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.
SETTING | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Care |
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Skilled/LTAC |
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MDS Coordinator |
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Home Health |
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Telephonic |
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Workers Compensation |
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Insurance |
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Managed Care |
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Acute Rehab |
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CM/UR SOFTWARE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Interqual |
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Milliman |
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MIDAS |
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Allscripts UR |
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Word Processing Software |
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Other: Specify |
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Other: Specify |
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REGULATORY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
CMS/Medicare |
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HEDIS Measures |
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Core Measures |
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Medicaid/Medical |
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DRG |
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ICD 9 Coding |
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ICD 10 Coding |
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CPT |
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PROCESSES | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Benefits Eligibility |
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Pre-Certification Review |
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Review for Admission Criteria |
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Identify Appropriate Level of Care |
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Review Status During Stay |
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Discharge Planning |
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Physician Advisor |
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Clinical Documentation Improvement |
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Needs Assessment/Order DME |
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Needs Assessment/Home Health |
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Needs Assessment/Hospice |
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Needs Assessment/Skilled |
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Third Party Authorization Process |
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Concurrent Review |
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Retrospective Review |
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PROFESSIONAL KNOWLEDGE AND SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
National Patient Safety Goals |
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Age Specific/Population Based Care |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Epic |
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Cerner |
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Eclipsys |
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McKesson |
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Meditech |
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Allscripts |
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Other: Specify |
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