Case Management/Utilization Review Skills Checklist

Please mark your level of experience
1.  No theory and/or experience
2.  Limited experience/need supervision and/or support
3.  Experienced/minimal support needed to perform
4.  Proficient/can perform independently
WORK SETTINGS
 1234
Acute Care
Skilled/LTAC
MDS Coordinator
Home Health
Telephonic
Workers Compensation
Insurance
Managed Care
Acute Rehab
CM/UR SOFTWARE
 1234
Interqual
Milliman
MIDAS
Allscripts UR
Word Processing Software
REGULATORY
 1234
CMS/Medicare
HEDIS Measures
Core Measures
Medicaid/Medical
DRG
ICD 9 Coding
ICD 10 Coding
CPT
PROCESSES
 1234
Benefits Eligibility
Pre-Certification Review
Review for Admission Criteria
Identify Appropriate Level of Care
Review Status During Stay
Discharge Planning
Physician Advisor
Clinical Documentation Improvement
Needs Assessment/Order DME
Needs Assessment/Home Health
Needs Assessment/Hospice
Needs Assessment/Skilled
Third Party Authorization Process
Concurrent Review
Retrospective Review
PROFESSIONAL KNOWLEDGE AND SKILLS
 1234
National Patient Safety Goals
Age Specific/Population Based Care
COMPUTERIZED CHARTING
 1234
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
 YesNo
EMR Conversion
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities. *