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)
  • 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
    Managed Care
    SNF/ Long Term Care
    Home Health
    Outpatient
    GENERAL
    Written Communication Skills
    Verbal Communication Skills
    Basic Negotiation Skills
    Job Related Computer Skills
    Ability to Prioritize
    Knowledge of HIPPA
    Knowledge of Patient Rights
    Knowledge of Risk Management
    Ability to Work Effectively in All Situations
    Ability to Build Relationships with Vendors, Investors/Partners, and Fellow Administration
    EXPERIENCE
    Clinical Management of Quality Improvement
    Monitor logs and reports
    Emergency alarm testing/logs
    Dietary Rules and Regulations
    Staffing Rules and Regulations
    FINANCIAL EXPERIENCE
    Management of Payroll
    Management of Cost Centers/Departments
    Management of Collections (Private Pay, Medicare)