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Case Management in the ED: How to Become a Best-Practice ED RN Case Manager
ED Case Management History
- Reasons for Best-Practice ED Case Management
- Assignment of Appropriate Level of Care from The Point of Entry
Management of the 2-Midnight Rule
- Reduction in Readmissions
- Improvement of In-Patient Throughput
- Reduce the Need to Use Condition Code 44 Provider Liable, Or Short Stay Denials
- Ensure Compliance Related to The ED RN Case Manager Role
- Reduce Admission Denials
- Manage Observation Service
- Physician Education
- Case Management Processes for Patients Held in the ED
Collaboration with key stakeholders
- ED social work case manager
- Physician Advisor
- Admitting Physicians
- Patient Flow Supervisor
- Other Specialty RN and Social Work Case Managers
Outcomes for Best-Practice ED RN Case Managers
Overview of the webinar
The ED case management role has become an essential. As the “front door” of the hospital, ED have a variety of diagnoses—from critical, such as an MI or a trauma, to signs and symptoms without a definitive diagnosis, such as nausea and vomiting. Collaborating with ED physicians, admitting physicians and the physician advisor requires quick thinking, good communication skills, tough skin (for those physicians who do not want to talk with you!) and excellent knowledge of medical necessity role and appropriate orders for placement. This webinar will ensure a best-practice role for you.
Who should attend?
- Directors of Case Management
- RN Case Managers
- Social Work Case Managers
- Directors of Social Work
Why should you attend?
This webinar will discuss the role of the RN case managers, from novice to expert, as well as characteristics seen in best-practice ED RN case managers. Collaboration with key stakeholders will also be discussed, as will compliance rules that are a part of this role. Lastly, outcomes of a best-practice ED RN case manager will be reviewed. Whether you are wanting to understand the role of the ED RN case manager, are a new ED RN case manager or one with more experience, this will be a most helpful webinar for you.
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.