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Specialty Case Manager Roles for Your Hospital Case Department
1.Foundational roles of hospital case management.
2.The collaboration of key stakeholders.
3.Evaluating the opportunity for specialty case management roles.
4.Definition of roles.
- Perioperative case manager
- Transfer center case manage
- Complex discharge planning case manager
- Appeals coordinator
- Business case manager
- Transition case manager
- Case manager support (clerical)
5.The collaboration of specialty case managers with key stakeholders.
6.When to implement the role and which one first.
7.The impact of specialty case managers on hospital case management department outcomes.
Overview of the webinar
As hospital case management departments have evolved and matured, leaders are required to evaluate models and roles. Typical roles have been department leadership, unit RN case managers and social work case managers, ED RN case managers and social work case managers. That foundation of hospital case the management staff has proven to be inadequate with the transition to multiple payers, additional rules and regulations, more complex patients, alternative payment methods and strategies by payers to deny more and more care provided to patients. These challenges compel leaders to evaluate specialty case managers, such as perioperative case manager, complex discharge planner, business case manager, appeals coordinators, transition case managers transfer center case managers and support to staff by clerical associates.
Who should attend?
- Directors of Case Management
- RN Case Managers
- Social Work Case Managers
- Directors of Social Work
- Physician Advisors
- Chief Medical Officers
- Executives Responsible for Case Management
Why should you attend?
This webinar will discuss the need for specialty case managers in the hospital environment. The individual roles will be reviewed, as well as caseloads and their collaborative responsibilities in hospital case management. It will also assist the leader in identifying which of the specialty case managers might be helpful in their department to meet outcomes and ensure optimal processes.
Faculty - Ms.Beverly Cunningham
Beverly Cunningham is a 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 former Vice President Resource Management at Medical City Dallas Hospital where she had responsibility for Case Management, Health Information Management, Patient Access, Physician Integration and Solid Organ Transplant. As a Clinical Assistant Professor for the Master of Nursing Program at the University of Oklahoma, she coached students in their clinical practicums.
Bev is a well-known speaker in the Case Management field. Her publications include a chapter CMSA's Core Curriculum for Case Management Certification and most recently, co-author of the book, Core Skills for Hospital Case Management.
Bev has a BSN from Pittsburg State University, Pittsburg, Kansas and a Master of Science, Nursing Major, from the University of Oklahoma. She is certified in case management (ACM) by the American Case Management Association.