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ACM study plan

ACM · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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