Using the results of the chart audit and staff assessment, CAI develops a prescriptive learning plan designed to enhance the care management skills of the nursing and medical review staff. Our training programs are designed to increase productivity, improve interdisciplinary care management team outcomes, enhance and promote quality patient care that will result in a positive bottom line impact. Effective care managers require skills such as level of care assessment, UM review techniques, proactive management, referral to physician review, discharge planning, effective benefits management, reimbursement analysis, resource allocation and cost-benefit analysis. CAI provides training modules that address all of the above.
For hospital physician reviewers, CAI can provide a customized training program that is focused on improving the review process and outcomes. This training is provided by a CAI Senior Medical Director with extensive experience in the training of physicians in utilization and case management. This training addresses topics such as the art of utilization review, peer-to-peer review, the effective use of levels of care in the review process and an overview of regulatory requirements. |
