For the Record
It is RiverSpring's web-based health record system, accessible via the internet or desk-based device.
What is CaseTrakker?
This must be completed every month for each eligible member.
What is the monthly care management outreach?
This team provides assistance with linking member's to community services, entitlement and conversion to Medicaid long-term nursing home.
Who is Social Work - Marc Frederic?
This is a list of tasks that need to be completed such as monthly notes, care management reviews and transition of care.
What is "My Work" or "Work Queue?"
The PCSP must be developed within this many days.
What is 15 days?
This team focuses on improving movement, assessing and reviewing adequate DME and home equipment.
Who is the Rehab Team - Joanne Orlando?
This CaseTrakker tab provides an overview of your member. It can include items such as the last PCSP, authorizations, hospitalizations, care management notes, etc.
What is the Facesheet?
The development of this is led by the member or designated representative. It is a living-breathing document of the member's goals, risks and services.
What is the Person Centered Service Plan (PCSP)?
She focuses on managing the A1C, appropriate utilization of medication for quality outcomes and education.
Who is Terry Renart - Diabetic Educator?
All increases in PCA or CDPAS are completed using this process in CaseTrakker.
What is the Care Management Review (CMR)?
This is any expression of dissatisfaction with any aspect of operations, activities, services or behavior of the Plan or its providers in the provision of services or benefits that does not amount to a change in scope, amount or duration of services.
What is a grievance?
She's in the community assessing complex wounds and ensuring best outcomes for our members.
Who is Chelseta Harding - Wound Care Nurse Manager?
The assessment, whose data drives or triggers most care management processes in CaseTrakker?
What is the UAS-NY?
The leader in Care Management is responsible for developing the PCSP in collaboration with the Member or Designated Representative.
This team supports the clinical team with authorizations, transportation, and coordination of services.
Who is Care Management Operations - Richard Rosen and Jack Nunez?