Age of Patients Cared ForNewborn/Neonate (birth to 30 days)* 1 2 3 4 Infant (1 month to 1 year)* 1 2 3 4 Toddler (1 year to 3 years)* 1 2 3 4 Preschooler (3 years to 5 years)* 1 2 3 4 School Age Child (5 years to 12 years)* 1 2 3 4 Adolescents (12 years to 18 years)* 1 2 3 4 Young Adults (18 years to 39 years)* 1 2 3 4 Middle Adults (39 years to 64 years)* 1 2 3 4 Older Adults (64 years to 79 years)* 1 2 3 4 Elderly Adults (over 79+ years)* 1 2 3 4 Skilled EnvironmentAcute Care/Hospital* 1 2 3 4 Managed Care* 1 2 3 4 SNF/Long Term Care* 1 2 3 4 Home Health* 1 2 3 4 Outpatient* 1 2 3 4 General SkillsWritten Communication Skills* 1 2 3 4 Verbal Communication Skills* 1 2 3 4 Basic Negotiation Skills* 1 2 3 4 Job Related Computer Skills* 1 2 3 4 Ability to Prioritize* 1 2 3 4 Knowledge or Community Health Care and Vocational Skills* 1 2 3 4 Ability to Properly Maintain Records* 1 2 3 4 Knowledge of Medical Billing Procedures* 1 2 3 4 Ability to work effectively in all situations* 1 2 3 4 Ability to Assess, Plan, Implement and Evaluate Individual Patient Care Programs and Treatment Plans* 1 2 3 4 Ability to Gather Data, Compile Information and Prepare Reports* 1 2 3 4 Ensure Outcomes are met within and appropriate length of stay* 1 2 3 4 Document all client encounters* 1 2 3 4 Complete and Submit Billing Documentation as appropriate* 1 2 3 4 Identify and Provide Emergency Crisis Services as necessary* 1 2 3 4 Ability to develop and implement action plans for Health Centers to improve performace* 1 2 3 4 Disability Review* 1 2 3 4 Long Term/Short Term Disability Case Management* 1 2 3 4 Workers Compensation Case Management* 1 2 3 4 Telephonic Case Management* 1 2 3 4 Pre Certification/Pre-Admission Certification* 1 2 3 4 Catastrophic Case Management* 1 2 3 4 Continued Stay review* 1 2 3 4 MCM-Medical Case Management* 1 2 3 4 Discharge Planning* 1 2 3 4 Criteria for Hospital Admissions* 1 2 3 4 Intensity of Service - Diagnosis and Therapeutic services* 1 2 3 4 Discharge Screens - Specific indicators of Patients Ability* 1 2 3 4 Appropriateness of Care - Patients Ability* 1 2 3 4 Diagnosis Related Grouping* 1 2 3 4 ICD-10* 1 2 3 4 CPT* 1 2 3 4 SIMS Interqual-Criteria for SSO Waiver* 1 2 3 4 Milliman and Robertson Criteria* 1 2 3 4 PPR-Prospective Procedure Review* 1 2 3 4 PA - Physician Advisor* 1 2 3 4 Prior Authorization* 1 2 3 4 Utilization Review* 1 2 3 4 Utilization Management* 1 2 3 4 Please list the EMR systems you have used** I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.** I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*Name* First Last Email* Phone*TODAY'S DATE* MM slash DD slash YYYY
