RATING SCALE

1 – LIMITED EXPERIENCE OR KNOWLEDGE

2 – BASIC PROFICIENCY, NEEDS FURTHER DEVELOPMENT

3 – STRONG PROFICIENCY, APPLIES SKILLS REGULARLY

4 – EXPERT-LEVEL, EXTENSIVE EXPERIENCE AND LEADERSHIP

RELATIONSHIP & PATIENT CARE MANAGEMENT

1

2

3

4

CULTIVATES POSITIVE RELATIONSHIPS WITH TEAMS

MODELS FAIRNESS, RESPECT, AND INTEGRITY

ADVOCATES FOR HIGH-QUALITY PATIENT CARE

IMPLEMENTS AND ENFORCES SERVICE EXCELLENCE

HOLDS STAFF ACCOUNTABLE FOR SERVICE OUTCOMES

PROCESS & PERFORMANCE MANAGEMENT

1

2

3

4

ESTABLISHES MEASURABLE GOALS & OBJECTIVES

TRACKS KEY PERFORMANCE INDICATORS

DRIVES PROCESS IMPROVEMENTS AND EFFICIENCY

COMMUNICATES EXPECTATIONS CLEARLY

ENSURES COMPLIANCE WITH POLICIES AND REGULATIONS

COMMUNICATION & CHANGE MANAGEMENT

1

2

3

4

EFFECTIVELY CONVEYS MESSAGES TO DIVERSE AUDIENCES

ENCOURAGES FEEDBACK AND OPEN DISCUSSIONS

MANAGES CHANGE AND TRANSITIONS SMOOTHLY

ADDRESSES STAFF CONCERNS DIPLOMATICALLY

ADAPTS TO ORGANIZATIONAL CHANGES PROACTIVELY

INTEGRITY & PROFESSIONAL GROWTH

1

2

3

4

DEMONSTRATES ETHICAL AND HONEST BEHAVIOR

MAINTAINS PATIENT AND EMPLOYEE CONFIDENTIALITY

REPRESENTS THE ORGANIZATION PROFESSIONALLY

SEEKS CONTINUOUS LEARNING AND SELF-IMPROVEMENT

ADAPTS TO NEW CHALLENGES AND INDUSTRY TRENDS

I certify that all the above information is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency. I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct.

Personal Information

RATING SCALE

LEADERSHIP & MANAGEMENT

RELATIONSHIP & PATIENT CARE MANAGEMENT

HUMAN CAPITAL & ORGANIZATIONAL DEVELOPMENT

PROCESS & PERFORMANCE MANAGEMENT

FINANCIAL & RESOURCE MANAGEMENT

COMMUNICATION & CHANGE MANAGEMENT

DECISION-MAKING & PROBLEM-SOLVING

INTEGRITY & PROFESSIONAL GROWTH