Foundations of Case Management & Utilization Management

Course overview

Whether you are a nurse transitioning to case management or already working as a case manager and want a firm foundation in the practice, Foundations of Case Management and Utilization Management is for you. This course is the ultimate resource for the nurse who would like to build on the knowledge and experience they have gained in their nursing career, and transfer those skills to a new career in case management. It starts by explaining what case management is and the necessary skills, qualities, and traits of the case manager. Next, the student is able to identify the areas of nursing that are transferable to case management. And finally, they acquire new knowledge and skills that are necessary to succeed in case management including key terms, best practices, and CMSA's Standards of Practice. This self-study course has an easy-to-understand approach that includes: Introduction to Case Management The Case Management Process Ethical Legal, and Practice Standards Principles of Case Management Practices Utilization Management Review Care Delivery Rehabilitation Psychosocial Concepts and Support Systems Communication Quality and Outcomes Measurements Reimbursement Methods and Managed Care Principles Definitions and Abbreviations It is comprehensive without being overwhelming. Instead, it gently guides the reader into a discovery of case management. The course includes case studies to bring concepts to life and has thought-provoking questions to help the nurse self-assess their skills and competency level. There are assignments with are reviewed by expert case managers to ensure the concepts taught are fully understood.