Message Workflow
CCMD Workflow
Workflow
Appt Workflow
Call Center Leadership
100

What is the response timeframe for a non urgent message?

What is ``

100

When an adult member calls with chest symptoms, what do you do?

What is use the Chest Pain CCMD Upfront script?

100

What is the correct call closing statement?

What is call back with questions/concerns or either variation?

100

Member tells your their appt preference is ASAP, what do you do next?

What is record 'this Week' (without probing) or you may ask: Were you hoping for something today or the earliest we have available this week?

100

How many TSR senior managers do we have at the Vallejo Call Center

What is 3?

200

What is the response timeframe for urgent member message?

What is by this time tomorrow or the next business day if on a Friday-Sunday?

200

An adult member states they have a cough, fever, sore throat and later mentions chest pain while coughing, you should?

What is Ask NOTHING, open the Chest Pain CCMD script and process accordingly?

200

Is it ok to offer an Advice Nurse outcome when there are no appts available?

What is No, send an appt request message?

200

Member tells your their appt preference is next/first available or doesn't have a preference, what do you do next?

What is ask: were you hoping for something this week or next week? (Do not probe further, record their response)

200

What is the first names of all the TSR senior managers?

Who is Jenalyn, Kimberly and Chryl?

300

What is the response timeframe for urgent clinical messages?

What is as soon as possible or within 4 hours if member is asking for specific time frame?

300

When a member with Abdominal Pain answers Yes to any of the 'Immediate Transfer to the CCMD Que' questions, what information should you obtain and document in the call notes?

What is Member's current location, phone number with area code, Alone or not alone?

300

When should you provide empathy during your call?

What is immediately after symptoms are stated?

300

If the member is empaneled with a PCP/GYN/Ped Dr, should we ask the caller which facility/location they want to receive the care at?

What is no, book the appt at the members assigned location unless the member asks for another location or the booking outcome directs you to check a specific location?

300

What is the first name of the Ops Director at the Vallejo call center?

Who is Micah?

400

When do you ask pharmacy info when sending a message?

What is when in the medication script?

400

If the wait time for CCMD is greater than 1 min or the hold time for the CCMD exceeds 3 mins, what is your next step to process the call?

What is Start at the section labeled Immediate transfer to the Advise Nurse Emergency que and get the nurse?

400

When an adult member only states, "My shoulder hurts," should you ask a clarifying question to determine which script to choose?

What is Yes, this way you know which script to choose based on whether there is an injury?

400

What appts don't require for you to ask for member preference?

 What is appts directed by CCMD/Pharmacy, Travel (departure dates greater than 6 weeks) Wellness Coaching, COVID vaccines and Optometry appts?

500

What are the 3 items you must summarize when sending a message for 1st party callers?

What is the clinician name, facility and dept?

500

After you have the CCMD on the line what is the next thing for TSRs to immediately start doing?

What is search for any today appts?

500

What needs to be confirmed for a caller calling in without the MRN for full service?

What is the phone #, complete address, DOB, last 4 of SSN, PCP name or email on file?

500

Can the AACC cancel appts that are booked in a Specialty Dept?

What is Yes if the system allows you to?

Note: The AACC does not book, reschedule, or cancel any appts from the surgeries tab.

500

What is the first name of the Regional Director of all 3 call centers?

Who is Elizabeth?

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