Integrated Care Management & Care Coordination Excellence
Effective care management and care coordination are essential to keeping individuals engaged in care and out of crisis. Yet many organizations continue to struggle with inconsistent follow-up routines, fragmented data sharing, and limited visibility into care management performance—gaps that contribute to avoidable utilization, poor outcomes, and missed financial opportunities.
This track is designed to help organizations strengthen the operational backbone of integrated care. Grounded in North Carolina’s Tailored Plan requirements, this track focuses on care-planning standards, seamless hand-offs across providers, real-time data exchange, and performance oversight. Participants will learn how to design care coordination models that improve outcomes, reduce avoidable visits, and maintain compliance while supporting high-need populations more effectively.

Integrated Care Management & Care Coordination Excellence
What you will learn
- Tailored Care Management standards and expectations
- Whole-person care planning across physical, behavioral, and social needs
- Outcome-based metrics and performance dashboards
- Real-time data sharing to support coordinated care
- Standardized care transitions and follow-up routines
- Risk stratification, panel management, and compliance oversight
This Learning Track includes
- 22 Video Modules
- 27 downloadable resources
- 4 hours approx. video content
- 2 Interactive Tools
Unfortunately, you do not meet the criteria to register for this learning track. If you think this is an error please:
Learning Track Content
Module 1: Care Manager Core Functions & Competencies
Module 2: Peer Specialist Role Alignment
Module 3: Competency Framework & Job Aids
Module 4: Workflow Integration Guide
Module 5: Team Collaboration Protocols
Module 1: Data Element Inventory
Module 2: API & Exchange Standards
Module 3: Consent Management Workflows
Module 4: Audit Logging & Monitoring
Module 5: Integration Test & Validation
Module 1: Domain Integration Framework
Module 2: Multidisciplinary Contributor Map
Module 3: Care Plan Template & Tools
Module 4: Reassessment Triggers & Timeline
Module 5: Collaborative Review Workflows
Module 1: Follow-Up Timeframe Protocols
Module 2: Referral-Tracking & Notification
Module 3: Multi-Modal Outreach Strategies
Module 4: Handoff Checklist Design
Module 5: Performance Monitoring & Audit
Module 1: Outcome Measure Definition
Module 2: Dynamic Benchmark Configuration
Module 3: Dashboard Design Principles
Module 4: Data Integration & Refresh
Module 5: User Access & Customization
Module 1: Multivariate Risk Factor Design
Module 2: Tier Definition & Population Targets
Module 3: Role-Based Resource Mapping
Module 4: Panel Size & Workload Balancing
Module 5: Dynamic Re-Stratification Processes
Module 1: Governance Bodies & Meeting Cadence
Module 2: Compliance Milestone Calendar
Module 3: Escalation Triggers & Alert Protocols
Module 4: Oversight Dashboard Design
Module 5: Role & Responsibility Matrix
Experts
Deanne Cornette
Formerly Vice President, Strategic Development
Tampa Family Health Centers
