Beyond Basics of Case Management Boot Camp, Part 3-2024 Beyond Basics Case Mgt Part 3 Presentation

2024 Beyond Basics Case Mgt Part 3 Presentation

Pdf Summary

The document discusses the importance of collaboration between physicians and case managers within a healthcare setting. It emphasizes the key stakeholders involved in this collaboration, such as RN case managers, social workers, physicians, and hospitalists. The roles and benefits of a Physician Advisor are highlighted, focusing on support for hospitals and practitioners in providing appropriate care while avoiding delays and excessive costs. The American College of Physician Advisors and the National Association of Physician Advisors are noted as valuable resources.<br /><br />The document also delves into the challenges and outcomes of Physician Advisors, discussing the need for collaboration, compliance management, and education on utilization management and revenue cycles. It outlines various Physician Advisor models, emphasizing the importance of internal advisors for optimal collaboration and credibility with the medical staff. There is a detailed exploration of the roles and functions for different Case Management Specialty Positions, such as Discharge Planning Specialists, Access Point Case Managers, Transitions Case Managers, Transfer Center Case Managers, and Audit and Appeals Specialist.<br /><br />Additionally, the document touches upon engaging physicians in case management functions and the importance of choosing wisely in medical care decisions. It discusses the hospitalist specialty, its history, goals, challenges, and the need for an interdisciplinary approach with case management staff. The roles and functions of Emergency Department Physicians, High Volume Admitters, and different Case Management positions are explored.<br /><br />The document provides a comprehensive overview of the roles, challenges, benefits, and strategies for effective collaboration between physicians, hospitalists, and case management staff in a healthcare setting to ensure optimal patient care outcomes and operational efficiency.

Keywords

Physician collaboration

Case manager collaboration

Healthcare stakeholders

Physician Advisor roles

American College of Physician Advisors

National Association of Physician Advisors

Utilization management

Physician Advisor models

Case Management Specialty Positions

Interdisciplinary approach