Evolution of Case Management 2018 Edition

September 08, 2022

Evolution of Case Management

Wales Counseling Center is proud to announce the launch of our new Case Management training program!

This program is intended to familiarize case managers and other healthcare professionals interested in the field of case management with the revised knowledge framework adopted by the Commission for Case Manager Certification (CCMC) in late 2015. This new knowledge framework went into effect for the CCM Certification Exam in August 2016. More generally, the new knowledge framework indicates the areas of focus and most current knowledge needed for case managers in their work with clients, other healthcare professionals, and healthcare payors.

This eight module course introduces students to the new framework, including its similarities and key differences with the prior knowledge framework. Study of each new knowledge domain includes explanations of how concepts relate to the former framework and what modifications and new concepts have been introduced. Changes in the emphasis the CCMC places on various knowledge areas and functions are highlighted to allow case managers to understand the evolution of the profession.

The program has eight key learning objectives as listed below:

Objective 1:

Introduction to Case Management Develop a general understanding of the new knowledge framework, of certification and recertification requirements, of the case management profession and its philosophy and of the phases of the case management process.

Objective 2:

Quality & Outcomes Evaluation and Measurement Develop an understanding of “quality” in the healthcare context, including accreditation and quality indicators, of outcomes measurement, management, and reporting and of the role of case managers in quality improvement.

Objective 3:

Care Delivery Develop an understanding of the evolving roles and functions of case managers and other providers and of the various care and case management models and healthcare delivery systems across the continuum of care.

Objective 4:

Reimbursement Models Develop an understanding of various types of insurance and reimbursement and payment methods, including public, private and an emphasis on military benefit programs, as well as an understanding of managed care, cost containment, and utilization review/management concepts.

Objective 5:

Psychosocial Concepts and Support Systems
Develop an understanding of the range of topics related to mental and behavioral health as they relate to a client’s care, including an emphasis on cultural competency, on client education and empowerment and on challenging situations such as abuse/neglect, chronic illness and disability and end-of-life.

Objective 6:

Rehabilitation Concepts and Strategies
Develop an understanding of care processes, delivery systems, and reimbursement models in the rehabilitation context, including assessments, outcomes and devices and technologies particular to rehabilitation services.

Objective 7:

Regulatory and Legal
Develop an understanding of the key legal and regulatory requirements applicable to the practice of case management, including federal laws relating to patient self-determination, privacy, confidentiality, healthcare coverage, workplace safety and disability as well as general knowledge of the case manager’s role in risk management.

Objective 8:

Ethics and Codes of Conduct
Develop an understanding of the ethics and codes of conducts applicable to the case management profession, including both the fundamental ethical principles generally applicable in the healthcare setting and the specific ethical obligations of case managers.