Presented by

Sanofi Aventis

 Sponsored by

Sanofi Aventis

Thursday, February 2^nd, 2012

Dinner Presentation

6:00pm to 7:30pm

Registration begins at 5:30pm at Marriot Buttes

This presentation 1.0 CEU’s

Please Remember to Register Online prior to 2/28

After that time, online registration will be closed

Presented by

Phoenix Indian Medical Center

Sponsored by

CMSA Arizona

Thursday, January 5^th, 2012

Dinner Presentation

6:00pm to 7:30pm

Registration begins at 5:30pm

This presentation 1.0 CEU’s

Thursday December 1, 2011 – Thursday December 1, 2011

The Buttes A Marriot Resort

2000 Westcort Way
85282
Tempe
AZ

Map and Directions | Register

Description:

ENTRANCE FEE:  Unwrapped Toy to be presented at the Registration Desk

PRESENTATION: “Accountable Care Organizations: Balancing the Three Legged Stool” – Andre Abbate, M.D.

Dr. Andre Abbate M.D. is the Chief Medical Officer for Banner Plan Administration and Banner MediSun, Physician Advisor to Banner Hospitals, and well regarded pulmonologist. Dr. Abbate is intimately involved with the formation of the ACO and will share how the changes in healthcare reform will impact Case Management.

Sponsored by: CMSA-ARIZONA

The event will start on: 12/01/11 -

Registration Desk opens at 5:30. Dinner & Presentation begins at 6:00. (Due to the number of attendees, website registration ends 11/29. Late entry requests, please contact Kathy Singleton @ 602-577-9124 or email azvettern@aol.com.)

Register

“Accountable Care Organizations: Balancing the Three Legged Stool”

Thursday December 1^st, 2011

Andre Abbate M.D.

Chief Medical Officer for Banner Plan Administration,

Banner Physician Hospital Organization and Banner MediSun-a Medicare

Sponsored by

CMSA AZ

Thursday, December 1^st, 2011

Dinner Presentation

6:00pm to 7:30pm

Registration begins at 5:30pm

This presentation 1.0 CEU’s

Location:  The Buttes, A Marriot Resort (formerly The Wyndham)

2000 Westcourt Way  Tempe, AZ   602-225-9000

By Attending this learning session, participants will be able to:

• Identify the current economic challenges and how to keep them in perspective
• Explain the Steps to achieve success
• Be able to address current healthcare issues.

Fees: Prior to Event Members Free with Toy Donation ($20 without toy)

Non-members $15.00 with Toy Donation ($25 without toy) (Includes dinner and CEU’s) At the Door- Members $25.00  Non-members $30.00

Please note no refunds   Deadline 11/28/11

You can register online at CMSAAZ.com or Mail to:  CMSA AZ

Please make checks payable to CMSA AZ                     PO BOX 64041

Phoenix, AZ 85081-4042

If you have any questions, please call Laura Bachrach (623)252-6720

Date: Thursday, October 6, 2011.

Time: SIGN-IN/DINNER: 5:30 – 6:00p.

PROGRAM TIME: 6:00 – 8:00p.

Location: The Buttes, a Marriott Resort.

2000 Westcourt Way.

Tempe, AZ 85282

(602) 225-9000.

COPDTempe

This is a free event in honor of Case Management Week but **** You must register through the following link for this presentation***http://www.cmsa.org/CMAG/Workshop/tabid/673/Default.aspx

ESSENTIAL Job Functions:
Directs daily operations of the Department (Case Management, Utilization Management, Prior Authorization) including: budget preparation, hiring and training of staff, supervision of management staff, staff evaluation and performance appraisals. Assures completion of activities related to proper oversight and management of members through-out the network. Tracks/trends activities and outcomes to identify opportunities to improve service and quality of care. Under the direction of the VP of Medical and Case Management Services, develops, implements, and oversees the UM/CCM Program, Annual UM/CCM Work Plans, Annual UM/CCM Evaluations. Assures that the annual UM program descriptions, work plan and evaluations are prepared timely for the review of the VP, Medical and Case Management Services prior to submission to regulatory agencies. Achieves financial objectives by preparing an annual budget, approving appropriate expenditures, analyzing variances, and initiating corrective action. Develops and implements support tools and documentation to assist in Medical Management initiatives. Promotes compliance with all regulatory and accreditation standards including: AHCCCS, CMS, Department of Managed Health Care (DMHC), Department of Health Services (DHS), the National Commission of Quality Assurance (NCQA); serve as resource for other departments. Maintains department in a state of readiness and compliance for site visits from regulatory agencies. Serves as department representative during regulatory agency site visit. Responsible for developing and fulfilling corrective action plans related to identified deficiencies. Assures that Policy and Procedures are created or updated to include new benefits or standards and oversees the annual P&P update review with the Compliance Department. Facilitates internal committee structures by overseeing agenda and minute preparation, meeting notification and reporting on progress toward UM work plans. Provides utilization reports by collaborating with other departments for information. Collects utilization data, monitors and reports on key UM indicators and benchmarks, tracks and trends, conducts analyses and makes recommendations to improve results. Accountable for the successful implementation of the SCAN strategic plan initiatives related to the Medical Management infrastructure. This includes collaboration on interdisciplinary work teams to assure deliverables and due dates are met. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Contributes to team effort by accomplishing related.

· PREFERRED QUALIFICATIONS:
· AHCCCS/Medicare managed care background preferred. Bachelors in nursing preferred. Master’s degree preferred in healthcare administration, MBA or MPH. Certified Professional in Health Care Quality (CPHQ) desired. Through knowledge of NCQA standards and CMS regulations. Arizona licensed registered nurse or nurse practitioner required. Case Management Certification preferred. Bachelor’s degree required. Working knowledge of Milliman and InterQual criteria preferred. Strong verbal and written communication skills. Proficiency in MS Word and Excel.

To apply for these or any other positions, please visit careers.carenationalservices.com or contact me directly!

Steve Thornley, CSP, Senior Consultant

CareNational Healthcare Services

480-336-2526 | Direct

480-275-7070 | Mobile
800-974-4828 | Toll Free
888-892-1844 | Toll Free Fax
steve@carenationalservices.com
carenationalservices.com

The Manager of Concurrent Review has responsibility to supervise all Utilization Review Nurses for the busy medical management department. The Utilization Review Nurses perform medical on-site utilization review, initiates and coordinates discharge planning in acute/sub-acute settings for assigned facilities. Primary duties include: Supervising the Utilization Review Nurses – performing medical on-site utilization review. Initiating and coordinating discharge planning in acute/sub-acute settings for assigned facilities. Providing oversight of operational components for concurrent review program, providing leadership to clinical and non-clinical staff. Developing policies and procedures (desktops) and work plans as related to AHCCCS/CMS and updates annually. Conducting chart audits of staff to review appropriate and timely documentation; completes follow-up as necessary. Developing and maintaining training manuals for all concurrent review staff. Training staff when new staff begins and conduct follow-up, as needed. Implementing and maintaining inpatient data entry program that results in accurate and timely payment of claims. Ensuring daily bed reports are current and accurate. Conducting annual interrater reliability testing for concurrent review nurses and anyone using utilization criteria in decision-making. Developing corrective action plans for staff as appropriate.

Minimum Requirements:
Bachelors of Science in Nursing degree or equivalent experience required
5 years of Concurrent Review/Case Management experience, with management experience in managed care required. Medicaid (AHCCCS/Medicaid and Medicare Knowledge)
Current Registered Nurse license in the state of Arizona
Knowledge of Microsoft Office Programs including Outlook, Word and Excel

Preferred Qualifications:
CCM Certification preferred
To apply for these or any other positions, please visit careers.carenationalservices.com or contact me directly!

Steve Thornley, CSP, Senior Consultant

CareNational Healthcare Services

480-336-2526 | Direct

480-275-7070 | Mobile
800-974-4828 | Toll Free
888-892-1844 | Toll Free Fax
steve@carenationalservices.com
carenationalservices.com