Ethics
Any complaints received with management that pertain to neglect, abuse, or potential harm.
What is refer to DLP-21
These stakeholders need to be involved in development of the care plan and interventions.
Who is the member, family, caregiver, interdisciplinary healthcare team?
Name one function that is within the RN scope of practice.
What is performing assessments, creating a care plan, implementing and evaluating the care plan.
Goals developed with input from member, family/caregiver, barriers and interventions that relate to assessment results.
What are some requirements for the patient centered care plan?
Individuals with poor nutritional intake are suffering from which SDOH.
What is food insecurity?
Any perceived lapses in quality of care or care issues must be referred to this department.
What is the AZ Blue Clinical Quality and Accreditation Department (QM-001)
A care plan that includes member's needs, preferences and priorities when establishing goals.
What is a person-centered care plan?
Social worker care managers use this to guide their decision making in their practice.
What is code of ethics?
Physical, behavioral, cognitive and/or psycho-social screening tools, Mining of data resources, Health care practitioner referrals, Facility and outpatient services referrals, Member, family or caregiver referrals.
What are methods used to identify members in need of CM service.
Barriers—such as lack of transportation, insurance, or nearby providers—that prevent individuals from receiving timely and effective medical care, often leading to worse health outcomes.
What is poor access to healthcare?