Case managers are needed in all areas of healthcare delivery when meeting the needs of patients and families. Healthcare professionals (RNs, MDs, RT, LVN, social workers) are eligible to become certified Case Managers. This course delivers training to become a case manager. Topics covered: Essentials of Case Management, Physical & Psychological Factors: Introduction to Clinical Pathways/Practice Guidelines, Insurance Lines & Health Benefits Plans, Legal Responsibilities, Social Work Responsibilities, Disability Management, Mental Health and Substance Abuse, Advanced Illness Management, Active Duty Military and Veterans, & Student Presentation of Case Studies. Course is 9 full day class sessions, plus a case study project presented over one full day; an 11th day is scheduled for presentations when class exceeds 15 students.
DUE TO POPULAR DEMAND, THE COURSE WILL NOW BE OFFERED YEAR-ROUND, DURING EACH OF THE FOUR QUARTERS.
NOTE: Summer 2023 classes will be offered via live Zoom remote delivery format. Zoom class sessions will be held on Saturdays, 8:00 AM to 5:00 PM (PST), from 7/08/23 -9/09/23, with one class scheduled on
Friday, 9/08/23. Students must have a Zoom account to participate.
This program offers 72 BRN CE hours and 72 Contact Hours.
This course provides 72 Contact Hours. Units/CEUs: Family & Preventive Medicine: 9 units; Registered Nurses: 72 hours re-licensure credit.
Contact Hours are rewarded for the completion of the following criteria:
- Final grade of Pass/70% or higher
- Full (100 %) attendance is required for CEU credit, no partial credit is permitted.
- Students must meet all class requirements, including submission and presentation of the final case study, and
- Course must be taken for either a Letter Grade or Pass/No Pass grading option.
The instructors for this course have no conflicts of interest to disclose.
This course was last updated in 2023, Content is reviewed and updated as needed but no longer than 3 years. The expiration date for this course is December 31, 2026.
Other Credits: BRN: 72 CE hours.
Note: Required for Specialized Certificate in Case Management. Completion of this course prepares qualified candidates for the Certified Case Manager (CCM) designation examination, offered through the Commission for Case Manager Certification. For additional information, contact Debbie Ortuño at firstname.lastname@example.org.
Course Number: FPM-40226
Credit: 9.00 unit(s)
Related Certificate Programs: Case Management
+ Expand All
7/8/2023 - 9/9/2023
Synchronous web-based class meetings that are scheduled to meet online at published times (time/date).
Over 25 years as an RN with managed care experience, community and hospital level senior level management experience. Experience with State and Federal government programs. Certified as a Case Manager (CCM) with experience and expertise in program development, care management request for proposal (RFP) submissions, marketing, case management technology, payer and community relations and all facets of case management operations. Tonya has a Master’s Degree in Jurisprudence with a concentration in healthcare and hospital law.
Tonya is committed to the advancement of case management as a specialty area of practice and has a passion for the field of health literacy. Tonya is presently the System Director of the Integrated Care Management team at Sharp Healthcare.
Merlynda De Lira received her BSN from Loma Linda University School of Nursing in 1997. In 2016, she obtained a dual Master’s degree in Business Administration and Nursing, with a focus in health care administration from the University of Phoenix. Merlynda brings 24 years of nursing experience, including over 17 years of case management experience within health plans, managed care organizations, acute care hospitals and skilled nursing facilities. Her previous roles include prior authorizations, denials, and appeals case management, leading a team of outpatient case managers to assist patients with complex medical and social issues, and as the Director of Case Management and Social Work at Sharp Grossmont Hospital, the largest acute care hospital in the east San ...Read More
Taya spent the first eight years of her nursing career working in both inpatient and outpatient oncology. Through her inpatient oncology experience, she developed a passion for providing high quality end of life experiences for patients and their families. Three years ago, Taya moved away from the bedside to develop the Advanced Illness Management service line at Sharp Memorial Hospital, which focuses on providing palliative care services to patients with a chronic or terminal illness. Taya is passionate about sharing her knowledge and experience in advanced illness management.
Shakeba DuBose has practiced health care law for over 17 years. Shakeba began her legal career as an assistant attorney general representing the Ohio Department of Medicaid in provider audit and beneficiary appeals and she also provided counsel to the Ohio Minority Health Commission advising grantees of their legal obligations as recipients of grant funding for health disparity educational programming. Shakeba later joined Ohio’s premier Medicaid managed care plan as their first associate general counsel serving as a generalist advising executives and staff on regulatory matters and leading the company’s contract management team. In 2013, Shakeba established The DuBose Law Firm, a boutique health law practice that provides legal and compliance services to health care profess...Read More
Stacie Elamparo has been an RN for over 25 years, specializing in mental health and substance abuse. For the past 21 years, she has been in case management leadership roles in both the hospital and managed care settings.
She is currently the Director of Case Management & Social Work at Sharp Memorial Hospital & Sharp Mary Birch Hospital for Women and Newborns. She leads a team of over 60 staff in the Case Management, Utilization Review and Social Work departments. Under Stacie’s leadership, her previous team at Sharp Mesa Vista Hospital received Sharp HealthCare’s prestigious Pillar Award for significantly reducing denied days, resulting in a $2.3 million increase in revenue. During her tenure at Aurora Behavioral Health and Sharp Mesa Vista Hospital, Optum awarde...Read More
Brook Feerick, RN, CCM, CLCP has been a registered nurse for over 30 years. Brook began her career as a bedside nurse in orthopedic trauma and neurological injury. She advanced to neonatal intensive care where she worked for 10 years and eventually advanced to leadership and unit management. Brook transitioned to case management in 2000 and began working with persons who had been injured on the job, with a focus on catastrophic case management. Cases include spinal cord injury, brain injury, burn trauma and multiple trauma cases. Brook continues her work as an independent case manager for various insurance companies and independent parties including Paradigm Management Systems, an outcomes-based catastrophic case management organization. Brook also wo...Read More
Mia A. Wade, MSN, RN, CCM
Mia Wade has been a nurse for 29 years. She has served in a variety of roles and settings within the field of case management over the last 27 years. Her experience and expertise include both the payor side of case management and hospital-based case management. She has served as a case manager, manager, and director at one of the largest Health Maintenance Organizations (HMO) in Ohio. She held a management position within a Workers Comp Case Management company. Mia is currently a Utilization Management Nurse/Case Manager for the Surgical Intensive Care Unit (SICU) and for surgical patients in the Progressive Care Unit (PCU) at the Louis Stokes Cleveland VA Medical Center. She has served in this position for 12 years. Her case man...Read More
Judi McQueen has worked in different types of healthcare as a social worker and case manager for over 25 years, both in the acute care and skilled nursing settings. She is currently working as a Social Work Case Manager at Sharp Memorial Hospital on the trauma unit, coordinating care and facilitating discharge planning for trauma and neurological patients. Over the years, she has helped patients and families deal with a multitude of different healthcare related problems such has physical disability, drug and alcohol abuse and treatment, mental health issues, access to healthcare for immigrants, homelessness, poverty, and aging along with the health and social conditions that accompany the geriatric population. She is active in the self-governance council at Sharp Memorial Hospital and...Read More
Case Management: A Practical Guide for Education and Practice 4th
ISBN / ASIN: 9781496384256
You may purchase textbooks via the UC San Diego Bookstore.
No refunds after: 7/8/2023.
Case Management: A Practical Guide for Education and Pr
actice 4thby Powell/Tahan
ISBN / ASIN: 9781496384256
No refunds after 7/08/23.
Summer 2023 classes will be offered via live Zoo
m remote delivery format. Zoom class se
ssions will be held on Saturdays, 8:00 AM to 5:00 PM, f
rom 7/08/23 - 9/09/23, with one class scheduled on Fr
iday, 9/08/23. Students must have a Zoom acco
unt to participate.
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There are no sections of this course currently scheduled. Please contact the Healthcare & Behavioral Sciences department at 858-534-9262 or email@example.com for information about when this course will be offered again.