2018 - Best Practice Case Management Roles and Functions: How to Optimize RN and Social Worker Skill Sets

Areas Covered in the Webinar:
Introduction to the Standards of Practice
CMSA 2016 definition of case management
Statement of Philosophy
CMSA’s guiding principles for case management
Definition of a role
Role #1 Patient flow
Purpose and functions of patient flow
Goals of patient flow
Role #2 Utilization and resource management
Fundamental components of utilization management
Intersecting patient flow and utilization management
Resource management
Role #3 Denial management
Key functions of denial management
Shared roles
Role #4 Variance tracking
Functions within variance tracking
Goals of variance tracking
Role #5 Transitional and discharge planning
Discharge planning
Role #6 Quality Management
Quality management and the case manager
Role #7 Psychosocial assessment and counseling
Social work expertise
The social worker referral process
Integration of the roles
Summary of success