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.

Learning Outcomes

  • 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