Care Coordination and Transition Management
Review/Certification Prep

Learn about coordinating patient care and managing patient transitions.

July 1, 2019 - September 4, 2019 | 30.5 contact hours


  • Strengthen your chances of passing the CCCTM certification exam offered by the Medical-Surgical Nursing Certification Board.
  • Improve patient outcomes and enhance access to quality care.
  • Help patients navigate the healthcare system.
  • Decrease hospital admissions and healthcare costs.

Nurses are integral and influential for helping patients navigate within and between healthcare systems. There is a significant need for nurses who can concentrate on care coordination and transition management (CCTM) activities due to the risk of negative outcomes (due to incomplete information exchange, misunderstanding, and missing key factors of strategic plans of care).

Coordinating patient care and managing patient transitions are part of different job responsibilities within nursing (e.g., navigators, care managers, discharge planners, or coordinators). All nurses have some connection to coordinating care or managing transitions of care for patients.

American Nurses Credentialing Center (ANCC)

In support of improving patient care, OnCourse Learning is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. - Focused CE Series

Focused CE Series combines live webinars with independent web-based study, creating a “virtual classroom” environment. Tackling complex initiatives, we break them into key topics, and bring nationally known experts right into the attendee’s home, office or facility. Learners go through a multiple week engagement with the same small group of peers, so they can share practices and questions together in an interactive “two-way” webinar experience from wherever they live or work. Between webinars, learners complete independent online study modules to reinforce and apply their new learning and prepare for the next session.



Traci Haynes, MSN, RN, BA, CEN, CCCTM, has been a nurse for over 30 years. Her nursing experience includes emergency nursing in a level 1 trauma center, labor and delivery nursing, clinical oversight for wound healing centers, and telehealth nursing. She recently served as the project manager and co-editor for the Care Coordination and Transition Management (CCTM) Core Curriculum of the American Academy of Ambulatory Care Nursing (AAACN).

Amy Lipsett, BSN, MHA, RN, ONC, CCCTM, is a Staff Development Nurse at Thomas Jefferson University Hospital. In her role, she guides staff nurses in providing optimal care to a population that includes orthopedic, trauma, and medical-surgical patients. Amy is responsible for developing and maintaining both staff and patient education. She enjoys writing nursing lessons and dabbling in legal nurse consulting.

Laura Tesch, MSN, BA, RN, CCCTM, is a Community-Based Case Manager for Aurora Health Care in Wisconsin. Previously, she was a clinical nurse specialist clinical instructor and preceptor. Laura was nominated as a teacher of the year at the University of Wisconsin, Milwaukee. She received awards for outstanding service and personalized care from St. Luke's Medical Center and celebration of excellence by Aurora Sinai Medical Center. Laura has shown dedicaton to patients, colleagues, students, and community partners.


AAACN is proud to endorse this Care Coordination and Transition Management Review/Certification Prep program.

AAACN Special Membership Rate: $370 per attendee (To obtain your special rate, click here to sign-in to the AAACN membership area. You will then automatically link to the Care Coordination and Transition Management Review/Certification Prep Focused CE Series web page. Not an AAACN member? Join today to be eligible to register at the member price!)



This educational activity is jointly provided by OnCourse Learning and AAACN.

Webinars must be attended in their entirety and the evaluation form must be completed.

The planners and speaker(s)/author(s) of this course have declared no relevant conflicts of interest that relate to this educational activity.

OnCourse Learning guarantees that the content of these educational activities is free from bias.

Cancellation and Refund Policy:

Phone cancellations must be confirmed in writing. Cancellations received four weeks prior to the start date of the series will receive a full refund of the registration fee. Cancellations received after four weeks and up to seven days prior to the start of the series will be assessed a $50 processing fee. Cancellations received seven days prior or “no shows” will not receive a refund. In the event that the program is cancelled, a full refund will be issued.


Contact Holly Daymude at 703-991-5256 or