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Continuing Education credit for this program is awarded by Commonwealth Educational Seminars (CES) for the following professions:

Social Workers: Social Workers participating in this course will receive 8.0 clinical continuing education clock hours.

Nurses: Nurses completing this program receive 8.0 CE hours of credit.

For more information and or to obtain your CE Credits Click Here

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Case Management Certification Review Course
This program is designed to: *Provide a Study Guide for those preparing for National Certification *Share Insights into the practice for those new to Case Management.
Module 1 Session 1: Current Trends in Healthcare  
This unit discusses the current trends in healthcare including the challenges, system changes, and opportunities for case managers.
Unit 1 Current Trends in Healthcare
Module 2 Session 2: History of Case Management  
In this unit you will learn about the history of the practice of case management as well as the basic concepts, goals and essential functions of case management. You will also learn important information about the CCM exam.
Unit 1 History of Case Management
Module 3 Session 3: CM Competencies and Responsibilities  
After reviewing this unit you will understand the essential CM competencies, roles case managers play, different settings case managers practice, and case management modules. You will also have a better understanding of the care coordination team and how they work together.
Unit 1 CM Competencies and Responsibilities
Module 4 Session 4: Rehabilitation, Workers Compensation and Disability Management  
In this unit you will learn what rehabilitation is, the goals of rehabilitation, and the types of rehabilitation available. You will also learn about workers compensation including the goals of workers compensation case management and the key people in workers compensation cases. You will learn the return to work process and strategies used to return an injured worker to gainful employment. This unit also discusses the vocational aspects of chronic illness and disability, disability insurance, and life care planning.
Unit 1 Rehabilitation, Workers Compensation and Disability Management
Module 5 Session 5: Data Management  
After completing this unit you will understand the important role data management plays in healthcare today. This unit discusses the history, key attributes and critical components of Health Information Technology (HIT). You will also learn about Meaningful Use, Evidence Based Medicine, and Comparative Effectiveness.
Unit 1 Data Management
Module 6 Session 6: Resource Management  
Resource Management is one of the core functions of case management. In this unit we will discuss the types of resources available, who pays for them, and nontraditional sources of resources.
Unit 1 Resource Management
Module 7 Session 7: Utilization Management  
After completing this unit you will be able to differentiate between utilization review and utilization management, understand the goal of utilization management, be aware of changes in reimbursement methods including value based purchasing, and understand the authorization, denial and appeals process.
Unit 1 Utilization Management
Module 8 Session 8: Population Health and Disease Management  
After completing this unit you will understand: *What population health and disease management are *The need for population health and disease management *The impact disease has on healthcare costs *Risk stratification and screening tools used in population health and disease management *The importance of patient engagement in population health and disease management *Motivational interviewing *The most common and catastrophic disease states *Trends in population health and disease management
Unit 1 Population Health and Disease Management
Module 9 Session 9: Healthcare Legislation  
This unit discusses how health policies impact CM and reviews specific legislation important to case managers such as The Rehabilitation Act of 1973, The Emergency Medical Treatment and Labor Act (EMTALA), Health Insurance Portability & Accountability Act (HIPAA), Health Information Technology for Economic and Clinical Health Act (HITECH), American with Disability Act, Family Medical Leave Act 1993, Longshore & Harbor WC Act 1927.
Unit 1 Healthcare Legislation
Module 10 Session 10: Reimbursement Systems  
After reviewing this unit you will be aware of the different healthcare reimbursement systems available and the difference between them. You will also be aware of the essential points of reimbursement and terms related to reimbursement systems.
Unit 1 Reimbursement Systems
Module 11 Session 11: Legal and Ethical Issues Impacting Case Management  
This unit explains the importance of following the Case Management Standards of Practice, as well as legal responsibilities in case management. It also discusses ethical issues and principles, delegation of care, patient confidentiality and security, conflict of interest, informed consent and malpractice.
Unit 1 Legal and Ethical Issues Impacting Case Management
Module 12 Bonus Material  
Supplemental material to assist you in your studies.
Unit 1 Test Taking Strategies for the CCM Exam
Unit 2 Frequently Asked Questions (FAQ)

 

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CE Credit Information

Continuing Education credit for this program is awarded by Commonwealth Educational Seminars (CES) for the following professions:

Social Workers: CES, provider #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CES maintains responsibility for the program. ASWB Approval Period: 10/5/15 through 10/5/18. Social Workers should contact their regulatory board to determine course approval. Social Workers participating in this course will receive 8.0 clinical continuing education clock hours.

Nurses:  As an American Psychological Association approved provider CES programs are accepted by the American Nurses Credentialing Center (ANCC). Every state Board of Nursing accepts ANCC approved programs except California and Iowa, however, CES is also an approved Continuing Education provider by the California Board of Registered Nursing, (Provider Number CEP15567) which is also accepted by the Iowa Board of Nursing. Nurses completing this program receive 8.0 CE hours of credit.

Grievance Policy: Commonwealth Educational Seminars (CES) seeks to ensure equitable treatment of every person and to make every attempt to resolve grievances in a fair manner. Please submit a written grievance to CES, 1020 Osterville West Barnstable Rd, Marstons Mills, MA 02648. Grievances will initially be directed to the training instructor. Grievances would receive, to the best of our ability, corrective action in order to prevent further problems. If you have questions or concerns, contact Commonwealth Educational Seminars at (800) 376-3345.

Accommodations for the differently abled: Commonwealth Educational Seminars’ training facilities are handicap accessible. Individuals needing special accommodations, please contact: (978) 272-2968