Tiered Education & Onboarding Solution  

Standout, Not Standard Solutions for Case Management & Utilization Management

The Challenge

Healthcare organizations face increasing pressure to:

Standardize and support onboarding across CM, UM, and Physician Advisor teams

Stay up to date on regulatory and payer compliance

Measure staff competency and performance

Our Solution: A Fully Supported, Tiered Model

A flexible education and performance model designed to support onboarding, competency, and continuous staff improvement.

Tier I: Foundational Education Platform

  • Phoenix Learning Management System

  • On-demand CM & UR education modules

  • Continuing Education (CE) credits (CCM, ASWB, California Board of Nursing)

  • Bimonthly utilization and engagement reporting

  • Annual staff completion, performance, and compliance reports

Outcome:

Supports baseline knowledge and scalable learning across teams.

Tier II: Customized Onboarding & Competency

  • Role-based onboarding program roadmaps (CM, UR, SW, CMA, and Physician Advisor)

  • Competency-based orientation tools

  • Preceptor guides and structured workflows

  • Monthly utilization and engagement reporting

  • Includes customized annual competency tools that enhance team growth and role-specific expertise

Outcome:

Standardize onboarding tools to support the preceptor role and decrease turnover.

Tier III: Live Virtual Education & Training

  • Live virtual education for new hires with flexible scheduling to accommodate staffing demands. Options available for education for all staff members. 

  • Case-based learning and real-world scenarios

  • Annual Case Management CMS regulatory and payer updates 

  • Includes customized annual competency tools that enhance team growth and role-specific expertise

Outcome:

Facilitated, interactive training by experts to educate and engage in best-practice discussions.

Tier IV: Performance Audits & Improvement

  • Biannual CM and/or UR staff performance audits (can be adjusted to client preference)

  • Documentation and workflow reviews

  • Detailed findings and actionable recommendations

  • Includes customized annual competency tools that enhance team growth and role-specific expertise

Outcome:

Drives accountability, reduces denials, and improves operations

Key Benefits

Standardized onboarding and education

Improved staff competency and confidence

Reduced variation in practice

Enhanced compliance with CMS and payer expectations

Measurable performance improvement

Flexible Engagement

Select individual tiers or full model

Scalable for hospitals and health systems

Designed to align with your operational goals

Let’s Transform Your Program

Providing standout, not standard, solutions in case management and utilization management. Contact us to build your customized education and onboarding strategy.