Education

Introducing Dr. Erica Remer's Clinical Documentation Modules for Healthcare Providers learning modules – a game-changer created by a physician, for physicians, and all healthcare professionals. These modules are up-to-date and have been expertly packaged into a comprehensive course. Explore these modules at your pace, and reap the rewards of up to 8.0 hours of AMA PRA Category 1 Credits™ based on your individual effort.

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Are you a Case Management or Utilization Management leader eager to unlock your true potential and make a lasting impact on your healthcare organization? If so, we would like to personally invite you to take our Leadership Course designed just for CM/UR managers and above!

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This virtual training course is a comprehensive program for both new and seasoned case managers on the history of their vocation and how to be highly effective in their role. Discussions will include a breakdown of working with your patients, your interdisciplinary team, and how to effectively manage your day to identify resource utilization and progression of care needs.

• Duration: 5 weeks

• Additional Topics: integrating social determinants of health (SDoH), readmission prevention, successful transitions for the discharged patient, and vital aspects to track and influence patient avoidable delays

• PACE certification by the Commission for Case Managers (CCM): 5.0 CEUs

• ASWB Certified for Social Workers: 5.0 CEs, General.

• $280
  
  

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This virtual training course covers the history of utilization review and how to excel in your role as an UR specialist. It is specially designed for any RN in the field of UR or interested in UR.

• Duration: 1 hour per week for 4 weeks

• Additional Topics: the four parts of Medicare and coverage by each entity; advance-required Medicare notices and optimal timing of delivery to patients; techniques for improving communication with UR team members for a better overall process

• PACE certification for CCM/ACM: 4.0 CEs

• California Board of Nursing 4.0 CEs

• $250
  
  

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This webinar will discuss the difference between what services the hospital must cover for patients without reimbursement and when the hospital has a right to request reimbursement from the patient. Discussion will include the legal differences between implementing a safe discharge plan for patients designated as inpatient vs. outpatient. Case managers will learn what notices can be provided to patients and families to protect the hospital from ultimate lack of payment for services rendered and strategies for how to escalate these cases for additional help.

Typically offered as a 2hr. training, however can be split into 2- 1 hr. virtual meetings. 1.5 CE PACE credit approved for CCM/ACM.

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Elevate your expertise with our comprehensive course designed for social workers in acute care case management. This program meticulously reviews key areas of social work practice within the acute setting, offering a deep dive into common clinical care pathways.

• Duration: 6 weeks

• Additional Topics: Reviews SW areas of practice in the acute setting and provides a deep learning into common clinical care pathwayes.

• Remote 6-week course is certified for 6.0 CEs (ASWB & CCM)

• In person course is certified for 6.25 CEs CCM & 6.75 CEs ASWB

• $310

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This course covers all the essentials for working successfully in frontline case management. Topics include the history of case management, regulatory requirements, and how to be proactive in a CM role through progression of care and resource management.  

• Duration: 1 day

• Additional Topics: acute care case management (including the continuation of care to the outpatient setting to improve patient care and outcomes), identifying appropriate patients for CM services, providing a comprehensive assessment, and how to put together a holistic transitional care plan and incorporating new SDoH requirements.

• This course offers CE credit through PACE Commission of Case Management 6.25 hours and ASWB for Social Work CE credit of 6.25 general hours.
  
  

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This program highlights the importance of an effective utilization management strategy. It is essential to learn for each individual associated with managing the hospital's resources. The course goes into optimal workflow for the utilization review specialist, understanding Medicare and payer contracts, and how to create calculated risk in medical necessity reviews.

• Duration: 1 day

• Additional Topics: the difference between UR and UM and their functions, complying with payer and contractual requirements, what makes for a robust utilization review function, partnership with the physician advisor, an active UM committee, and understanding denials and auditors.

• This course is has CE credit through California Board of Nursing for 6.25 hrs. and through PACE Commission for Case Management for 6.25 hrs.

Note: The content in this course parallels the content in our popular text, The Hospital Guide to Contemporary Utilization Review.

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This is a comprehensive foundational presentation into the origins and functions of clinical documentation integrity taught by Dr. Erica Remer, national recognized in the field of CDI. The course will dive into best practice for composing queries, physician engagement, innovative CDI activities, and how to appropriately utilize your physician advisor. The goal of the course is to think differently about the daily practice of how to do CDIS work and think of how to generate meaningful content and engage physicians to motivate a change in behavior. The lesson will be a blend of lecture and case scenarios with group discussion to be interactive with examples on documentation improvements opportunities. The course content is modeled after best practices, from Dr. Remer’s CDI and Documentation Modules.

• Duration: 1 day

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