Health Care Skills Rating
  RN Case Manager Skills Checklist
   NAME  
   Email-Id
   DATE    
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.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

  
Rating Stars (Click)
Case Management 1
2
3
4
Written Communication Skills
Verbal Communication Skills
Negotiation Skills
Computer Skills
Ability to prioritize
Concurrent Review
Retrospective Review
Disability Review
Long Term Disability Case management
Short Term Disability Case management
Workers Compensation Review
Telephonic Case Management
Workers Compensation Case Management
PAC-pre-certification/pre-admission certification
CSR-Continued Stay Review
MCM-Medical Case Management
DP-Discharge Planning
*ISD-A Interqual-crteria for hospital admissions
*Intensity of service- diagnosis/Therapeutic services
*Discharge Screens-specific discharge indicators of ability
*Appropriateness of Care- diagnosis/therapeutic
DRG-Diagnosis related grouping
ECD 9-CM
CPT
SSO
SIMS-Interqual criteria for SSO waiver
Miliman and Robertson Criteria
PPR-Prospective procedure review
Physician Advisor
Rating Stars (Click)
Skilled Environments 1
2
3
4
Acute Care/Hospitals
Managed Care
SNF/Long term care
Other:
Rating Stars (Click)
Age Specific Practice Criteria 1
2
3
4
Newborn/Neonate (birth - 30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School age children (5 - 12 years)
Adolescents (12 - 18 years)
Young adults (18 - 39 years)
Middle adults (39 - 64 years)
Older adults (64+ years)
Rating Stars (Click)
EMR 1
2
3
4
AllScripts
Canopy
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration