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)
    GENERAL SKILLS
    Assess and Coordinate Nursing Home Resident Needs
    Create Appropriate Health Care plans
    Clear Communication Skills
    Maintain current knowledge of Medicare Criteria
    Demonstrate knowledge of State and Federal Regulations
    Completing a needs assessment for Home Health or Hospice
    Patient/Family Education
    Electronic Documentation
    Paper Documentation
    Denial Letters and Review
    Knowledge of National Patient Safety Goals
    Knowledge of Age Specific Care
    Regulatory
    Proficient in MDS 3.0
    Core Measures
    Medicaid
    Diagnosis Related Groups (DRG)
    ICD-10 Coding
    Current Procedural Terminology (CPT)
    HEDIS Measures
    Understanding of RAI rules and regulations
    Proficient in Care Payment Level Categories and Resource Utilization Group Categories
    Resident Assessment Protocols
    Identify Appropriate Levels of Care
    Work Setting
    Acute Care
    Skilled/LTAC
    Home Health
    Workers Compensation
    Insurance
    Managed Care
    Acute Rehab