Seminar Details

Understanding Managed Care: UM/CM/DP

2-Day Class Session plus 2-Day Onsite Practicum

32 Contact Hours

Course Description

Newly updated, this dynamic training program by Miraflor & Associates was created to provide an in-depth learning experience in utilization review, case management, and discharge planning processes. The program will enhance the newcomer’s ability to enter the field of managed care with a strong foundation. The course provides two days of classroom study of the concepts of utilization review, case management, and discharge planning, and an experienced-based understanding during two days of on-site practicum. Miraflor & Associates is pleased to be on the cutting edge of managed care training with this innovative program.

Four key topics will be covered:

• Managed care concepts
• Utilization review process
• Case Management process
• Discharge planning concepts

Our unique program includes:

• Two classroom days of lecture, group discussion and exercises.
• Two onsite practicum days at a local host hospital.
• The opportunity to practice skills and apply new knowledge immediately.

Course Objectives

The objectives of this practical training program:

• Discuss managed care and insurance concepts.
• Describe the utilization review process.
• Explain and apply utilization criteria, using standard utilization review documentation.
• Describe the case management process.
• Explain discharge planning concepts, including screening, criteria, and process.
• Perform a discharge planning assessment.

Students who are successful in this program will have a strong fundamental knowledge of certain managed care processes and will have acquired many valuable hands-on skills. This experience should improve employment potential in a marketplace that requires experience to get started. Clinical experience is an important component in the equation.

Prerequisites

1.  All students enrolling in this program must have at least 2000 hours (1-year full-time, 2-years part-time) of clinical practice as a Registered Nurse, Licensed Practical / Vocational Nurse, Medical Doctor, or allied health care professional (PT, OT, ST, MSW, LCSW, Chiropractor, etc.)

2.  In order to successfully complete this program, all students must participate in the onsite practicum on the final two days of the series. Because of this, Miraflor & Associates requires that clear copies of the following documentation be provided no later than the first day of the program:

• Current and valid professional (or paraprofessional) license issued in any U.S. state
• Current and valid CPR card
• Proof of current Health Insurance coverage
• Current negative TB skin test, or physician documentation

3.  Effective November 1, 2004, JCAHO is requiring a background check of all staff, students and volunteers who provide care, treatment or services to patients. Due to the nature of the onsite practicum, all students who participate in this seminar are subject to this new JCAHO standard. This background check includes, but may not be limited to, criminal history, Social Security verification, and OIG name search. Once you complete the registration for this course (see Fee section below), Miraflor & Associates will contact you regarding appropriate Disclosure and Privacy Act information and obtaining your authorization to proceed with the background check.

If you have questions about any of these items, please contact Miraflor & Associates for additional information.

Course Plan

Day 1 - Utilization Review

Day 2 - Case Management

Day 3 - Discharge Planning/Onsite Practicum

Day 4 - Onsite Practicum
 

NOTE: Attendance and participation for all four days is required in order to receive CEH credit for this seminar. No partial credit will be given.

Additionally, we offer preceptorship training for additional hands-on practicum to any who have successfully completed this seminar. Eight (8) contact hours would be earned for each day completed. Contact Miraflor & Associates for additional information and fees.

Dates, Times and Locations

ID #	Date	Day	Time*	Location
7805	May 5-8	Mon-Thu	9:00a-5:00p	Diamond Bar, CA
7807	July 21-24	Mon-Thu	9:00a-5:00p	Diamond Bar, CA
7809	September 22-25	Mon-Thu	9:00a-5:00p	Diamond Bar, CA
7811	November 10-13	Mon-Thu	9:00a-5:00p	Diamond Bar, CA

* The exact date and time of the onsite practicum will be announced no later than the first day of the program. Although all efforts will be made to hold the onsite practicum on the final two days of the program, we may be forced to reschedule the practicum date for any number of reasons to accommodate our host clients.

Fee

$695.00

**Important--Please read** Due to the nature of this training program, Miraflor & Associates requires pre-registration, a completed background check form (prerequisite #3 listed above), and full payment at least 10 business days prior to the desired program start date, unless otherwise authorized by Miraflor & Associates. Absolutely no walk-ins will be accepted for this seminar.

See Special Discounts on the Registration Information page for additional details and discounts.

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