From Feb 1 2024 1:00 pm until Feb 22 2024 2:30 pm
At Webinar
Via Webinar Only - Recording of session available to those that cannot attend live sessions.
This four-part series will introduce the role of utilization management as it applies to today’s contemporary case management models These webinars will focus on understanding the utilization management processes for RNs assigned to this role. Also included in the webinars will be an example of the day in the life of a utilization case manager. Challenges for implementing the utilization management process will be addressed. Included will be best-practice suggestions for your role of utilization management with tips and strategies for stream-lining the process and making it as efficient as it can be. Additionally, discussed with be the importance of utilization management collaboration with physicians, the interdisciplinary team, and payers. Lastly, documentation of utilization management will be incorporated. This will include documentation in the medical record (what is appropriate and where do you document) and the role of an electronic utilization management software.
Objectives
Instructors: Toni Cesta & Bev Cunningham, Principals at Case Management Concepts, LLC
Who Should Attend: RN Case Managers, Hospitalists, Physician Advisors, CFO’s, & anyone responsible for Case Management.
Schedule
February 1, 2024 1:00 - 2:30 pm - Session 1
Introduction to Utilization Management (UM)
February 8, 2024 1:00 - 2:30 pm - Session 2
Rules and Regulations Impacting Utilization Management
February 15, 2024 1:00 - 2:30 pm - Session 3
Implementing an Effective Denial and Appeal Approach to Utilization Management
February 22, 2024 1:00 - 2:30 pm - Session 4
Application of the Utilization Management Process
Continuing Education: Clock Hours: 1.5 per session (6.0 Total)
It is the responsibility of the attendee to determine whether these activities meet the current criteria for continuing education. Application is being made to the following agencies: MN Board of Nursing and MN Board of Social Work. The # of CEU’s will be indicated on the certificate of attendance provided to each participant who attends the session.
All registrants will receive course information, connection details, & any materials prior to the session. All registrants will receive the webinar recording following the event.
Registration Fees:
Medi-Sota Members: $150/Person
Non-Medi-Sota Members: $300/'Person
Cancellations must be made no later than 10 business days prior to the course. The full course fee will be charged if cancellation is made in less than 10 business days. Full refunds will be given for all classes cancelled by Medi-Sota. Registration is transferable to another person.