Medical Case Management: Coordinating Safe and Effective Care

Course Purpose

This course is designed for nurses engaged in medical case management across various healthcare settings. It focuses on the essential skills and knowledge required to navigate the complexities of patient care coordination, particularly during transitions.

Continuing Education Credit Designation

This educational activity is credited for 4 contact hours at completion of the activity.

Overview

The journey through this course begins by defining the scope of medical case management, establishing its core principles and boundaries within nursing practice. It then progresses to the critical moments of patient transfer, emphasizing the vital information that must accompany patients to their next care destination. Subsequent sections will delve into the persistent challenge of medication reconciliation, the impact of social needs on health outcomes, and the ethical imperatives of information privacy. Finally, the course will explore practical strategies for managing caseloads and proactively identifying risks, culminating in a comprehensive understanding of effective case coordination.

Objectives

Upon completion of this independent study, the learner will be able to:

1. Describe the required elements of a hospital discharge planning process, including early identification, timely evaluation, documentation and re-evaluation.
2. Distinguish nursing case management activities from prescriber, payer and level-of-care decisions when a plan and the orders no longer match.
3. Explain what information must accompany a patient at transfer and how to confirm that a receiving clinician actually received it.
4. Compare nursing facility baseline and comprehensive care plan requirements with home health plan of care requirements.
5. Identify medication continuity risks at transitions and route discrepancies with the specificity a prescriber needs to act.
6. Apply the five social determinant domains to test whether a discharge plan's practical assumptions hold for a specific patient.
7. Apply the minimum necessary standard, including its treatment exception, to disclosures made to treating and non-treating recipients.
8. Prioritise a case management caseload and use required periodic plan review to identify predictable coordination failures.

Who this course is for:

Healthcare professionals who want continuing education on Medical Case Management: Coordinating Safe and Effective Care.

Course outline

12 sections · finish in any order across devices

1. 1

   Course overview and learning objectives

2. 2

   Introduction

3. 3

   What medical case management is, and what it is not

4. 4

   Screening, risk identification and the discharge planning evaluation

5. 5

   Transitions of care: what must travel with the patient

6. 6

   Care planning in post-acute settings: nursing facility and home health

7. 7

   Medication continuity across transitions

8. 8

   Social needs, community resources and the limits of referral

9. 9

   Information sharing, privacy and the minimum necessary standard

10. 10

    Caseload practice: prioritisation, follow-through and quality review

11. 11

    Nursing Considerations

12. 12

    Conclusion

This Course Satisfies

Requirement summaries come from our state requirement records. All Users of Cheap CE For Nurses’s website and content are responsible for knowing their state’s license and renewal requirements.

Questions about this course

How many contact hours is Medical Case Management: Coordinating Safe and Effective Care?

4 contact hours, credited at completion.

How much does it cost?

$20.00 on its own, or included with All-Access ($29.99 a year, renewing yearly until you cancel).

Can I listen instead of reading?

Yes — every section can be read or heard, on your phone or computer.

When do I get my certificate?

As soon as you finish the course requirements and the evaluation. It stays in your account.

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