Oncology
Question: "Where can telephonic case managers locate the Symptom Management Toolkit?"
What is in the Quick Links section of HIP?"
This monthly report helps telephonic case managers identify members with frequent emergency room visits.
What is the ER utilization report
This principle of Motivational Interviewing involves the Nurse Case Manager understanding the client's feelings and perspectives without judgment.
What is Expressing Empathy?
Asking if others need anything when you have a moment, assigning blanks in ACMP, updating the case owner in HIP, answering POD calls quickly, and sharing memes to maintain connection
"What does working as a team in your assigned pod involve
"This is the brief screening tool telephonic case managers use to identify potential depression in patients."
What is the PHQ-2?
What assessments must be addressed on all Oncology members
What is Oncology questionnaire, PHQ2, Advance Directives
Telephonic case managers often focus on members with these types of conditions, such as diabetes and heart disease, to reduce frequent hospitalizations.
What are chronic conditions/Core conditions
A key technique in MI, this involves asking open-ended questions to encourage the client to talk about their thoughts and feelings.
What is Open-Ended Questioning
Why is it important to answer POD calls quickly when able
To ensure prompt support and assistance to colleagues and quickly address the member on the phone, reduce callback database cases, improve engaged of reach PG."
"When should telephonic case managers administer the PHQ-2 to patients?"
What is during initial assessments and at regular follow-up intervals?"
This common side effect of cancer treatment can cause nausea and vomiting."
What is chemotherapy-induced nausea and vomiting (CINV)
"This process involves telephonic case managers working with multiple health care providers to ensure a member receives comprehensive and continuous care."
What is care coordination?
In MI, this term refers to conversations that a Nurse Case Manager initiates to increase a client's motivation and commitment to change
What is Change Talk?
How can telephonic case managers keep a connection within a virtual team?"
What is saying hello and sharing memes or other light-hearted content
"This condition is a common reason for a newborn's admission to the NICU program
What is premature birth prior to 37 weeks gestation
"Telephonic case managers often provide this type of support to cancer patients, which includes emotional, informational, and practical guidance."
What is psychosocial support?
BH/EAP
"Telephonic case managers often utilize this type of plan to help manage high-cost members' care and reduce unnecessary health care utilization."
What is a personalized care plan
What MI technique are these: No wonder you feel overwhelmed, I know you can do it, You have learned what works and what doesnt, I appreciate your honesty
What is affirmations
Question: "When should telephonic case managers bring cases to rounds?"
Answer: "When a case is particularly complex or requires multidisciplinary input.
What types of transplants does the home team manages
What is cornea and kidney transplants
Telephonic case managers rely on these documents to guide the care and management of cancer patients."
What are treatment guidelines
These steps are essential for telephonic case managers to complete a thorough discharge plan for high-cost members
"What are coordinating follow-up appointments, ensuring medication reconciliation, providing education on self-care, arranging home health services if needed, and confirming transportation arrangements
What healthy personality type naming convention is a person who presents as one who needs to compare, likes discovery, likes to investigate, loves knowledge and likes choices
What is Option seeker
What system is our gold start for verifying member's eligibility
What is Solutions Central
Name three programs or specialty areas that fall under the Carelon Umbrella
What are Carelon Health (Aspire), Carelon MBM and Carelon Rx