Name*
First
Last
Age Specific Care
Proficiency Rating
Frequency Rating
Newborn/Neonate (birth - 30 days) *
Newborn/Neonate (birth - 30 days) proficiency* Newborn/Neonate (birth - 30 days) frequency* Infant (30 days - 1 year) *
Infant (30 days - 1 year) proficiency* Infant (30 days - 1 year) frequency* Toddler (1 - 3 years) *
Toddler (1 - 3 years) proficiency* Toddler (1 - 3 years) frequency* Preschooler (3 - 5 years) *
Preschooler (3 - 5 years) proficiency* Preschooler (3 - 5 years) frequency* School Age Child (5 - 12 years) *
School Age Child (5 - 12 years) proficiency* School Age Child (5 - 12 years) frequency* Adolescents (12 - 18 years) *
Adolescents (12 - 18 years) proficiency* Adolescents (12 - 18 years) frequency* Young Adults (18 - 39 years) *
Young Adults (18 - 39 years) proficiency* Young Adults (18 - 39 years) frequency* Middle Adults (39 - 64 years) *
Middle Adults (39 - 64 years) proficiency* Middle Adults (39 - 64 years) frequency* Older Adults (64+ years) *
Older Adults (64+ years) proficiency* Older Adults (64+ years) frequency* Elderly Adults (over 79+ years) *
Elderly Adults (over 79+ years) proficiency* Elderly Adults (over 79+ years) frequency*
Settings
Proficiency Rating
Frequency Rating
Acute Care/Hospital *
Acute Care/Hospital proficiency* Acute Care/Hospital frequency* Managed Care *
Managed Care proficiency* Managed Care frequency* SNF/Long Term Care *
SNF/Long Term Care proficiency* SNF/Long Term Care frequency* Home Health *
Home Health proficiency* Home Health frequency* Outpatient *
Outpatient proficiency* Outpatient frequency*
Case Management Skills
Proficiency Rating
Frequency Rating
Written Communication Skills *
Written Communication Skills proficiency* Written Communication Skills frequency* Verbal Communication Skills *
Verbal Communication Skills proficiency* Verbal Communication Skills frequency* Basic Negotiation Skills *
Basic Negotiation Skills proficiency* Basic Negotiation Skills frequency* Job Related Computer Skills *
Job Related Computer Skills proficiency* Job Related Computer Skills frequency* Ability to Prioritize *
Ability to Prioritize proficiency* Ability to Prioritize frequency* Knowledge of Community Health Care and Vocational Services *
Knowledge of Community Health Care and Vocational Services proficiency* Knowledge of Community Health Care and Vocational Services frequency* Ability to Properly Maintain Records *
Ability to Properly Maintain Records proficiency* Ability to Properly Maintain Records frequency* Knowledge of Medical Billing Procedures *
Knowledge of Medical Billing Procedures proficiency* Knowledge of Medical Billing Procedures frequency* Ability to Work Effectively in All Situations *
Ability to Work Effectively in All Situations proficiency* Ability to Work Effectively in All Situations frequency* Ability to Assess, Plan, Implement and Evaluate Individual Patient Care *
Ability to Assess, Plan, Implement and Evaluate Individual Patient Care proficiency* Ability to Assess, Plan, Implement and Evaluate Individual Patient Care frequency* Ability to Gather Data, Compile Information and Prepare Reports *
Ability to Gather Data, Compile Information and Prepare Reports proficiency* Ability to Gather Data, Compile Information and Prepare Reports frequency* Ensure Outcomes are Met within an Appropriate Length of Stay *
Ensure Outcomes are Met within an Appropriate Length of Stay proficiency* Ensure Outcomes are Met within an Appropriate Length of Stay frequency* Document All Client Encounters *
Document All Client Encounters proficiency* Document All Client Encounters frequency* Complete and Submit Billing Documentation as Appropriate *
Complete and Submit Billing Documentation as Appropriate proficiency* Complete and Submit Billing Documentation as Appropriate frequency* Identify and Provide Emergency Crisis Services as Necessary *
Identify and Provide Emergency Crisis Services as Necessary proficiency* Identify and Provide Emergency Crisis Services as Necessary frequency* Ability to Develop and Implement Action Plans for Health Centers to Improve Performance *
Ability to Develop and Implement Action Plans for Health Centers to Improve Performance proficiency* Ability to Develop and Implement Action Plans for Health Centers to Improve Performance frequency* Disability Review *
Disability Review proficiency* Disability Review frequency* Long Term/Short Term Disability Case Management *
Long Term/Short Term Disability Case Management proficiency* Long Term/Short Term Disability Case Management frequency* Workers Compensation Case Management *
Workers Compensation Case Management proficiency* Workers Compensation Case Management frequency* Telephonic Case Management *
Telephonic Case Management proficiency* Telephonic Case Management frequency* Pre Certification/Pre-Admission Certification *
Pre Certification/Pre-Admission Certification proficiency* Pre Certification/Pre-Admission Certification frequency* Catastrophic Case Management *
Catastrophic Case Management proficiency* Catastrophic Case Management frequency* Continued Stay Review *
Continued Stay Review proficiency* Continued Stay Review frequency* MCM-Medical Case Management *
MCM-Medical Case Management proficiency* MCM-Medical Case Management frequency* Discharge Planning *
Discharge Planning proficiency* Discharge Planning frequency* Criteria for Hospital Admissions *
Criteria for Hospital Admissions proficiency* Criteria for Hospital Admissions frequency* Intensity of Service- Diagnosis & Therapeutic Services *
Intensity of Service- Diagnosis & Therapeutic Services proficiency* Intensity of Service- Diagnosis & Therapeutic Services frequency* Discharge Screens- Specific Indicators of Patients Ability *
Discharge Screens- Specific Indicators of Patients Ability proficiency* Discharge Screens- Specific Indicators of Patients Ability frequency* Appropriateness of Care- Patients Ability *
Appropriateness of Care- Patients Abilityproficiency* Appropriateness of Care- Patients Ability frequency* Diagnosis Related Grouping *
Diagnosis Related Grouping proficiency* Diagnosis Related Grouping frequency* ICD-10 *
ICD-10 proficiency* ICD-10 frequency* CPT *
CPT proficiency* CPT frequency* SIMS- Interqual- Criteria for SSO Waiver *
SIMS- Interqual- Criteria for SSO Waiver proficiency* SIMS- Interqual- Criteria for SSO Waiver frequency* PPR- Prospective Procedure Review *
Milliman and Robertson Criteria proficiency* Milliman and Robertson Criteria frequency* PPR- Prospective Procedure Review *
PPR- Prospective Procedure Review proficiency* PPR- Prospective Procedure Review frequency* PA - Physician Advisor *
PA - Physician Advisor proficiency* PA - Physician Advisor frequency* Prior Authorization *
Prior Authorization proficiency* Prior Authorization frequency* Utilization Review *
Utilization Review proficiency* Utilization Review frequency* Utilization Management *
Utilization Management proficiency* Utilization Management frequency* Ability to Gather Data, Compile Information and Prepare Reports *
Ability to Gather Data, Compile Information and Prepare Reports proficiency* Ability to Gather Data, Compile Information and Prepare Reports frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Certify your information* I certify that I have provided true and accurate information about my skills and experience to the best of my ability
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