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The role of the case management leadership is one of the most challenging, complex positions in any healthcare setting. Case management leaders are expected to have a comprehensive skill set ranging from clinical expertise to reimbursement. Additionally, case management leaders need strong management skills to leverage their relationship with interdisciplinary departments and communicate effectively with their executive team. These skills are critical for managing staff, developing their budgets, ensuring compliance with state and federal regulations, creating transitional care plans, and implementing value-based reimbursement models.
This two-part series will focus on the role of case management leadership. Our experts will provide leadership best practices with operational strategies for each practice and review the latest information leaders must know to produce optimal outcomes. What happens in case management outcomes today will impact value-based reimbursement penalties in the future.
|- Pros & cons for models||- Department business plan|
|- Case management as a business model||And more!|
|- Roles & staffing||- Clerical support & access points|
|- Timeliness in assessments & reassessments||- Physician advisor|
|- Creating a proposal for key roles||- Sense of urgency|
|- Maximizing staffing||And more!|
|- Vertical & horizontal relationships||- Eliminating siloes|
|- Working with the interdisciplinary team||- Role of the practice council|
|- Physician relationships||- Revenue cycle|
|- Payer contracts||- Next level of care providers|
|- Reporting your dashboard outcomes||- Senior leader relationship|
|- Relationship with key physician groups||- Physician education|
|- Feedback of outcomes to physicians||- Rounding|
|- Purpose of access & exit point case managers||- Impact of access points on revenue cycle|
|- Two-Midnight rule||- Utilization & discharge planning|
|- Compliance at access points||And more!|
|- Department level compliance||- Staff level compliance|
|- Compliance audit||- Feedback on audit results|
|- Developing a dashboard||And more!|
|- Hiring best case managers & social workers||- Orientation|
|- Staff development||- Succession planning|
|- Annual competencies||- There's more!|
|- IPPS annual proposed & final rules||- Proposed discharge planning|
|- Tracking data||- Reporting results|
|- Department dashboard||- Improving results|
|- Gap analysis||- Improving your leadership skills|