CMGT-BC study plan

Map the full case management process - case finding, screening, intake, assessment, care planning, implementation, monitoring, evaluation, and closure - onto a single written patient scenario you invent yourself

Differentiate case management from utilization review, care coordination, discharge planning, and navigation in a side-by-side written comparison of at least four distinguishing criteria each

Outline the role boundaries and scope of practice of the case manager, listing at least six tasks and marking each as within independent scope, requiring supervision, or requiring referral

Define 25 core process and role terms (for example case finding, screening criteria, transition planning, and episode of care) in your own words without copying a source

Sequence the case management process steps for two contrasting scenarios (one acute episode, one chronic condition) and justify where the sequence diverges

Identify at least eight triggers or criteria that initiate case finding and screening, and state which patient populations each trigger targets

Draft a comprehensive assessment outline covering physical, functional, psychosocial, cognitive, financial, environmental, caregiver, and health-literacy domains

Write five patient-centered goals from a scenario you author, then score each goal against a self-built SMART checklist and revise any goal scoring below full marks

Construct three care plans for chronic conditions you select, each specifying interventions, timeframes, responsible discipline, and measurable outcome targets

Compare at least four levels of care and the criteria that justify moving a patient between them

Describe the roles of six interdisciplinary team members and specify what each contributes to a coordinated plan

Analyze five common barriers to care coordination and match each barrier to a concrete intervention strategy

Differentiate Medicare, Medicaid, commercial insurance, and managed care structures on eligibility, benefits, and case management implications

Explain prospective payment, diagnosis-related group payment, capitation, and bundled payment, and predict how each model changes case manager behavior

Apply utilization management techniques - preauthorization, concurrent review, length-of-stay monitoring, and readmission prevention - to a scenario you write

Identify funding sources and community resources available for post-acute, home-based, and social-support needs, and note the eligibility constraint for each

Walk through the denial and appeal process end to end, drafting the argument and supporting documentation for one denial scenario you construct

Assess readmission risk in a written case using at least six risk factors and select matching transition interventions

Build a discharge and handoff checklist that includes medication reconciliation, teach-back confirmation, follow-up scheduling, and a structured handoff format

Select outcome indicators for one condition, state how each is measured and benchmarked, and describe how the results would trigger a change to the care plan

Write two structured handoff scripts using a standard communication format and annotate where each element reduces information loss

Apply motivational interviewing and active-listening techniques by scripting a dialogue with a patient who declines a recommended service, labeling each technique used

Construct an advocacy action plan for a patient whose care is being delayed, identifying the escalation steps, the patient's rights, and the decision point for each step

Explain how health literacy, culture, language, and caregiver dynamics alter communication, and specify at least four adaptations to your own approach

Analyze a team conflict scenario and propose a resolution using a named conflict-resolution approach

Apply ethical principles - autonomy, beneficence, nonmaleficence, justice, and fidelity - to six original vignettes and justify each resolution

Differentiate negligence, malpractice, liability, and duty to act, and state how each applies to the case manager role

Explain privacy and confidentiality obligations, informed consent, advance directives, mandatory reporting, and antidiscrimination protections as they affect case management decisions

Describe fraud and abuse prohibitions relevant to referrals, incentives, and resource allocation, and identify the compliance step that prevents each violation

Resolve two ethical dilemmas using a stepwise decision model and document the reasoning trail

Re-teach your two weakest domains, identified from prior quiz data, by writing fresh summary sheets without consulting notes

Complete a 100-question timed simulation spanning all six domains and record the rationale for every answer

Review every missed or guessed item and write a corrected rationale plus the underlying principle that was misapplied

Assemble a single-page high-yield reference of process steps, payer rules, and legal obligations that you can restate from memory