URAC’s New Case Management Standards

 

Case Management 7.0 Educational Videos

To help your Case Management organization get up to speed with the new 7.0 standards, Tom Goddard, JD, PhD, the CEO at IHS and Sue DeMarino, RN, MSHS, CPHQ, RNC, IHS Chief Clinical Officer, have created a series of short videos that discuss each of the CM-specific Focus Areas and highlight the major changes and standards that have been added or removed. We believe these summaries will be very helpful to you as you prepare for your reaccreditation.

The three videos cover three Case-Management-Unique focus areas: 

  • Case Management Staff Qualifications, Training and Responsibilities (QTR)

  • Case Management Program (MM)

  • Workers’ Compensation Case Management Program (WM)

 

Case Management Staff Qualifications, Training and Responsibilities (QTR)

This conversation covers professional Case Manager credentials and competencies, and how to evaluate competencies; professional Case Manager orientation and training; supervision of professional case management staff including certification and other requirements of the supervisor; and roles and responsibilities and training of case management support staff.

Read the transcript here.

 

Case Management Program (MM)

This section covers the case management program description; monitoring and evaluation; reporting and analysis of program performance metrics; screening and assessment process including medication review, assessment, and interventions; member case management plan development and ongoing monitoring; and case closure.

Read the transcript here.

 

Workers’ Compensation Case Management Program (WM)

This section covers the case management program description; monitoring and evaluation; reporting and analysis of program performance metrics; screening and assessment process including medication review, assessment, and interventions; claimant/injured worker case management plan development and monitoring process; and case closure.

Read the transcript here.