TCM/CM/IW
The Care Management Operations Director works directly with teams on policies/procedures, escalated member issues, and other departments to ensure member and team needs are met. Who is the Care Management Operations Director?
Becky Arnette
Within TBS, member documents and clinical notes can be entered within a members homepage. What section of TBS are documents uploaded into?
Clinical Documents
NC Tracks information is confidential and may only be used in the performance of ones’ job. Upon entering username and password a onetime password will be sent. What method is the onetime password sent to the user?
Trillium mobile number via text message
Upon searching for a patient, what step must be completed before being able to access the record?
Declare Patient Relationship
You have received a lot of information in the last couple of weeks. On a scale of 1-5 how overwhelmed are you feeling (1 being least overwhelmed and 5 being the most overwhelmed).
1- Calm Seas: You’re smooth sailing. Everything feels manageable, organized, and under control. No stress clouds on the horizon. 2-Light Breeze: You’re feeling a little pressure, but nothing major. A few tasks might need attention, but you’re handling things just fine. 3-Choppy Waters: You’re juggling quite a bit. It’s not unmanageable, but you’re definitely noticing the strain and needing to stay focused. 4-Strong Winds: You’re feeling pulled in multiple directions. Tasks are piling up and you’re working hard to keep up. Stress is definitely present. 5-Total Storm Mode: You’re fully overwhelmed. Everything feels urgent, stacked, or chaotic. You need support, space, or a reset to get back on track.
The NC Innovations Waiver is designed to provide an array of community based services and supports to promote choice, control and community membership. Details of the Innovation Waiver and services that are included can be found in what Clinical Coverage Policy?
Clinical Coverage 8-P
Provider Concerns/QOCs are entered when an internal Care Team member has a concerns about how a provider is implementing services and entered into TBS. What section of TBS are Provider Concerns entered into?
Provider Network
A members Medicaid administrative and residential county can be viewed within NC Tracks. What is the Administrative county?
County the Medicaid is out of
Name one piece of information needed to complete a patient search.
First and last name, date of birth, social security number
Your training team is here to support you through training completion, answering questions, processing information, setting up organization and tracking, and providing mentorship prior to support members. Who is your assigned training coordinator?
Tamara Meredith or Karen
In Care Management, the journey across a member's continuum of care follows the iREACH model. What does iREACH stand for?
Identify, Reach, Engage, Assess, CarePlan/Coordinate, Health Management
Member's current and past service authorizations are housed in TBS. What section of TBS are service authorizations housed in?
Authorizations
An IN-Innovation Indicator can be viewed within the eligibility details by selecting specific date ranges. Are members receiving NA Innovation Waiver services required to have an active IN-Innovation Indicator within the eligibility tab of NC Tracks?
Yes
To log in to NC HealthConnex you will need to have a username and password. Have you received this information via email?
Yes or No
What is your job title and what are you most excited about within your role or working at Trillium?
We are excited to have you!
The Registry of Unmet Needs (RUN) is the waitlist for the NC Innovations Waiver. It is a list of members who are eligible to receive the NC Innovations Waiver but are waiting for funding from the State Legislature to become available. How does someone apply to be added to the RUN?
Smartsheet form located on Trillium's Website
When uploading documents into the Clinical Documents tab, what naming convention should be used to title documents?
Fist Initial. Last Name. Effective Date/Date Signed
Details regarding Tailored Care Management can be viewed within NC Tracks. Name one Tailored Care Management detail that can be viewed within NC Tracks.
Tailored Care Management eligibility and Tailored Care Management Provider.
Medical history and information from recent patient visits depending on physician and insurance can be viewed within NC HealthConnex. Name one piece of information that can be viewed in NC HealthConnex.
Medications and allergies, vital signs and lab results, procedures, encounters and appointments
Lunch is sometimes the best part of the day! If you could teleport anywhere for lunch today, where are you going?
Sounds Delicious
Innovation Wavier services provide community-based alternative to institutional care for persons who require an Intermediate Care Facility for Individuals. Name one eligibility require for Innovation Waiver services.
IDD or medically related diagnosis, limitations in 6 major activity areas (self care, receptive and/or expressive languages, capacity for independent living, learning, mobility, and self direction/economic self-sufficiency), and need waiver services in order to keep living at home or move out of an Intermediate Care Facility for Individuals with IDD group home/center.
TBS is a software platform utilized by Care Management and Care Teams. Name one way TBS is utilized for.
Review/save clinical documents, entering clinical notes, review claims, TARs and service authorizations, complete provider searches, enter provider concerns, review insurance information, review member demographics.
NC Tracks is a multi-payer Medicaid Management Information System for the North Carolina Department of Health and Human Services. Name one primary reason Care Management utilizes NC Tracks
Verification of Medicaid eligibility and enrollment, verification of IN-Innovation Indicator, verification of member Medicaid and Residential county, verification of Tailored Care Management provider and eligibility.
NC HealthConnex is a secure, digital network that connects health care providers across the state to share patient medical records, medications, allergies, diagnoses, and lab results. Name one reason NC HealthConnex is important.
Comprehensive patient care, state compliance, direct messaging
If you could add one wellness feature to your workday (nap pods, chair massages, meditation corner, yoga), what would it be?
Always take time throughout your work day to ensure you are well.