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)

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)

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

Skilled Environments

Acute Care/ Hospital
Managed Care
SNF/ Long Term Care
Home Health
Outpatient

General Case Management

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

Experience

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