The Case Management Institute is here to help you get your foot in that door!
Stand out from the crowd and land that dream job in case management by learning the case management process, standards of practice, insurance principles, tools, information, and all the skills required to work as a case manager.
You are busy. We get that. This course allows you to learn at your own pace and where and when you want. You are able to re-watch the lessons and rewind/playback key points.
Are you a visual, auditory, reading/writing, kinesthetic learner, or a combination?
No matter your learning style we have you covered. This course is multimedia. You will also have hands-on learning while using the MCG software.
This program provides RNs with a general working knowledge of case management practices and the case management process, preparing them to provide effective case management services in an appropriate, cost-effective manner consistent with CMSA Standards of Practice.
You will receive training on the tools used by case managers including MCG and will be eligible to complete the test for MCG Certification upon course completion.
*Additional fee applies, go here for more information.
Althea Jones Barnes
This class provides an overall panoramic view of case management. Although I have worked in different nursing I was not always entitled to truly understand what the case management area was and how I provided services in those area. This class offered so much, explaining different types of case management settings, explaining the What and the Why of each area. Providing hands on questions to reinforce the education provided. I loved it.
Jill Fritz
Foundations of Case Management is a wonderful resource. It clarifies and makes a lot of issues and topics make sense. It is a great foundation to a career in case management.
Kathy Li
Enjoyed the course. Found it very educational & I have understood & learned a lot. Instructors are great, communications were easy with positive feedback.
1
This unit covers the definition, philosophy, and goals of case management as well as the case managers' roles, functions, and activities. This provides you with a thorough understanding of the practice of case management and the role of the case manager.
2
This unit provides comprehensive training on the case management process and case management assessment, as well as how to use the information obtained during the assessment to identify opportunities for case management intervention. You will learn how to create, implement, and coordinate a case management plan of care including the development of short and long term SMART goals. This allows you to immediately begin positively impacting clients, resulting in better outcomes.
3
In this unit, you will learn the ethical, legal, and practice standards including CMSA’s Standards of Practice, case management ethics, privacy and confidentiality, legal and regulatory requirements, informed consent, and healthcare and disability-related legislation. This ensures you have a thorough understanding of the legal and practice standards applicable to case management.
4
This unit covers the principles of case management practice including advocacy, client self-advocacy, client self-care management, client adherence, client empowerment, client engagement, client activation, and adherence to care regimen. In addition, you will be taught behavioral change theories and stages of change allowing you to assess the client and develop a plan of care based on the client’s stage of readiness.
5
Utilization management concepts including extensive MCG training and practice. This includes case studies to review pre-service notification requests for medical necessity services, as well as to review clinical information for concurrent reviews, extending the length of stay for inpatients as appropriate, or referrals to other network providers.
6
In this unit, you will be training on levels of care and care settings to promote appropriate levels of care are received by patient's in a timely manner. Also, you will learn transitions of care, discharge planning, and the summary of care record including The Joint Commission Standards related to these as well as CMS Conditions of Participation related to discharge planning.
7
In this unit you will learn to select the rehabilitation delivery system to best meet a client’s needs, identify the assessment of physical functioning used in rehabilitation, and identify the different tools and resources used to assist the disabled person or injured worker to obtain or maintain employment.
8
This unit covers psychosocial concepts and support systems including cultural, spiritual and religious factors, family dynamics, dual diagnosis, social determinants of health, crisis intervention strategies, and support programs. This training allows you to understand barriers to reaching desired outcomes and develop strategies to overcome these barriers.
9
In this unit, you will learn communication skills including conflict resolution strategies and negotiation techniques, as well as documentation and reporting, preparing you to maintain accurate records of all communications and interventions and provide timely verbal and written reports.
10
This unit covers quality and outcome evaluations and measurements including cost-benefit analysis and program evaluations equipping you to demonstrate the value you bring to your organization. You will also learn the standards and requirements of accreditation bodies such as URAC and JCAHO. This equips you to provide case management services that are consistent with accreditation standards.
11
This unit covers reimbursement methods and managed care principles including insurance principles, terminology, and concepts as well as a basic understanding of Medicaid, the ACA, Coordination of Benefits, and COBRA. Nurses in most settings are not involved in the reimbursement aspects of treating the patient. For this reason, a large amount of training is provided to ensure you have the knowledge needed to perform in your new role. Medicare basics, reimbursement under Medicare, the Medicare Two-Midnight Rule, and Value-Based Programs. Alternative financial resources equipping you to identify appropriate alternative and non-traditional resources and demonstrate creativity in managing each case.
In addition to everything listed above, you also get the following...
If you have any questions or difficulties throughout the course, we have you covered!
You will be able to communicate with our expert Instructors to have any questions you might have answered, both via email form or video call.
In addition, each of your assignments will be carefully reviewed by our expert instructors. Feedback and direction are given on an individual basis.
We want to help you succeed with MCG Certification and feel comfortable using MCG. Therefore, we have created an additional unit with even more case scenarios for you to use to practice and prepare for the examination!
Even if you don't sit for the exam, you will receive these MCG practice scenarios!
Martha (Marty) has been an RN for 43 yrs and is a graduate of the University of Omaha College of Nursing. She has worked OB in both a high risk tertiary hospital and a 16 bed hospital in the Air Force. She later went into the AR Reserves and worked for several hospices.
Martha became certified as an RN Case Manager through ANCC in 2004 and her greatest professional achievement is being appointed to ANCC's Content Expert Panel for Case Management with 8 other wonderful CMs from around the country. Her panel wrote the 2015 certification test, but is sworn to secrecy!
Barbara Kuritz R.N. B.S. LHCA, CCM, has held various roles in health care for over 30 years. Her focus has been case management, education, and leadership.
Barbara is a past MidAtlantic chapter president of Case Management Society of America.
Julie has over 20 years in the healthcare industry, with over ten in Utilization management. She has trained hundreds of people in MCG and UM. She is CCM and MCG Certified.
She has experience in Utilization review (initial and concurrent), Denial Process, Medicare/Medicaid, and has utilized MCG, Interqual, MCCM, Firstnet, Escort, STAR, Cerner Powerchart & Capacity Management, and Midas, so can answer all your UM questions!
When she isn’t working as a Case Manager, she enjoys spending time in Florida with her family and helping other case managers succeed in UM by working with CMI.
$
Only $1297.00!
One sentence summary of what they get
$
99
/month
One sentence summary of what they get
$
127
/month
Jill Fritz
Foundations of Case Management is a wonderful resource. It clarifies and makes a lot of issues and topics make sense. It is a great foundation to a career in case management.
Kathy Li
Enjoyed the course. Found it very educational & I have understood & learned a lot. Instructors are great, communications were easy with positive feedback.
Nancy Jutte
I am more knowledgeable about the content required in the case management role and have had some hands on experience with the software.
What are the criteria to receive CE credit?
What is the difference between a certificate and a certification?
Does this course prepare me for Industry Certification?
$
Only $1297.00!
One sentence summary of what they get
$
99
/month
One sentence summary of what they get
$
127
/month
Case management was more than a career for me. It was a passion. I am hoping through the courses that I am spreading that passion on to you.
I am so proud of this course and hope that it will bring you success in transitioning from bedside nursing into a fulfilling career as a Case Manager.