We’re excited to introduce several key enhancements designed to streamline your workflows, improve care coordination, and enhance overall efficiency. Below is a summary of updates most relevant to your role as a Case Manager.
1. New Calendar Integration
Overview:
A centralized calendar now allows you to view and manage both manual and system-generated events tied to your tasks and member milestones.
Key Features:
Create events with title, description, time, and participant selection (members or team).
View due-dated tasks and calendar events in a daily chronological layout.
Automatically track key actions like HRA submission, Care Plan completion and Submission of Care Plans.
2. Care Circle Tracking
Overview:
Track and manage each member’s formal and informal care team directly within the platform.
Key Features:
Update the member’s care team (add relationship with an existing member or create a new member to be added in your care team) via the “Member’s Care Circle” page in the Member Status form.
This page automatically captures guardians/conservators added during member intake.
Visualize the entire care circle under a dedicated tab in Member 360.
3. Provider Circle Enhancements
Overview:
Improved tracking of provider details involved in member care.
Key Features:
Update provider information via the “Member’s Providers” page in Member Status.
Auto-capture provider data from Member Intake Form (MIF).
View and manage providers within the Member 360 “Providers” tab.
4. Clinical Review Workflow Enhancements
Overview:
Simplified claim creation and better coordination following clinical reviews.
Key Features:
Receive automated notifications upon review completion by the Clinical Reviewers for your specific members.
Clinical Review sign-off triggers automatic claim generation (Fee-for-Service).
Configured to support HCPCS, modifiers, and time tracking.
5. ECM Eligibility Checklist
Overview:
Eligibility logic embedded into Outreach Forms to guide accurate enrollment decisions.
Key Features:
Checklist within Outreach Form helps determine ECM qualification.
System prompts status update if a member is ineligible.
Track eligibility via the “My Members’ Eligibilities” view.
6. Task Page Improvements
Overview:
Enhanced task management interface for better tracking and accountability.
Key Features:
Grid-style view for quick review of tasks in Member Status and Progress Notes.
“My Tasks” section for editing your open items.
Visibility into team tasks within the same member case.
Separate view for completed tasks with timestamps.
7. Member 360 & UI Enhancements
Overview:
Improved design and layout for easier navigation.
Key Features:
Visually separate tabs for quick access (Care Plans, HRA, Tasks, etc.).
Clearer view names and notification descriptions to reduce confusion.
8. Updated Categories and Descriptions for Notifications
Overview:
The notification system has been redesigned for better visual recognition and clarity. This change improves the speed at which users can process alerts and take appropriate action.
What’s Included:
Visual Enhancements
Notification icons updated for better identification (e.g., task alerts, reminders).
Improved Message Content
Descriptions rewritten to provide clear and concise information about the event.