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Four-part series:All sessions are from 9-11 a.m.Thursday, May 16Thursday, May 23Thursday, May 30Thursday, June 6PROGRAM OVERVIEWUtilization management has become much more comprehensive, encompassing resource and denial management elements. This four-part series introduces utilization management’s role in contemporary case-management models. The webinars will focus on the role of registered nurse case managers, social work case managers and other department staff who collaborate with the role of the registered nurse utilization manager. An example of a day in the life of a utilization case manager will be shared. The series will address challenges in implementing the utilization-management process and include tips and strategies for streamlining the process. There will also be an emphasis on collaboration with physicians, the interdisciplinary team, case-management department peers and payers.LEARNING OBJECTIVESDiscuss the compliance requirements for utilization management.Explain the role of utilization management for the registered nurse case manager.Identify best practices for the utilization management role.Outline medical necessity criteria in the clinical review process. INTENDED AUDIENCEChief medical officersChief nursing officersCompliance officersHealth care legal professionalsQuality professionalsRisk managers SPEAKERSBev Cunningham has been a partner and consultant with Case Management Concepts since its inception. Cunningham has been involved in developing case management for over 25 years. Her areas of expertise include the role of case management in the revenue cycle, compliance for case-management departments, the role of the physician adviser, and effective denials and appeal management. Cunningham has achieved an accredited case manager certification from the American Case Management Association.Toni Cesta is a founding partner of Case Management Concepts. This consulting company helps organizations design, implement and evaluate case-management departments and models, educational programs and on-site support for leadership and staff. Cesta has been active in the research and development of case management for over 25 years. Her research has included two funded studies measuring the effects of a case-management model on patients with congestive heart failure and fractured hips, measuring patient satisfaction, quality of life, and short- and long-term clinical perceptions and outcomes. REGISTRATION AND FEESIHA member organization series rate – $375Associate member organization rate – $375IHA nonmember organization rate – $575RECORDINGS POLICYIHA will provide recordings only to those who have registered for the program.
PROGRAM OVERVIEWUtilization management has become much more comprehensive, encompassing resource and denial management elements. This four-part series introduces utilization management’s role in contemporary case-management models. The webinars will focus on the role of registered nurse case managers, social work case managers and other department staff who collaborate with the role of the registered nurse utilization manager. An example of a day in the life of a utilization case manager will be shared. The series will address challenges in implementing the utilization-management process and include tips and strategies for streamlining the process. There will also be an emphasis on collaboration with physicians, the interdisciplinary team, case-management department peers and payers.
LEARNING OBJECTIVES
INTENDED AUDIENCE
SPEAKERS
Bev Cunningham has been a partner and consultant with Case Management Concepts since its inception. Cunningham has been involved in developing case management for over 25 years. Her areas of expertise include the role of case management in the revenue cycle, compliance for case-management departments, the role of the physician adviser, and effective denials and appeal management. Cunningham has achieved an accredited case manager certification from the American Case Management Association.Toni Cesta is a founding partner of Case Management Concepts. This consulting company helps organizations design, implement and evaluate case-management departments and models, educational programs and on-site support for leadership and staff. Cesta has been active in the research and development of case management for over 25 years. Her research has included two funded studies measuring the effects of a case-management model on patients with congestive heart failure and fractured hips, measuring patient satisfaction, quality of life, and short- and long-term clinical perceptions and outcomes.
REGISTRATION AND FEES
RECORDINGS POLICYIHA will provide recordings only to those who have registered for the program.