Case Management : A Practical Guide to Education and Practice - Part 1 (HM7000A)
Textbook: Case Management: A Practical Guide for Education and Practice
Author(s): Suzanne Powell and Hussein M. Tahan
Pre-Approved for: CA BRN, CE Broker Provider, Delaware BON
Credit Hours: 16
Course Format
Homestudy, Certificate of Completion is available immediately upon passing the exam.
Course Overview
Based on Case Management A Practical Guide for Education and Practice this course will help develop professional case managers both who are new or just lifting their skills and insights to a career-changing level. This initial segment will introduce you to the case management principles and multifaceted roles the case manager performs as well as the various methods of reimbursement the case manager will use in their practice.
Course Objectives
- Define case management
- Describe the difference between the dyad and triad models of case management
- List the roles and responsibilities of case managers
- Explain the difference between hard and soft savings
- List various methods of reimbursement for healthcare services
- Define managed care organizations
- Differentiate between governmental and private (commercial) health insurance plans
Course Outline
- Overview of Case Management
- Roles, Functions, and Preparation of Case Management Team Members
- Management of Resources and Reimbursement Systems