Events

Entry Level Requirements: Short course

Certificate of attendance

Duration: 3-day

Purpose: The purpose of this course is to provide learners with an understanding of the knowledge and skills needed to perform the duties and functions of a clinical case manager.

Course Structure:

Part 1.

• History of Health Risk Management (managed care)
• Principles of Health Risk Management
• Insurance
• Health Economics
• Components:
• Health Risk Assessment
• Health Risk Management
• Health Risk Funding
• Application of Health Risk Management principles
• Legislative environment
• Trends in Health Risk Management
• Quality in health risk management

Part 2.

• History and Definition of Case Management
• Overview of Utilisation Management
• Utilisation Management Modalities – Coding, Benchmarks, Guidelines & Variances
• Level of Care Management and Discharge Planning
• The Case Management Process
• Case Manager Competencies
• Communication Skills
• Patient Advocacy
• Ethico-legal Considerations
• Clinical Case Study

Specific Outcomes:

Upon successful completion of this module the learner will be able to:

Explain the principles of utilisation management and case management and discuss the inter-relationship between the two.

Assess a patient, identifying any barriers to care, and then formulate a care plan that balances the care and cost considerations of the patient’s treatment.

Discuss ethico-legal considerations as they pertain to the practice of case management.

Cost:

IHRM member – R3 825.00 (VAT excl) R 4 360.50 (VAT incl)

Non-IHRM member – R4 500.00 (VAT excl) R5 130.00 (VAT incl)

Minimum 12 delegates