Handling Ethical & Moral Dilemmas in the Claims Management Process


About this event

1 hour of Ethic credits to be provided for:
  • Nursing: RN, LPN, ARNP, CNA (nationwide)
  • Nursing Certifications: CCM nationwide
  • Adjuster: DE, FL, GA, MS, MT, NC,NH*, NM, OK, OR, TX, UT
  • CA Adjuster: Workers' Compensation Post-Designation
  • WA Adjuster: Claims Management (1 hour)
  • FL OT
  • AAPC: American Academy of Professional Coders
**Please note that the state of NH does not have an Ethics requirement. This course will be posted under the course category as general on your transcript"** 
Pending Course Approval:
  • Nursing Certifications: CDMS & CRC nationwide
  • FL OT
  • AAPC: American Academy of Professional Coders
  • Adjuster: AL, AK, ID, IN, KY, LA, MN, NV, RI
Course Objectives:
  • Define “ethics” and identify what constitutes ethical and unethical behavior or conduct
  • Define morals/morality and identify what constitutes immoral vs. amoral behavior or conduct
  • Review the CDMS and CCM code of conduct
  • Review case specific scenarios where ethical/moral issues are directly or indirectly involved in the claims management process
  • Discuss supportive measures case managers and adjusters can use to make the claims process easier to handle when ethical/moral issues are involved. 

About the presenter

Hayley Tidwell, BSN, RN, CCM
Hayley Tidwell, BSN, RN, CCM Image
Director of Clinical Education
Hayley proactively monitors One Call's most complex cases to deliver the right care at the right time throughout the life of the claim. Hayley leverages 20 years of experience as a physical rehabilitation nurse for brain, stroke, orthopedic and spinal cord injuries. She has more than 20 years of experience in the workers' compensation industry, including prior experience as a nurse case manager. Hayley delivers continuing education courses to claims professionals on complex issues that are impacting claims outcomes.

Professional Credentials: BSN, RN, CCM, Licensed by the Board of Nurse Examiner for the State of Texas - 1997 to present, Certified Case Manager - 2001 to present.

September 2019

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