Instructions:

Please rate your experience / frequency (within the last year) using the following scale (check the appropriate boxes below):

  • 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)
    		•
    SKILLED ENVIRONMENTS
    Acute Care/ Hospital
    Managed Care
    SNF/ Long Term Care/Assisted Living
    Home Health
    Outpatient
    Psychiatric Hospital
    Clinic
    Ambulatory Care
    Hospice
    Critical Access Hospital
    Rehabilitation Hospital
    Outpatient Surgical Center
    GENERAL LEADERSHIP 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
    Ability to Work Effectively in All Situations
    Ability to Gather Data, Compile Information and Prepare Reports
    Knowledge of Medical Billing Procedures
    Community and Relationship Management
    Knowledge of Healthcare Environment
    HIPAA and Patient Rights
    Staff Roles and Responsibilities
    Organizational Policy and Risk Management
    Quality Improvement
    Financial Management
    Billing and Reimbursements
    Emergency Medical Treatment and Active Labor Act (EMTALA)
    EXPERIENCE
    Ability to Develop and Implement Action Plans for Health Centers to Improve Performance
    Medicare Certifications
    Interviewing/ Hiring Staff
    Build/Review Orientation Plan
    Performance Improvement
    Terminating Staff
    Compliance with State Protocols and Regulations
    Review and Write Facility Protocols and Procedures
    Maximize Talent and Reduce Turnover
    Capital Budgeting
    Operational Budgeting
    Magnet Oversight
    CMS
    DNV
    HFAP
    The Joint Commission
    Board Meeting Presentation
    Accountable for organizational goals
    Developing others by menotoring, advising, and coaching
    Analyzes problems, promotes solutions, and encourages decision making
    Promotes an organizational climate built on mutual trust, transparency, and encouraging teamwork
    LEADERSHIP POSITIONS
    Chief Excutive Officer
    Chief Nursing Officer/DON
    Director
    Manager
    Clinical Supervisor/House Supervisor
    Coordinator
    Diversity, Equity, and Inclusion
    Promotes diversity within the organization
    Confronting bias
    Multicultural and multi-ethnic understanding