This series is complimentary for all GHA members.The fee is $1,180 for non-members.Part One: Thursday, May 16 (10:00 a.m.-noon ET)Part Two: Thursday, May 23 (10:00 a.m.-noon ET)Part Three: Thursday, May 30 (10:00 a.m.-noon ET)Part Four: Thursday, June 6 (10:00 a.m.-noon ET)SpeakersBev Cunningham, RN, MSToni Cesta, Ph.D., RN, FAANCourse CurriculumUtilization management has evolved to be much more comprehensive and encompasses elements of resource management as well as denials management. Physicians, are, at times, left out of this important process but must be included in any contemporary case management model that includes utilization management. This four-part series will introduce the role of utilization management in today’s contemporary case management models. The webinars will focus on the role of RN case managers, social work case managers, and other department staff who collaborate with the role of the RN utilization manager. An example of the day in the life of a utilization case manager will also be shared.The series will address challenges for implementing the utilization management process and will include tips and strategies for streamlining the process. There will also be an emphasis on the importance of collaboration with physicians, the interdisciplinary team, case management department peers, and payers.Lastly, documentation of utilization management will be discussed. This will include documentation in the medical record and the role of electronic utilization management software.Continuing Education CreditsThe Georgia Hospital Association Research & Education Foundation is an approved provider of nursing home administrator credits as a professional trade association in long term care under Ga. Comp. R. & Regs. 393-13-.02, (1) (a). Approved for 8 contact hours. By attending Utilization Management Workshop Series: Best Practice Applications for the Hospital Setting offered by Georgia Hospital Association, participants may earn up to 8 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation. Attendees who wish to have the hours applied toward ACHE Qualifying Education credit must self-report their participation by logging into their MyACHE account and selecting ACHE Qualifying Education Credit.If you need assistance with registration, please contact the education department at education@gha.org or 770-249-4529.
This series is complimentary for all GHA members.
The fee is $1,180 for non-members.
Part One: Thursday, May 16 (10:00 a.m.-noon ET)
Part Two: Thursday, May 23 (10:00 a.m.-noon ET)
Part Three: Thursday, May 30 (10:00 a.m.-noon ET)
Part Four: Thursday, June 6 (10:00 a.m.-noon ET)
Speakers
Bev Cunningham, RN, MS
Toni Cesta, Ph.D., RN, FAAN
Course Curriculum
Utilization management has evolved to be much more comprehensive and encompasses elements of resource management as well as denials management. Physicians, are, at times, left out of this important process but must be included in any contemporary case management model that includes utilization management.
This four-part series will introduce the role of utilization management in today’s contemporary case management models. The webinars will focus on the role of RN case managers, social work case managers, and other department staff who collaborate with the role of the RN utilization manager. An example of the day in the life of a utilization case manager will also be shared.
The series will address challenges for implementing the utilization management process and will include tips and strategies for streamlining the process. There will also be an emphasis on the importance of collaboration with physicians, the interdisciplinary team, case management department peers, and payers.
Lastly, documentation of utilization management will be discussed. This will include documentation in the medical record and the role of electronic utilization management software.
Continuing Education Credits
The Georgia Hospital Association Research & Education Foundation is an approved provider of nursing home administrator credits as a professional trade association in long term care under Ga. Comp. R. & Regs. 393-13-.02, (1) (a). Approved for 8 contact hours.
By attending Utilization Management Workshop Series: Best Practice Applications for the Hospital Setting offered by Georgia Hospital Association, participants may earn up to 8 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation. Attendees who wish to have the hours applied toward ACHE Qualifying Education credit must self-report their participation by logging into their MyACHE account and selecting ACHE Qualifying Education Credit.
If you need assistance with registration, please contact the education department at education@gha.org or 770-249-4529.