Course Provider
Learning Objectives
Describe different ED case management models
Examine case managements role in length of stay
Identify the requirements for patient notices of coverage denials
Examine how a physician advisor can be an important ally for case management and help smooth relations with physicians
Describe the case managers role in utilization review and utilization management
Identify how social needs can affect a patients health and well-being
Identify strategies to help prevent avoidable readmissions among patients with unique challenges
Discuss the role of the case manager in ensuring correct patient status assignments and in supporting physicians status determinations
Identify how population health programs can help organizations transition to the value-based healthcare model
Describe the case managers role in moving the patient to the next level of care, whether through a transfer or discharge