ACM study plan
ACM · Give each week a clear focus.
8 weeks · About 6 hours per week
Case Management Concepts, Models, and Principles & Assessment, Planning, and Care Coordination
Map the stages of the case management process into a written workflow diagram with inputs and outputs at each stage
Differentiate at least four case management delivery models using a side-by-side comparison table
Apply a standardized biopsychosocial assessment framework to two written patient vignettes and flag every data gap
Define case management scope of practice and articulate role boundaries against nursing, social work, and utilization review functions
Your checkpoint
One-page model comparison matrix plus two completed assessment write-ups scored against a self-built rubric at 80% or higher
Assessment, Planning, and Care Coordination & Transition Management and Discharge Planning
Construct an individualized care coordination plan for a complex multi-chronic-condition vignette with measurable goals and timeframes
Identify at least six barriers to coordination in that vignette and prescribe a specific intervention for each
Explain the required elements of a safe care transition, including medication reconciliation, follow-up scheduling, and handoff content
Match patient acuity and needs to the appropriate level of care across the continuum
Your checkpoint
A full written care coordination plan for one complex case plus a transition-of-care checklist covering at least ten required elements
Transition Management and Discharge Planning & Resource Management, Reimbursement, and Payer Requirements
Build a discharge plan for a vignette with post-acute needs, documenting barriers, patient preference, and alternative options
Compare fee-for-service, per-diem, DRG, capitation, bundled, and value-based payment structures and state how each shifts case management incentives
Interpret payer requirements for prior authorization, medical necessity determination, and level-of-care criteria
Calculate comparative cost and length-of-stay implications for two post-acute placement options
Your checkpoint
A one-page discharge plan plus a reimbursement model comparison table containing at least two worked cost calculations
Resource Management, Reimbursement, and Payer Requirements & Ethics, Legal, and Regulatory Considerations
Trace a denial through the appeal and grievance process and draft a defensible appeal rationale for a mock case
Distinguish autonomy, beneficence, nonmaleficence, justice, veracity, and fidelity in written case scenarios
Identify legal and regulatory obligations including confidentiality, informed consent, advance directives, mandatory reporting, and negligence exposure
Analyze resource-allocation and conflict-of-interest dilemmas and articulate a stepwise resolution process
Your checkpoint
A mock appeal letter plus a timed 20-item self-authored ethics and reimbursement quiz with written rationale, scored at 80% or higher
Psychosocial, Behavioral Health, and Patient Advocacy & Ethics, Legal, and Regulatory Considerations
Screen for psychosocial, behavioral health, and social determinant needs using validated screening instruments and interpret the scores
Formulate advocacy actions for a patient experiencing a disparity, compromised autonomy, or an unsafe living situation
Apply motivational interviewing and de-escalation techniques to two behavioral health vignettes and write out the exchange
Integrate behavioral health treatment and community resources into an existing care plan
Your checkpoint
A case-based advocacy memo plus a community resource map listing at least eight services with eligibility criteria and referral pathways
Communication and Interprofessional Collaboration & Case Management Concepts, Models, and Principles
Write three SBAR handoffs for different transition points and confirm completeness against a communication rubric
Draft an interdisciplinary team meeting agenda that assigns roles and decision rights to each participant
Resolve a documented interprofessional conflict using a structured negotiation approach and script the dialogue
Explain teach-back, plain language, and health literacy strategies and apply them to a patient education sample
Your checkpoint
A set of three SBAR handoffs, a mock interdisciplinary team agenda, and a conflict-resolution script, each self-scored against a communication rubric
Quality, Safety, and Outcomes Measurement & Assessment, Planning, and Care Coordination
Select appropriate process and outcome measures for a case management program and justify each selection
Interpret readmission rate, length of stay, avoidable delay, and patient experience metrics to locate improvement opportunities
Apply a Plan-Do-Study-Act cycle or root cause analysis to a described case management process failure
Analyze aggregate performance data to identify outlier cases and propose follow-up action
Your checkpoint
A one-page quality improvement brief applying PDSA to a readmission problem, including baseline data, target, and measurement method
Case Management Concepts, Models, and Principles & Assessment, Planning, and Care Coordination & Transition Management and Discharge Planning & Resource Management, Reimbursement, and Payer Requirements & Psychosocial, Behavioral Health, and Patient Advocacy & Ethics, Legal, and Regulatory Considerations & Communication and Interprofessional Collaboration & Quality, Safety, and Outcomes Measurement
Complete two full-length timed practice exams under test-day conditions and record domain-level scores
Remediate the three lowest-scoring domains with targeted content review and re-testing
Recite from memory the core case management models, transition requirements, payer structures, and ethical principles
Compress all eight domains into a single rapid-review reference sheet
Your checkpoint
Two completed practice exam score logs with error analysis plus a finished one-page rapid-review sheet spanning all eight domains
Milestones
Week 2: Can produce a complete care coordination plan and transition checklist from a blank page in under 45 minutes without notes
Week 4: Scores 80% or higher on the ethics, legal, and reimbursement quiz and drafts an appeal letter that cites medical necessity criteria correctly
Week 6: Delivers three complete SBAR handoffs and a conflict-resolution script that an observer rates as clear and role-appropriate
Week 8: Scores 80% or higher on both full-length practice exams with no domain below 70%, and has a written remediation note for any domain still under target