Course Code: REL-PAY-0-INCCCM
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Differentiate care coordination, case management, and disease management to support person-centered, cost-effective care.
Describe the goals, principles, and functions of care coordination and case management within the payer setting.
Identify key components of the case management process, including strategies for addressing care fragmentation and transitions of care.
Outline:
Section 1: Defining the Issue and Solution
Introduction
About This Course
Learning Objectives
An Overview of Care Coordination and Case Management
Care Coordination
Disease Management
Case Management
Case Management Responsibilities and Benefits
Case Management Knowledge Domains
Roles and Responsibilities
Benefits
Care Fragmentation
Defined
Fragmentation Examples
Impact of Fragmentation
Gaps in Care
Bridging the Gaps
Review
Key Takeaways
Section 2: The Case Management Process
The Case Management Process
The Screening Phase: Patient Identification and Eligibility
The Assessing Phase
The Stratifying Risk Phase
The Planning Phase
The Implementing Phase
The Following Up Phase
The Transitioning Phase
Communicating Post-Transition
The Evaluating Phase
Review
Key Takeaways
Section 3: Conclusion
Course Summary
Course Contributors
References
Subject Matter Expert: Nicole Strickland, M.Ed., RN CPAN
Nicole Strickland is a Lead Subject Matter Expert (SME) writer at Relias and a Certified Post Anesthesia Nurse (CPAN) with over a decade of experience in nursing and education, specializing in neurology and post-anesthesia care. She holds a Bachelor of Science in Nursing from Duke University and a Bachelor of Arts in English Language and Literature from Temple University. Her passion for instructional design led her to earn a Master of Education in Learning Design and Technology from the University of North Carolina at Charlotte. In her role, Nicole integrates her clinical and educational expertise to develop evidence-based, engaging content for healthcare professionals, focusing on translating complex medical information into practical, accessible learning materials.
Target Audience:
The target audience for this course is: Care and Case Managers; Nursing Personnel; Social Workers; in the following settings: Ambulatory Care, Clinics: Primary Care, Clinics: Rural Health, Hospitals: Acute, Hospitals: Critical Access (CAHs).
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.