Case Management Skills

Requested by *

Recruiter Email ID *

First Name *

Last Name *

Phone Number *

Today's Date *

Your Email Address *

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Hospital *

Occupational health *

Insurance company *

Health maintenance organization review department *

HMO utilization review call center *

Home health *

Hospice *

Managed care service provider *

Long-term car *

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Familiar with Milliman guidelines *

Familiar with InterQual criteria and computer software *

Familiar with Medicare guidelines *

National Patient Safety Goals *

Patient/family teaching & education *

Awareness of HCAHPS *

REGULATING AGENCIES:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

CMS: Centers for Medicare & Medicaid Services *

OSHA: Occupational Safety & Health Agency *

Department of Health *

The Joint Commission *

HIPAA: Health Insurance Portability & Accountability Act *

Disability management *

Worker’s compensation *

Data abstraction *

Discharge planning *

ASSESSMENT EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assesses resource utilization *

Cost management *

Diagnosis *

Past/present treatment course & services *

Prognosis *

Goals *

Treatment & provider options *

Prior authorization reviews *

Continued stay reviews *

PLANNING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Collaboration with client/family & members of the healthcare team *

Identification of immediate, short-term & ongoing needs *

Develops appropriate and necessary case management strategies *

Discharge planning *

EVALUATION EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Pre-certification review *

Concurrent utilization review *

Retrospective utilization review *

Benefits eligibility review *

Drug utilization review *

SOFTWARE PROGRAMS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

MeDecision *

TILE *

OASIS *

INPATIENT BASED SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Universal precautions *

Cardiac arrest/CPR *

Use of rapid response teams *

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Newborn / neonate (birth-30 days) *

Infant (31 days-1 year) *

Toddler (ages 2-3 years) *

Preschool (ages 4-5 years) *

School age (ages 6-12 years) *

Adolescent (ages 13-21 years) *

Young adult (ages 22-39 years) *

Adult (ages 40-64 years) *

Older adult (ages 65-79 years) *

Elderly (ages 80+ years) *