This course is designed for those planning to sit for the Case Management Certification Examination. The program is geared to set a course of study that will help professionals review areas of practice and point out sections that may need additional focus. The program is based on the Domains of Practice set by the Commission for Case Manager Certification in their Exam Blueprint.
Although this course is designed for those preparing for certification through the Commission for Case Manager Certification, it can also be helpful for those in practice as a reminder of the fundamentals of the practice of case management.
Units
Unit 1: Care Management
- Lesson 1: Apply Evidence-Based Case Management Models, Processes, and Tools (11:01)
- Lesson 2: Perform a Comprehensive Assessment of Needs (8:13)
- Lesson 3: Assess Client's Acuity or Severity Levels (6:36)
- Lesson 4: Develop a Client-Centered Plan of Care (10:37)
- Lesson 5: Collaborate with IDT and Community-based Support (6:00)
- Lesson 6: Understand Key Aspects of Care Coordination (5:32)
- Lesson 7: Identify Key Aspects of Transitions of Care (28:34)
- Lesson 8: Address Medication Management (14:31)
- Lesson 9: Recognize the Criteria Associated with Caseload (6:10)
- Lesson 10: Understand Management of Clients Based on Length & Type of Care (4:25)
- Lesson 11: Understand Levels of Care and Features of Care Settings (10:35)
- Lesson 12: Understand Palliative, Hospice, and End-of-Life Care (18:12)
- Lesson 13: Understand Advanced Care Planning (8:10)
- Lesson 14: Understand Differences in and Application of Age-Specific Care (19:05)
- Lesson 15: Understand Key Concepts of Population Health (10:22)
- Lesson 16: Apply Cost Containment Principles (3:07)
- Lesson 17: Test Your Knowledge of Care Management (9:23)
Unit 2: Reimbursement Methods
- Lesson 1: Define Key Features of Insurance Principles (6:58)
- Lesson 2: Identify Private Benefit Programs (13:18)
- Lesson 3: Identify Public Benefit Programs (31:05)
- Lesson 4: Identify Military and Veteran Benefit Programs (3:56)
- Lesson 5: Recognize Key Features of Accountable Care Organizations and Managed Care Concepts (9:48)
- Lesson 6: Recognize Reimbursement and Payment Methodologies (12:14)
- Lesson 7: Identify Negotiation Techniques (9:32)
- Lesson 8: Apply UR/UM Principles, Guidelines, and Tools (6:20)
- Lesson 9: Recognize Coding Methodologies (7:29)
- Lesson 10: Recognize Available Financial Resources (12:50)
- Lesson 11: Test Your Knowledge of Reimbursement Methods (8:01)
Unit 3: Psychosocial Concepts and Support Systems
- Lesson 1: Understand Interpersonal Communication Strategies (17:27)
- Lesson 2: Assess Health Literacy, Education Needs, and Language Barriers (5:41)
- Lesson 3: Describe the Key Factors of Social Drivers of Health (3:01)
- Lesson 4: Identify Health-Related Social Needs and Associated Resources (14:27)
- Lesson 5: Understand the Assessments that Measure Psychological and Cognitive Capacity (7:50)
- Lesson 6: Understand Wellness and Illness Prevention Concepts and Strategies (7:03)
- Lesson 7: Understand How Behavioral Change Theories and Models Impact Client Readiness (15:25)
- Lesson 8: Promote Client Empowerment, Engagement, and Self-Care Management (2:51)
- Lesson 9: Apply Tools and Techniques to Promote Client Engagement (12:27)
- Lesson 10: Apply Trauma-Informed Care Principles (5:57)
- Lesson 11: Recognize How Gender Health Influences Care Needs (4:41)
- Lesson 12: Recognize Cultural, Spiritual, and Religious Factors (4:07)
- Lesson 13: Understand Psychosocial Aspects of Chronic Conditions and Disability (8:17)
- Lesson 14: Recognize Client Support System Dynamics (5:09)
- Lesson 15: Identify Supportive Care Programs (3:53)
- Lesson 16: Understand the Behavioral Health Concepts (7:45)
- Lesson 17: Apply Crisis Intervention Strategies (5:30)
- Lesson 18: Recognize the Signs of Abuse and Neglect (10:39)
- Lesson 19: Test Your Knowledge of Psychosocial Concepts and Support Systems (8:54)
Unit 4: Quality and Outcomes Evaluation and Measurements
- Lesson 1: Introduction to Quality and Outcomes Evaluation and Measurements (2:35)
- Lesson 2: Understand the Impact of Case Management Practices on Value-Based Care (3:07)
- Lesson 3: Understand Accreditation Standards and Requirements & Identify Sources of Quality Indicators (12:20)
- Lesson 4: Describe Quality Indicators, Applications, Performance Improvement, and Evaluation Methods (6:18)
- Lesson 5: Understand Role in Data Gathering, Interpretation, Evaluation, and Reporting/Describe Healthcare Analytics (8:02)
- Lesson 6: Describe the Basic Elements of Cost-Benefit Analysis (3:40)
- Lesson 7: Understand the Application of Quality and Performance Improvement Methods, Tools, and Processes (13:41)
- Lesson 8: Test Your Knowledge of Quality and Outcomes Evaluation and Measurements (4:06)
Unit 5: Rehabilitation Concepts and Strategies
- Lesson 1: Determine Basic Functional Capacity to Identify Care Needs (5:41)
- Lesson 2: Identify Care Coordination Needs Related to Rehabilitation Settings (5:15)
- Lesson 3: Understand Current Adaptive Technologies (4:24)
- Lesson 4: Understand Unique Rehabilitation Aspects of Care for People with Disabilities and Chronic Illnesses (6:28)
- Lesson 5: Understand Vocational Rehabilitation Programs and Resources (6:57)
- Lesson 6: Differentiate Between Types of Rehabilitation Programs and Resources (12:33)
- Lesson 7: Test Your Knowledge of Rehabilitation Concepts and Strategies (6:55)
Unit 6: Ethical, Legal, and Practice Standards
- Lesson 1: Apply Standards of Practice & Engage in Professional Conduct (8:41)
- Lesson 2: Apply the Ethical Standards Related to Care Management (9:31)
- Lesson 3: Advocate for the Client and Their Support Systems (3:03)
- Lesson 4: Understand the Application of Healthcare and Disability Related Legislation (10:29)
- Lesson 5: Understand Legal and Regulatory Requirements Applicable to Case Management Practice (10:26)
- Lesson 6: Understand Industry Best Practices Associated with Risk Management & Understand Responsibilities Associated with Documentation (11:36)
- Lesson 7: Apply Industry Best Practices Associated with Privacy and Confidentiality (5:14)
- Lesson 8: Practice Self-Care, Safety, and Well-Being as a Professional (3:37)
- Lesson 9: Test Your Knowledge of Ethical, Legal, and Practice Standards (10:22)
Post Tests