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Medicare Chronic Care & Transitional Care Nurse Specialist
Announcement from Marie 2026 - watch video please
Meet the New Teachers and Course Content - Must Watch - as of 3/2026 (73:31)
NEW~ Module 1 - Medicare Care Management, TCM, RPM & QUIZ
VIDEO announcement from Marie about the NEW Updated Courses (22:46)
Outline 2026 Care Manager - Medicare CCM, RPM, TCM program
Nursing Communications - Medicare Chronic Disease Management - 1 video (62:09)
Yes, let's talk Codes
Module 2 - Case Manager, Nurse Navigation - Medicare CCM Workflow
Module 2 - Smart Goals in Care Management, Know 3Ms, Nurse Navigation with Quiz (98:49)
Mandatory - document has some good points
Module 3 - Key teaching with Marie's new AI processes. Interactive Care Coordination
Top Teaching on Patient Interaction Success for the Remote Nurse (72:11)
Mandatory - This is one of the most important Documents for all Case Managers
Video of Tina and Laura doing RPM - MUST Watch CM/Medicare with HTN patient (24:00)
Video Teaching Diabetes with Tina and Laura - Must watch (22:57)
Medication list and Scenario Practice - EMPLOYERS Ask these questions
REVISED List of Medications - Nurse Reviewer, Admissions/Discharge Planning - Interview questions often come from this medication list
Must see practice cases - work 1:1 with Becca RN and Hope LPN
Case 1 A (Sue Redman) - Care Management, Telehealth or Care Coordinator
Case 2 A - Nancy Thomas - Transitional Care Management Call/Case
Work Live 1:1 with Becca RN or Hope LPN - Telephone or Zoom, you choose
Becca RN or Hope LPN - Live Practive 1:1 Calls - Sign up
Module 4 - Case Management, Nurse Navigation - Nursing Foundations
Moving Data, Remote Patient Monitoring and Hospital-At-Home (34:47)
Mandatory - please review
Module 5 - TRC - Transitional Care Management, Case Management .....
Moving patients through the system and ultimately to home. Options in Remote Nursing (35:38)
6/11/25 - PLEASE READ - MANDATORY info - NEW Facebook GROUP -
Please see new group for everyone in the course to join - check weekly
HEDIS Course - New Instructions
MUST OPEN if you want HEDIS
READ PLEASE - Make sure you join our group for the new students- In your first lesson is a link and CODE- you must write down the code as I will ask for this. Thanks so much
Mandatory - Most of this video is still relevant even now. Please watch (92:51)
Lecture 1 A / Active Listening - Getting our Patients to listen and take action
Lecture 1 B / Chronic Care in America - The Medicare Chronic Care Program
Lesson 2 A / Learn to be a Remote Care Manager for Medicare Patients
Lesson 2 B / Great Review articles on Chronic Diseases / Managing as a Care Manager
Lesson 3 A / Telephonic Care Management for Elderly Patients
Lesson 3 B - Video- Teaching with Dan - Throughcare Computer program (19:54)
This skill Required for Case Managers
Learning Motivational Interviewing
Lesson 4 A - Review Chronic Conditions to assist with Patient Teaching - Flyers
Lesson 4 B / EMR - EHR and you, The Chronic Care Nurse (69:36)
Lectures 5 A / The Elderly Brain - A review for you
Lesson 5 B / Wellness exam Medicare's AWV
Lesson 7 - Live Video Zoom / lesson (40:26)
Lesson 8 - Practice CCM - hands-on the Care Manager software (27:10)
Hope and Marie ..Job Interviews with Marie! Mandatory (36:35)
Wellness Coach
Motivational Interviewing the Diabetic Patient - Nurse Rose and Marie - 2024 (61:09)
Let's go back to the basics - Short lesson
MUST watch and understand the Annual Wellness Visit (49:07)
This is a must- Please watch this: The Power of Listening
Optional, Our 3-week Series - The Nurses Guide to Motivational Interviewing -
2nd Meeting - Recorded - GREAT Conversation with the nurses - Next case practice is below video (98:15)
3rd and final Recorded - Finishing up our MI/OARS Series - Please watch (89:54)
Zoom Meetings ****
** Zoom Meeting- Resumes, Jobs and More (86:10)
What Employers want from you? Zoom meeting (92:27)
5 tips to land that job! Need to know ..... (46:40)
ZOOM Workshop - Interview Prep (94:52)
MANDATORY: DO not skip
Let's meet Deb (18:50)
Motivational Interviewing - Health Coach Cheyenne put this together for us
Mandatory RPM- Care Simple ** MANY Questions on your test are from this video and info
RPM Lesson with the Care Simple Team & Marie - Hope (101:34)
Care Simple HELP PAGE - GREAT info here
Live Training on the Care Simple Software!!!!
RPM - REMOTE Patient Monitoring - MUST do this
MUST WATCH- CHF and Remote Patient monitoring , TINA and Laura (20:54)
New Training on CareCo Software System - Mandatory
CareCo computer software systems, AI for the Case/Care Manager (45:07)
Now you can practice on the CareCo AI software
Health Coaching for Licensed Nurses- Required-Mandatory
Health Coaching for Licensed Nurses (31:22)
Nurse Rhonda's Hypertension-Cholesterol Education and menus
Nurse Rhonda's Diabetes Teaching and food menu
Nurse Rhonda's Wellness Coaching Tips
Section 3
Watch a practice with CCM Software - Mandatory (51:18)
Annual Wellness Exam - CCM - VIDEO - Mandatory
Lesson 11- Mandatory Zoom Meeting Software Review - Q & A session (51:51)
Interview tips - 4 short Videos, Mandatory
Optional - Bonus Video - How to Dress for that interview. Men and Women Edition -
Section 4 - 1 A - RPM/HEDIS/CCM - Health Coaching
Mandatory, Coaching Toolkit - Take a look and scan the pages briefly - Great resource
Optional - GREAT info, Health Coaching Example
MANDATORY - Resumes - Samples of Remote Nurse Templates
Do I need to Learn EXCEL? FREE Course- So many employers appreciate a basic understanding
RESUMES, Instructions - Samples and Templates (27:12)
MANDATORY - PLEASE READ - Everyone
Many are mandatory, if optional it will say on the link title
DO not skip- Zoom meeting HOPE, TINA, Julie and Rosemary - Mandatory (95:45)
Optional, Great Reference Material
Annual Wellness Video- Must watch - MANDATORY
Mandatory- Revised Medications List 4/2026, Videos - Meetings
Zoom Meeting- JOBS - Tips on Interview Prep from the teachers. (96:52)
7/10/24 - MUST see Zoom Recording from JULY 10th. PACKED full of Goodies! (85:37)
Zoom Meeting from Feb 2025 - Care Plans/DX, Questions the Employers ask on an interview (94:25)
TEST *** CCM-RPM-Transitional Care - (new test as of April 2026)
Now offering CEs for nurses who complete the course after May 1st 2026 - 30 CEs
DO not skip- Zoom meeting HOPE, TINA, Julie and Rosemary - Mandatory
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