Case Manager RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

AGE OF PATIENTS CARED FOR

Newborn/ Neonate (birth to 30 days)(Required)
Infant (31 days to 12 months)(Required)
Toddler/Preschool (13 months to 5 years)(Required)
School Age Child/adolescent (6 years to 18 years)(Required)
Young Adults Middle Adult (19 years to 64 years)(Required)
Older Adults/Elderly (65+ years)(Required)

SKILLED ENVIRONMENTS

Acute Care/ Hospital(Required)
Managed Care(Required)
SNF/ Long Term Care(Required)
Home Health(Required)
Outpatient(Required)

GENERAL CASE MANAGEMENT

Written Communication Skills(Required)
Verbal Communication Skills(Required)
Basic Negotiation Skills(Required)
Job Related Computer Skills(Required)
Ability to Prioritize(Required)
Knowledge of Community Health Care and Vocational Services(Required)
Ability to Properly Maintain Records(Required)
Knowledge of Medical Billing Procedures(Required)
Ability to Work Effectively in All Situations(Required)
Ability to Assess, Plan, Implement and Evaluate Individual Patient Care Programs and Treatment Plans(Required)
Ability to Gather Data, Compile Information and Prepare Reports(Required)
Ensure Outcomes are Met within an Appropriate Length of Stay(Required)
Coordinate and Monitor Services, Including Comprehensive Tracking of Client Activities in Relation to Care Plan(Required)
Conduct Medication and Mental Status Assessment and Determine Required Level and Frequency of Service(Required)
Document All Client Encounters(Required)
Complete and Submit Billing Documentation as Appropriate(Required)
Identify and Provide Emergency Crisis Services as Necessary(Required)
Make Immediate Clinical Assessments and Respond According to Accepted Crisis Intervention Methods and Techniques; Coordinate Other Services as Appropriate(Required)
Ability to Develop and Implement Action Plans for Health Centers to Improve Performance(Required)
Knowledge of "Do Not Use Abbreviations"(Required)
Knowledge of current Joint Commission National Patient Safety Goals(Required)
Knowledge/familiarity with HCAHPS scores(Required)
IV Pumps

EXPERIENCE

Disability Review(Required)
Long Term/ Short Term Disability Case Management(Required)
Workers Compensation Case Management(Required)
Telephonic Case Management(Required)
Pre Certification/ Pre-Admission Certification(Required)
Catastrophic Case Management(Required)
Concurrent Review(Required)
Continued Stay Review(Required)
Retrospective Review(Required)
MCM - Medical Case Management(Required)
Discharge Planning(Required)
ISD-A Interqual Criteria for Hospital Admissions(Required)
Intensity of Service - Diagnosis & Therapeutic Services(Required)
Discharge Screens - Specific Indicators of Patients Ability(Required)
Appropriateness of Care - Special Diagnosis and Therapeutic Procedures(Required)
DRG - Diagnosis Related Grouping (exempt & non exempt states)(Required)
ICD - 9- CM(Required)
CPT(Required)
SIMS - Interqual- Criteria for SSO Waiver(Required)
Milliman and Robertson Criteria(Required)
PPR - Prospective Procedure Review(Required)
PA - Physician Advisor(Required)
Prior Authorization(Required)
Utilization Review(Required)
Utilization Management(Required)
EMR Systems