Operations Excellence

Classroom

Case Management Virtual Conference

$429 Register Now

How effective and successful is your case management program? Are you validating medical necessity for each patient who comes into your facility? Are you current on, and knowledgeable about, all regulatory and federal guidelines for case management? Do you have a formal process in place to prevent and manage denials?

If you struggle to answer these questions, our Case Management Virtual Conference will help you learn how to efficiently care for patients and secure reimbursement for your facility by applying best practices. An effective case management (CM) program is critical to ensuring appropriate reimbursement for the care your facility provides. Regardless of the type of services, it is necessary that provider organizations establish consistent processes to secure payment; while also transitioning patients through the care continuum at the appropriate time.

The CM department must function at optimal levels in the current healthcare landscape and prepare to transform for future demands for a facility to obtain and sustain success. With constant changes in the healthcare industry, the CM department is key to driving positive results, both clinically and financially. During this virtual conference, participants will learn how to manage resources by ensuring sufficient care, at the right time, and at the most appropriate level. Topics will include utilization management, discharge planning, population health, and cost variation, among others.

This year’s Case Management Conference will be presented in a virtual format, with a curriculum that allows flexibility for the learner, including a mix of pre-recorded modules and scheduled live sessions. The pre-recorded modules should be viewed prior to the scheduled live sessions each day; and will be available at least one day in advance of the live sessions.

6.5
Contact Hours

The QHR Learning Institute is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver of continuing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Participants who attend at least 85% of each module or session, complete any required quiz with a passing grade and complete a course evaluation will earn up to 6.5 contact hours.

Learning Objectives

  • Design and implement effective medical necessity, as well as discharge planning processes that support efficient and timely patient care
  • Capture necessary metrics and outcomes to monitor a case management program
  • Understand the importance of clinical documentation to your case management program
  • Recognize and deploy outlined processes for physician advisor escalation, multidisciplinary rounds, and denial management

Who Should Attend

  • CNOs
  • Case Managers
  • Case Management Leadership
  • Social Workers

Presenters

Day 1

Lynn Collins, headshot
Available at 12:00 pm on 11/3 | On Demand | Approx. 45 min

Module I: Measurement and Reporting

Lynn Collins, Director, Clinical and Operational Improvement, QHR Health
Stacy Coon, headshot
Available at 12:00 pm on 11/3 | On Demand | Approx. 45 min

Module II: Clinical Resource Management Case Study

Stacy Coon, Senior Consultant, Clinical & Operational Improvement, QHR Health
Available at 12:00 pm on 11/3 | On Demand | Approx. 60 min

Module III: Denial Management

Wanda Wright, Associate Vice President, Managed Care, QHR Health
Dan Hobbs, Senior Consultant, Revenue Cycle, QHR Health
Lynn Collins, Director, Clinical and Operational Improvement, QHR Health
2:00 pm - 3:00 pm | Live

Q&A Session

Lynn Collins, Director, Clinical and Operational Improvement, QHR Health
Stacy Coon, Senior Consultant, Clinical & Operational Improvement, QHR Health
Dan Hobbs, Senior Consultant, Revenue Cycle, QHR Health
Wanda Wright, Associate Vice President, Managed Care, QHR Health

Day 2

Cindy Marks, headshot
Available at 12:00 pm on 11/4 | On Demand | Approx. 45 min

Module IV: Population Health

Cindy Marks, MSN, RN, Senior Consultant, Clinical and Operational Improvement, QHR Health
Lynn Collins, headshot
Available at 12:00 pm on 11/4 | On Demand | Approx. 45 min

Module V: Discharge Planning

Lynn Collins, Director, Clinical and Operational Improvement, QHR Health
Mayra Pineiro, headshot
Available at 12:00 pm on 11/4 | On Demand | Approx. 45 min

Module VI: Utilization Management

Mayra Pineiro, Senior Consultant, Clinical and Operational Improvement, QHR Health
2:00 pm - 3:00 pm | Live

Q&A Session

Lynn Collins, Director, Clinical and Operational Improvement, QHR Health
Cindy Marks, MSN, RN, Senior Consultant, Clinical and Operational Improvement, QHR Health
Mayra Pineiro, Senior Consultant, Clinical and Operational Improvement, QHR Health