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Hospital Case Management Certification and Certificate Program Info

Oct 14, 2019

Hospital case managers work with patients, providers, and insurance companies in coordinating care plans. Those with enough experience can demonstrate their proficiency with the nationally recognized Commission for Case Manager Certification (CCM).

Essential Information

Certificate programs in hospital case management are aimed at working licenses medical professionals, such as registered nurses. Programs can be completed in less than a year and some colleges offer online courses in medical case management certification. Some programs limit enrollment. Relevant experience in the field is generally a strong determining factor for acceptance.

Program content examines the role of case managers in facilitating multidisciplinary collaboration of patient care and communication between the patient, insurers, and care providers. Practitioners learn to assist with decisions on level of care, referral services, and resource allocation. Case managers offer a greater understanding of the regulatory environment surrounding medical care and assess the quantity and quality of resources available to hospitals and patients.


Certification in Hospital Case Management

Hospital case management programs may consist of multiple courses or a collective of instructional modules. Students are introduced to the role of a case manager, insurance regulations, and legal limitations of a case manager's responsibilities. Topics covered may include:

  • History and advocacy of case managers
  • Case management best practices
  • Insurance and alternative finance options
  • Resource utilization management
  • Life care planning
  • Discharge planning

Employment Outlook and Salary Info

Medical personnel who complete a case management certificate program typically qualify to become hospital case managers. Specific figures aren't available for this position, but the U.S. Bureau of Labor Statistics (BLS) projects that from 2018 to 2028, employment opportunities for medical and health services managers, who mostly work in public and private hospitals, will increase by 18%. Other settings where a case manager can find employment opportunities include ambulatory, acute care, mental healthcare, and home care services. According to Payscale.com, the salary range for case managers was $29,000-$70,000 as of September 2019.

Continuing Education Information

Licensed nurses and medical care professionals may earn the CCM credential after meeting education and experience requirements, including one to two years working in the capacity of a case manager. Typically, licensed healthcare providers must complete continuing education courses to renew regulated licensure and voluntary certification.

Medical professionals wishing to gain CCM credentials in case management can enroll in a Certification in Hospital Case Management program. This program trains students in relevant topics such as resource management and life care planning.

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