What activity tracker type would you select for a social worker referral?
What is Case Discussion/Care Coordination?
100
What activities should occur before launching EVi?
What is check eligibility and enroll member?
100
What is the former name for TCM?
What is Welcome Home and Discharge Planning?
200
What members in your work queue require device monitoring by the CM versus the clinical support staff?
Member's with a priority score of >150 or a low priority score with dvm as a keyword?
200
How will the nurse receive a CCM referral?
Who is from her Supervisor/Manager?
200
T or F Referrals for BH are handled in EVI?
What is False?
200
Where does the nurse document when a member is on a temporary absence?
What is member details>demographics>add/edit phone or availability>temporary absence?
200
What opportunity must the nurse address on the first TCM call?
What is discharge planning implemented?
300
T or F You can not as a case manager adjust the reference line but you can adjust the weight threshold?
What is false?
300
After enrolling in the CCM program, who must the case manager send fulfillment to?
Who is the member and the provider?
300
What score in the AI scoring tool qualifies a member to be referred to the Advance Illness program?
What is > or = 0.40?
300
A member has been referred to the CAD/Diabetes program. The member denies having CAD and states he does have HF. What should the nurse complete to start managing this member under the HF platform?
What is Program details>Reject referral for CAD>Create manual referral for new program of HF?
300
For a TCM how soon must a call be placed to the member.
What is within 24 hours of notification.
400
What causes an alert to be created?
What is 3 consecutive days of weight gain or symptoms?
400
When the case manager is successful in reaching a newly assigned CCM member, what is the first step she must complete in ICUE? and where is this completed?
What is "Promote Member" located in Program Details?
400
A member is actively getting cancer treatment for a qualifying cancer diagnosis. Which Complex Medical Condition program do you refer them to?
What is Cancer Support Program (CSP)?
400
Where do you find the HCC score in ICUe
What is Member details>Care Details/Work Queue?
400
How many UTRY's must be completed before a TCM can be closed?
What is 4?
500
How do you submit an assignment when you cannot resolve an issue with Telehealth?
What is Assignment and Alerts tab>Assignment Type: Device Administration>Descriptor: Notification of Technical Issue>Due Date: Current date>Priority:High>Work Queue: Device Resolution For Specific Region>Complete Note (Type:Member; Subject Type: Administrative)
500
Access EVI and select the mandatory assessments to be completed in 30 days.
(Trainer Validated)
500
Demonstrate how to enter a BH referral in ICUE.
(Trainer Verified)
500
What platform in ICUE do you use to access EVi?
What is member program?
500
The member states, post discharge, that they do not have any discharge instructions to review. How many days out should the case manager schedule to reach back out to the member?
What is within 1-3 business days or as consumer requests?