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Medical Surgical RN Checklist
Case Manager Skills Checklist
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I hereby certify that all information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
Core Skills:
Written Communication Skills
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Verbal Communication Skills
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Basic Negotiation Skills
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Job Related Computer Skills
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Ability to Prioritize
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Knowledge of Community Health Care and Vocational Services
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Ability to Properly Maintain Records
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Knowledge of Medical Billing Procedures
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Ability to Work Effectively in All Situations
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Ability to Assess, Plan, Implement and Evaluate Individual Patient Care Programs and Treatment Plans
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Ability to Gather Data, Compile Information and Prepare Reports
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Ensure Outcomes are Met within an Appropriate Length of Stay
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Document All Client Encounters
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Complete and Submit Billing Documentation as Appropriate
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Identify and Provide Emergency Crisis Services as Necessary
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Ability to Develop and Implement Action Plans for Health Centers to Improve Performance
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Section Divider
Experience With:
Disability Review
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Long Term/Short Term Disability Case Management
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Workers Compensation Case Management
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Telephonic Case Management
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Pre Certification/Pre-Admission Certification
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Catastrophic Case Management
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Continued Stay Review
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MCM-Medical Case Management
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Discharge Planning
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Criteria for Hospital Admissions
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Intensity of Service- Diagnosis & Therapeutic Services
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Discharge Screens- Specific Indicators of Patients Ability
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Appropriateness of Care- Patients Ability
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Diagnosis Related Grouping
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ICD- 9-CM
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CPT
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SIMS- Interqual- Criteria for SSO Waiver
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Milliman and Robertson Criteria
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PPR- Prospective Procedure Review
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PA- Physician Advisor
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Prior Authorization
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Utilization Review
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Utilization Management
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Ability to Gather Data, Compile Information and Prepare Reports
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Section Divider
Work Settings:
Acute Care/Hospital
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Managed Care
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SNF/ Long Term Care
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Home Health
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Outpatient
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Section Divider (copy)
Work Settings:
Newborn/Neonatal (up to 30 days)
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Infant (30 days to 1 year)
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Toddler (1 to 3 years)
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Preschooler (3 to 5 years)
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School Age (5 to 12 years)
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Adolescents (12 to 18 years)
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Young Adults (18 to 39 years)
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Middle Adults (40 to 64 years)
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Older Adults (65 & up)
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