The system you use to enter PTO/Flex for initial approval.
What is WorkForce Management?
Holds self and others accountable for meeting or exceeding results.
What is Driving results?
A disease in which the body's ability to produce or respond to the hormone insulin is impaired resulting in abnormal metabolism of carbohydrates and elevated level of glucose in the blood and urine.
What is Diabetes?
Our members are able to get select medications and supplies for free through this program.
What is CPW (Co Pay Waiver)?
The system we complete all our CM documentation when speaking with members.
What is HRS? Healthy Return System
You can take up to 6 hours a month, if approved by WFM and your manager.
What is Flex Time?
Treats everyone with respect, dignity and courtesy, appreciates both similarities and differences with colleagues.
What is Trustworthy?
A respiratory condition marked by spasms in the bronchi of the lungs, causing difficulty in breathing. It usual results from an allergic reaction or other forms of hypersensitivity.
What is Asthma?
If a member has more than 5 medications this type of referral would be indicated.
What is Polypharmacy?
These cases are open for 30 days or less.
What are Short Term Cases?
You only enter this time off in People soft.
What is PTO?
Improving lives, and communities, simplifying healthcare, expecting more
What is Anthems Mission?
This the most common type of heart disease. It happens when the arteries that supply blood to the heart muscle become hardened and narrowed. This is due to the buildup of cholesterol and other material called plaque on their inner walls.
What is Cornary Artery Disease?
This has to be open, (active) so it can feed correctly through to CVS for CPW.
What is a trigger?
We should be making these cases a priority, if these questions (4) have not been addressed after Tiering a member a 2/3.
What are QIM (Quality Improvement Measure) questions?
If you are going to be more than 15 min late, early departure or a call out you should notify who?
Who are WFM and your Manager?
To be the most Innovative, Valuable and inclusive partner
What is Anthems Vision?
We can refer members to this Vendor if they would like tobacco cessation?
Who is Share Care?
We call our Vendor to confirm member has complete RAT to be eligible for CPW.
Who is share Care?
This has to be completed within 30 days of engagement and every year (365 day)
What is Acuity Strat?
This has to be submitted every 2 weeks to so you can get PAID!
What is my time sheet?
Address Customer and stakeholder needs with empathy, Acts in the best interest of all customers and stake holders.
What is Committing to those we serve?
We make a difference and impact our member lives every day!
Who are we!! PHCs!!
To ensure the CPW date is good, we go to what tab to ensure the CPW referral date is after the last case activation date.
What is the Case History Tab?
This system is used as our primary source to educate our members on calls.
What is Healthwise?