Book Appointment

Case Management Utilization

Information

Proficiency Scale

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

Assessment Section

Setting

  • ✔ Acute Care *
    ★ ★ ★ ★ ★
  • ✔ Skilled/LTAC *
    ★ ★ ★ ★ ★
  • ✔ MDS Coordinator *
    ★ ★ ★ ★ ★
  • ✔ Home Health *
    ★ ★ ★ ★ ★
  • ✔ Telephonic *
    ★ ★ ★ ★ ★
  • ✔ Workers Compensation *
    ★ ★ ★ ★ ★
  • ✔ Insurance *
    ★ ★ ★ ★ ★
  • ✔ Managed Care *
    ★ ★ ★ ★ ★
  • ✔ Acute Rehab *
    ★ ★ ★ ★ ★

CM/UR Software

  • ✔ Interqual *
    ★ ★ ★ ★ ★
  • ✔ Milliman *
    ★ ★ ★ ★ ★
  • ✔ MIDAS *
    ★ ★ ★ ★ ★
  • ✔ Allscripts UR *
    ★ ★ ★ ★ ★
  • ✔ Word Processing Software *
    ★ ★ ★ ★ ★
  • ✔ Other: Specify *
    ★ ★ ★ ★ ★

Regulatory

  • ✔ CMS/Medicare *
    ★ ★ ★ ★ ★
  • ✔ HEDIS Measures *
    ★ ★ ★ ★ ★
  • ✔ Core Measures *
    ★ ★ ★ ★ ★
  • ✔ Medicaid/Medical *
    ★ ★ ★ ★ ★
  • ✔ DRG *
    ★ ★ ★ ★ ★
  • ✔ ICD 9 Coding *
    ★ ★ ★ ★ ★
  • ✔ ICD 10 Coding *
    ★ ★ ★ ★ ★
  • ✔ CPT *
    ★ ★ ★ ★ ★

Processes

  • ✔ 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

  • ✔ National Patient Safety Goals *
    ★ ★ ★ ★ ★
  • ✔ Age Specific/Population Based Care *
    ★ ★ ★ ★ ★

Age Specific Competencies

  • ✔ 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

  • ✔ Epic *
    ★ ★ ★ ★ ★
  • ✔ Cerner *
    ★ ★ ★ ★ ★
  • ✔ Eclipsys *
    ★ ★ ★ ★ ★
  • ✔ McKesson *
    ★ ★ ★ ★ ★
  • ✔ Meditech *
    ★ ★ ★ ★ ★
  • ✔ Allscripts *
    ★ ★ ★ ★ ★
  • ✔ Other: Specify *
    ★ ★ ★ ★ ★