Case Management Utilization
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Setting | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acute Care | |||||
| Skilled/LTAC | |||||
| MDS Coordinator | |||||
| Home Health | |||||
| Telephonic | |||||
| Workers Compensation | |||||
| Insurance | |||||
| Managed Care | |||||
| Acute Rehab |
| CM/UR Software | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Interqual | |||||
| Milliman | |||||
| MIDAS | |||||
| Allscripts UR | |||||
| Word Processing Software | |||||
| Other: Specify |
| Regulatory | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| CMS/Medicare | |||||
| HEDIS Measures | |||||
| Core Measures | |||||
| Medicaid/Medical | |||||
| DRG | |||||
| ICD 9 Coding | |||||
| ICD 10 Coding | |||||
| CPT |
| Processes | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Benefits Eligibility | |||||
| Pre-Certification Review | |||||
| Review for Admission Criteria | |||||
| Identify Appropriate Level of Care | |||||
| Review Status During Stay | |||||
| Discharge Planning | |||||
| Physician Advisor | |||||
| Clinical Documentation Improvement | |||||
| Needs Assessment/Order DME | |||||
| Needs Assessment/Home Health | |||||
| Needs Assessment/Hospice | |||||
| Needs Assessment/Skilled | |||||
| Third Party Authorization Process | |||||
| Concurrent Review | |||||
| Retrospective Review |
| Professional Knowledge and Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| National Patient Safety Goals | |||||
| Age Specific/Population Based Care |
| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Infant (Birth - 1 year) | |||||
| Preschooler (ages 2-5 years) | |||||
| Childhood (ages 6-12 years) | |||||
| Adolescents (ages 13-21 years) | |||||
| Young Adults (ages 22-39 years) | |||||
| Adults (ages 40-64 years) | |||||
| Older Adults (ages 65-79 years) | |||||
| Elderly (ages 80+ years) |
| EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Epic | |||||
| Cerner | |||||
| Eclipsys | |||||
| McKesson | |||||
| Meditech | |||||
| Allscripts | |||||
| Other: Specify |