Med Advantage Overview
CareAdvance Basic Naigation
CareAdvance Case Navigation
Workflow Processes
CareTN
100
Internal Website for BCBST enterprise

What is Web@Work?

100

The color of the banner bar in CareAdvance that indicates the production or (live) environment

What is blue?

100

UM cases are indicated by a blue suitcase icon.  CM and HN cases are indicated by this

What is a gold suitcase icon?

100

This is used to document a call with a provider. (Only answer your version of this question)

CM- What is MA Outreach Template?

HN- What is Provider Contact Log?

100

These members should be assessed for willingness to participate in the digital program

What is all members?

200

One of the 4 parts of Medicare that covers hospital stays

What is Medicare Part A?

200

Keystroke that will unlock a case in Care Advance

What is F5?

200

This CareAdvance feature is used to create a new case

What is CM Case Builder?

200
This has a goal, intervention, and outcome and is not used by the Health Navigators.

What is a care plan?

200

Secure messages in CareTN are indicated by this

What is a blue chat box?

300
Name that encompases all of the teams in Medicare Advantage including nurses, doctors, clinical assistants, health navigators, dietitians, social workers, etc.

What is MA Medical Management?

300

Like a bucket, assignments are housed in these

What are queues?

300

This field within the Case & Description tab of a CM case in CareAdvance correlates to how many hours you spend working in a member's case 

What is Stratification Level?

300

This template is used for initial contact with a member. (2 possible responses based on your role- only answer yours)

CM- What is MA Outreach Template?

HN- What is MA CC Template?

300

This text shortcut inserts the member's name automatically

What is .firstname?

400

Another name for CareTN

What is Wellframe?

400

This icon is used to house frequently used templates and assessments.  It acts as a shortcut.

What is the favorites icon or star icon?
400

This case phase indicates that all workflow requirements are met and you are actively helping the member

What is management phase?

400

Tasks should have this in the subect line to help with time managment

What is "Due MM/DD"?

400

To add an article, video, or resourse where the member can see it at any time, the user will do this

What is add a member instruction?

500

Inpatient stays, high-tech imaging, home health services, and some part B medication requests all require one of these.

What is a prior authorization?

500

This tab defaults to user tasks and is used to prioritize your day

What is My Work Assignments?

500

This action has to be completed before closing your case if there is another open CM case on the same member

What is make the other person primary?

500

Three places to potentially find a member phone number besides member dashboad

What is Previous Interactions in AW, calling the pharmacy, and calling the PCP office?

500

This is when users can send all members assigned to them a message at one time

What is group action?