Clinical Social Worker

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)

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 (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)
SKILLED ENVIRONMENTS
Acute Care/ Hospital
Managed Care
SNF/ Long Term Care
Home Health
Outpatient

General Skills

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 According to POC
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
Establish Goals
Knowledge of Obtaining Available Community Resources
Knowledge of Medical/State Regulations

Experience

Develop and Review Care Plan to Meet Patient Needs
Establish and Revise Goals
Infection Control- Handwashing, PPE, Exposures
Disability Review
Pre Certification/ Pre-Admission Certification
Catastrophic Case Management
Continued Stay Review
Effective Case Coordination
Discharge Planning
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
Prior Authorization