging Patients

An overview of resources to help patients who are working through unique or difficult circumstances is critical to providing solutions that can assist in overcoming the barriers they face.

Patient Status Essentials for Case Managers

A focus on the challenge of ensuring accurate patient status assignments. 

Population Health in Case Management

Strategies for setting goals for a population health program, identifying high-risk patients, working with common elements to improve care for complex patients, and strengthening care through disease-specific, evidence-based practices.

The Role of Case Managers in Transfers, Discharges, and Readmissions

A discussion about the case manager’s role as the patient moves from the hospital into another setting of care, whether through transfer or discharge.