Free Healthcare Case Management Course

Healthcare Case Management

Beginner level 3.0 learning hrs

Healthcare case management training links assessment, care planning, transitions, insurance, and ethics. Enroll in this free course to follow coordinated workflows and make sounder care decisions for people and teams and review.

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Skills you will gain

Case Management Process

Biopsychosocial Assessment

Care Plan Development

Discharge Planning

Care Transitions

Utilization Review

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Key Highlights

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About this course

This free healthcare case management course connects clinical, social, and administrative needs into one coordinated plan. This free course begins with the case manager's role in hospitals, payer settings, and communities, then explains the US healthcare system, Medicare, Medicaid, and interdisciplinary teamwork. You will connect biopsychosocial assessment, risk screening, SMART goals, documentation, and individualized care plans so each decision has a clear reason.

The learning path then follows a person through discharge planning, warm handoffs, home health referrals, utilization review, prior authorization, and claim appeals. You will also study HIPAA, informed consent, mandatory reporting, social determinants of health, behavioral health, caregiver support, and measures such as readmissions and cost. These care coordination foundations help you identify the workflow or ethical boundary to study next.

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Get noticed by top recruiters

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Globally recognised

Land your dream job

Course outline

Understanding Case Management Foundations and the US Healthcare System

In this module, you'll learn the definition and purpose of case management, the case manager's role in hospital, payer, and community settings, the interdisciplinary care team, the structure of the US healthcare delivery system, Medicare and Medicaid basics, and managed care organizations.

Building the Assessment and Care Planning Process

In this module, you'll learn the case management process, biopsychosocial assessment, screening tools and risk stratification, SMART goal setting, individualized care plan development, prioritizing interventions, and documentation standards.

Coordinating Care Transitions Across Settings

In this module, you'll learn care coordination principles, discharge planning, transitional care models, coordinating skilled nursing and home health referrals, managing warm handoffs, preventing avoidable readmissions, and communicating with caregivers during transitions.

Navigating Health Insurance and Reimbursement Systems

In this module, you'll learn Medicare and Medicaid structures, utilization review, InterQual and MCG criteria, prior authorization workflows, benefits verification, value-based care models, and managing claim denials and appeals.

Applying Legal and Ethical Standards in Practice

In this module, you'll learn the NASW Code of Ethics, the CCMC Code of Professional Conduct, HIPAA privacy requirements, informed consent, confidentiality and mandatory reporting, advance directives, and scope-of-practice boundaries.

Addressing Psychosocial Needs and Social Determinants of Health

In this module, you'll learn the biopsychosocial-spiritual model, screening for social determinants of health, behavioral health integration, supporting clients with substance use disorders, cultural competence, caregiver support, and community resource referrals.

Measuring Outcomes and Driving Quality Improvement

In this module, you'll learn outcomes measurement, key quality indicators like readmissions and cost, CMS quality reporting programs, evidence-based practice, auditing documentation, program evaluation, and caseload management.

Advancing Your Case Management Career

In this module, you'll learn the CCM and ACM certification pathways, continuing education requirements, CMSA standards of practice, care coordination technology tools, telehealth-enabled case management, and building a professional development plan.

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Healthcare Case Management

3.0 Hours

Beginner

Get free course content

Master in-demand skills & tools

Test your skills with quizzes

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Frequently Asked Questions

What does the Healthcare Case Management Course teach first?

You begin with case management foundations, the case manager's role, interdisciplinary teams, and the US healthcare system, including Medicare, Medicaid, and managed care organizations.

How does the course explain a biopsychosocial assessment?

The course connects biopsychosocial assessment with screening tools, risk stratification, SMART goals, and documentation so you can see how findings inform an individualized care plan.

What will I learn about care transitions?

You will study discharge planning, transitional care models, warm handoffs, and referrals to skilled nursing or home health, with attention to caregiver communication and readmission prevention.

Does this healthcare case management training cover insurance workflows?

Yes. Lessons address utilization review, InterQual and MCG criteria, prior authorization, benefits verification, value-based care, and the steps used for claim denials and appeals.

Is the Healthcare Case Management Course beginner-friendly?

It is designed as a foundation. You can start with no stated case management experience and build from core roles and systems to assessment, coordination, ethics, and quality improvement.

What legal and ethical topics are included?

You will review HIPAA privacy, informed consent, confidentiality, mandatory reporting, advance directives, scope-of-practice boundaries, and professional conduct standards from NASW and CCMC.

How does the course address social determinants of health?

It covers screening for social needs, the biopsychosocial-spiritual model, behavioral health integration, substance use support, cultural competence, caregiver needs, and community referrals.

Can I learn how case management quality is measured?

Yes. The quality module covers readmissions, cost, CMS reporting, evidence-based practice, documentation audits, program evaluation, and caseload management for outcome review. This supports focused practice.

Does the course discuss case management technology and telehealth?

The final module introduces care coordination technology tools and telehealth-enabled case management, then places them within professional development and service workflows. This supports practical review of outcomes.

What can I study after this free healthcare case management course?

You can use the course map to choose deeper study in care coordination, utilization management, psychosocial support, quality improvement, or the CCM and ACM certification pathways.