SBT
Who?
CgX
Member Visits
Bits and Pieces
100
What two things can an OSN use to decide if a member qualifies for SBT?
Nursing Judgement and RPM score
100
A facility wants to know a member’s benefits. Where do you direct the facility?
Customer Service
100
Where should you start your day in CgX to get your workload?
My Work Screen
100
Always verify ______ and ________ with the member.
Phone number and address
100
Where are the weekly staff meeting notes housed?
OSN Sharepoint Site
200
Which OSN enjoys going to any live concerts, even if she is not familiar with the band?
Liza Ferguson
200
A facility has lots of billing issues and they come to you. Who should you direct them to?
Provider Relations
200
What screen is available in CgX to enter discharge dates?
Current Authorization Screen
200
Which OSN eats, breaths, sleeps, and lives golf?
Anita McGrew
200
Which OSN can often be found traveling to watch her son's hockey games?
Amber LaZelle
300
What does the OSN do for the member if he/she declines SBT?
The OSN will make a CM referral if member is not in case management yet.
300
A member has lots of billing issues and they talk to you. Who should you direct them to?
Their sales agent
300
Which OSN was a floor nurse but broke her leg playing soccer? She then found herself as a CM so she could work while she recovered.
Chantee Yenginer
300
Always check _______ before giving the member their OSN Packet.
Plan type
300
Where can an OSN find her hospital metrics?
HSO sharepoint site under reports
400
When "closing" a case in CGX and the member has been referred to SBT, what does the OSN choose for the discharge disposition?
DC Home-no referral needed
400
Which OSN would you ask if you wanted to go wine tasting?
Karen Pingelton
400
Where can the OSN find the RPM score in CgX?
IMP screen
400
For your home decorating needs, which OSN would you seek?
Amanda Francis
400
Which OSN enjoys making yummy pies and spending time with her grandkids?
Kim McNeese
500
Name three things in under fifteen seconds that SBT can do for a member.
Reconcile meds, availability and competency of caregivers, safety, mbrs general well being, interact with the doctor, verify doctor appts, verify understanding of discharge instructions, etc.
500
A member has multiple complaints about their surgeon and questions whether it is negligence. Who should you direct them to within Humana?
Quality Department
500
What does CgX stand for?
Clinical Guidance Exchange
500
When first entering a member’s room, after saying Hello, what should you say?
Introduce yourself as a nurse from Humana.
500
How many paid holidays do we get with Humana?
7
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