Centene Values and Behaviors
This core value can be defined as "Pushing past fear and uncertainty to make the best possible decision."
Courage
If you are documenting the max attempt for the round of outreach, what must your documentation include in the text?
#MaxAttempt at the beginning of your documentation
What note type should be used when scheduling an SAI?
This core value can be defined as "Approaching every interaction as an opportunity to learn."
Curiosity
If member is in an Engaged Status and a SH ISP has been completed, what should the Contact Reason be in the member's outreach?
Coordination of Care
Which form is required before submitting SAI for medical necessity?
Form 2601
Fill in the blank. "We do what's right, not what's ____."
Easy
If the member is in a Monitored Status and SH ISP has not been completed, what should the Contact Reason be in the member's outreach?
Person Centered Service Plan
What work list item must be created prior to assessment in order for offline mode to work?
In Person Visit
Each other
If member is enrolled in CCM, how often should a member's chart be reviewed?
At the required contact frequency based on their level.
What note type should be used to document an SAI no-show?
FSM Cancellation Note
This core value can be defined as "Setting clear goals, being transparent about outcomes, and inviting feedback to foster growth."
Accountability
If a member has opted out of electronic communication, how do you handle the 2nd outreach attempt?
Call on another day/time and document in a separate outreach.
For a regular SAI (non-MDCP), how many days do you have to complete the SH ISP following assessment?
5 business days