CMSA National (1CE) – Collaboration in Action: Winning Strategies for CM & UM Teams
Virtual EventREGISTER HERE! Join us for the upcoming webinar Collaboration in Action: Winning Strategies for CM & UM Teams. 1 CE - RN, CCM, CDMS, CNLCP Effective utilization management is a cornerstone of modern healthcare, serving as a key strategy to balance high-quality patient care with the imperative to control rising costs. By systematically evaluating the medical necessity, appropriateness, and efficiency of care, utilization management ensures that patients receive the right care, at the right time, in the right place. When leadership implements this tool effectively, these practices improve care coordination, reduce unnecessary services, and promote evidence-based treatment pathways. The result can be a healthcare delivery system that supports better clinical outcomes, enhances patient satisfaction, and reduces avoidable expenditures. Utilization Management is a function of case management practice that serves not only as a cost-containment tool but also as a driver of improved patient-centered care, providing a model for transitions of care within the healthcare system. Objectives: 1. Differentiate between case management and utilization management roles. 2. Identify key effective leadership tools to improve the utilization management processes. 3. Demonstrate the latest utilization management knowledge and strategies. Presenters: - Dr. Ronald Hirsch, MD, FACP, CHCQM, Vice President of the Regulations and Education […]
