From the Trenches: The Case Manager's Perspective on Implementing an Improved Process for Care Coordination
Timeslot: Friday, March 13, 2020 - 8:45am to 10:45am
Session Type: Jump Start Session
Room: Colorado Ballroom B - Convention Center Level 3
Embark on a quick journey of the trials and tribulations of implementing a demonstration project and hear client stories illustrating program successes. Judith will share her experience with a Medicaid demonstration project that provided her ambulatory clinic an opportunity to review their ability to identify high-risk clients and provide more efficient and coordinated care between nurse case managers, behavioral health practitioners, social workers and physicians in managing high-risk clients. Leave with key strategies for risk stratification in an ambulatory population and an understanding of the COACH model for case management.
Understanding the benefits and limitations of risk stratificaton for identifying high need/high cost patients
Eliciting and supporting a patient's goals for more impactful care management
Incorporating steps to build and manage an efficient weekly Interdisciplinary Care Team Meeting for improved care coordination