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1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Case Management – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Age of Patients Cared For
Newborn/Neonate (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Preschooler (3 - 5 years)
*
0
1
2
3
4
5
School Age Child (5 - 12 years)
*
0
1
2
3
4
5
Adolescents (12 - 18 years)
*
0
1
2
3
4
5
Young Adults (18 - 39 years)
*
0
1
2
3
4
5
Middle Adults (39 - 64 years)
*
0
1
2
3
4
5
Older Adults (64 - 79 years)
*
0
1
2
3
4
5
Elderly Adults (79+ years)
*
0
1
2
3
4
5
Skilled Environment
Acute Care/Hospital
*
0
1
2
3
4
5
Managed Care
*
0
1
2
3
4
5
SNF/Long Term Care
*
0
1
2
3
4
5
Home Health
*
0
1
2
3
4
5
Outpatient
*
0
1
2
3
4
5
General Skills
Written Communication Skills
*
0
1
2
3
4
5
Verbal Communication Skills
*
0
1
2
3
4
5
Basic Negotiation Skills
*
0
1
2
3
4
5
Job Related Computer Skills
*
0
1
2
3
4
5
Ability to Prioritize
*
0
1
2
3
4
5
Knowledge of Community Health Care and Vocational Services
*
0
1
2
3
4
5
Ability to Properly Maintain Records
*
0
1
2
3
4
5
Knowledge of Medical Billing Procedures
*
0
1
2
3
4
5
Ability to Work Effectively in All Situations
*
0
1
2
3
4
5
Ability to Assess, Plan, Implement and Evaluate Individual Patient Care Programs and Treatment Plans
*
0
1
2
3
4
5
Ability to Gather Data, Compile Information and Prepare Reports
*
0
1
2
3
4
5
Ensure Outcomes are Met within an Appropriate Length of Stay
*
0
1
2
3
4
5
Document All Client Encounters
*
0
1
2
3
4
5
Complete and Submit Billing Documentation as Appropriate
*
0
1
2
3
4
5
Identify and Provide Emergency Crisis Services as Necessary
*
0
1
2
3
4
5
Ability to Develop and Implement Action Plans for Health Centers to Improve Performance
*
0
1
2
3
4
5
Disability Review
*
0
1
2
3
4
5
Long Term/Short Term Disability Case Management
*
0
1
2
3
4
5
Workers Compensation Case Management
*
0
1
2
3
4
5
Telephonic Case Management
*
0
1
2
3
4
5
Pre Certification/Pre-Admission Certification
*
0
1
2
3
4
5
Catastrophic Case Management
*
0
1
2
3
4
5
Continued Stay Review
*
0
1
2
3
4
5
MCM-Medical Case Management
*
0
1
2
3
4
5
Discharge Planning
*
0
1
2
3
4
5
Criteria for Hospital Admissions
*
0
1
2
3
4
5
Intensity of Service - Diagnosis & Therapeutic Services
*
0
1
2
3
4
5
Discharge Screens - Specific Indicators of Patients Ability
*
0
1
2
3
4
5
Appropriateness of Care - Patients Ability
*
0
1
2
3
4
5
Diagnosis Related Grouping
*
0
1
2
3
4
5
ICD-10
*
0
1
2
3
4
5
CPT
*
0
1
2
3
4
5
SIMS - Interqual - Criteria for SSO Waiver
*
0
1
2
3
4
5
Milliman and Robertson Criteria
*
0
1
2
3
4
5
PPR - Prospective Procedure Review
*
0
1
2
3
4
5
PA - Physician Advisor
*
0
1
2
3
4
5
Prior Authorization
*
0
1
2
3
4
5
Utilization Review
*
0
1
2
3
4
5
Utilization Management
*
0
1
2
3
4
5
Ability to Gather Data, Compile Information and Prepare Reports
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*