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Implementing Care Management

This course is for System Architects who need to learn how to build applications with Care Management program in a new Care Management implementation.

In this course, participants will learn how to implement a Care Management Application and build out the utilization management program so that it meets site-specific process and connectivity requirements.

Prerequisites

What you'll learn

By the end of this course, you will be able to successfully:

  • Define the Care Management Application programs and processes
  • Explain the Utilization Management authorization request process
  • Create a Care Management implementation using the New Application Wizard
  • Describe how to map Care Management work and data classes to the new implementation
  • Modify the authorization request process to suit the client's requirements
  • Integrate key data sources needed by the authorization request process

Course Outline

  1. Course Introduction

    • Before you begin
  2. Creating a Care Management Implementation

    • Planning for a care management implementation
    • Building your care management implementation
  3. Configuring Authorization Requests

    • Configuring authorization request SLAs
    • Configuring eligibility checking
    • Configuring duplicate request search
    • Configuring automatic authorization
  4. Integrating Care Management Data

    • Integrating patient profile
    • Integrating provider and facilities data
    • Integrating clinical guidelines
  5. Course Conclusion

    • Course summary

Choose Your Format

Need help choosing the best format? Learn More.

  • Skill Level

    Intermediate

  • Duration

    1 day

  • Platform Version

    7.1

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