Physician and Case Manager Collaboration: Aligning Case Managers, Physician Advisors and Emergency Department Physicians


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Physicians are key in case management departments that achieve optimal outcomes.  Certainly, the key physician roles are the physician advisor and the hospitalist.  This webinar will focus on these two roles specifically, as well as the roles of high volume admitters in general.

The role of the physician advisor in hospital case management is a varied role.  Not every hospital has an internal physician advisor.  If a hospital does not have an internal physician advisor, it usually has an external physician advisor.  Rarely are physicians prepared to this role.  Additionally, rarely are case managers or case management leaders prepared for implementing and/or collaborating with physicians in this role.  The collaborative role of the physician advisor and those in the case management department is one of the lynchpins to assist the department and practicing physicians to positively impact hospital outcomes.

The past twenty years hospitalists have been integrating into acute care hospitals with the initial goal of decreasing length of stay.  As the role of the hospitalist has evolved there has been an increased attention to collaboration with case managers and social workers to ensure not only a decreased length of stay, but compliance to federal and state regulations, as well as following contractual agreements with commercial payers

Why should you attend?

The success of any case management department is dependent on a robust and collaborative relationship between case management professionals and the physicians with whom we work.  These key stakeholders include physician advisors, hospitalists, ED physicians and many others. A lack of a working and effective relationship with these individuals can mean a lower achievement of the department’s outcomes as well as the outcomes of your patients.

Your ability to engage with these physicians is necessary for a truly working interdisciplinary care team.  Your skill set is this area is vital. 

What you'll learn?

Review of key stakeholders in physician and case manager collaboration:

  • RN case manager
  • Social work case manager
  • Physician advisor
  • Physician stakeholders

       1.Hospitalist

       2.ED physicians

       3.High volume admitters

  • Physician advisor role

       1.Job description   

       2.Critical strategies for working with both internal and external physician advisors   

       3.Auditing physician advisor activities

       4.PA role and Utilization Review

  • Committee Hospitalist role

       1.Specialized hospitalist roles

       2.Critical strategies for hospitalist and case management collaboration

  • Other physician roles and best-practice strategies for case management departments Ensuring compliance while working collaborating with physicians

       1.Conditions of Participation: Utilization management and discharge planning

       2.2 midnight rule

       3.Inpatient only list

       4.Alternative payment models, such as bundles payments

  • Rounding and the multidisciplinary team   

       1.The avoidable day process and physicians 

Who should attend?

  • Director of Case Management
  • RN Case Managers
  • Director of Social Work
  • Social Workers
  • Hospitalists
  • Physician Advisors
  • Directors of Nursing
  • Chief Medical Officers
  • Emergency Department Physicians

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