CA 342: Introduction to Case Management
An introduction to the practice of case management is presented. In this case management course, students review the history of case management, discuss the health care and human services industries, and explore the benefits of this specialty practice. A focus on case management models, the roles and functions of case managers, and the impact of case management in varied venues is illustrated. Financial concepts in case management are identified, including reimbursement systems and economic issues impacting health care. This course is designed to support the student’s success in subsequent case management courses in the continuing education certificate program.
CA 344: Case Management Process
This course presents the case management process and the interrelationships between case managers and other health care professionals. Consideration is given to case management as a transdisciplinary practice. Application of principles of case management in various settings, including hospitals, insurance companies, social services, and workers' compensation, is discussed.
CA 346: Case Management Tools
This course presents a process for developing case management plans across the continuum of care. Clinical pathways and problem-based procedures of care that promote outcome measurement are presented as options for case management documentation. Emphasis is placed upon the communication, collaboration, and cooperation of all parties involved in the health care and human services delivery processes, including the patient/client, the family, providers of care, and payers. This course is designed to provide the rudimentary tools needed to help students succeed in the case management profession.
CA 348: Quality Measures
The principles of quality, quality improvement, and quality management are presented. Methods for evaluating case management models and practice are explored, including outcome management and measurement. The concepts of utilization and resource management are identified and integrated into the overall quality measurement process. The impact of accreditation, certification, and regulating bodies is addressed. This course identifies topics relevant to a case manager's continuing education.
CA 350: Disease and Disability Management
This course focuses upon case management strategies for developing disease and disability management systems specific to individuals with chronic health care needs. Emphasis is placed on the patient/client's long-term needs, including complication prevention and treatment and general health care promotion. Specific disease and disability management strategies will be addressed. Approaches for identifying consumers at risk and the need for systematic processes to manage services for these individuals are presented.
CA 352: Case Management for Pediatric and Geriatric Populations
The unique needs for access to health care and human services of pediatric and geriatric populations are addressed. Methods for applying case management within the context of health and wellness within these populations is reviewed. Exercises are designed for students to gain knowledge of their own community resources for health promotion and maintenance of the pediatric and geriatric populations.
CA 354: Legal and Ethical Issues in Case Management
As legal and ethical dilemmas can represent significant issues for case managers, the Standards of Practice developed by the Case Management Society of America (CMSA) and the Code of Professional Conduct formulated by the Commission on Case Manager Certification (CCMC) are discussed. Managed care and consumer advocacy is reviewed in relationship to standards of practice and ethical competency. This course includes case studies dramatizing the ethical balance required in case management and presents strategies to maintain ethical integrity in the face of ethical conflicts. This informative course on legal and ethical issues in beneficial to a case manager’s continuing education.
CA 356: Designing Case Management Models
Case management models may be adapted to a variety of health care service delivery sites and systems. This course discusses various case management models and defines characteristics required for individual settings, such as hospital, insurance, or community- based programs. The populations served by these models may include: children with special needs, the elderly, and individuals with chronic health care problems or disabilities. A series of exercises will lead the student through the process of identifying model components and developing a model to meet needs within a particular program.