Personal Information

*Please fill the email ID correctly for successful submission

Legends

0 = No experience

1 = Need Training

2 = Able to perform with supervision

3 = Able to perform independently

4 = Able to perform independently

Acute Care

Skilled/LTAC (Long-Term Acute Care)

Home Health

Workers Compensation

Insurance

Managed Care

Acute Rehab

Benefits Eligibility

Pre-Certification Review

Review for Admission Criteria

Identify Appropriate Level of Care

Develop Care Plans According to Patient Status

Review Status During Stay

Discharge Planning

Physician Advisor

Clinical Documentation Improvement

Needs Assessment/Order DME (Durable Medical Equipment)

Needs Assessment/Home Health

Needs Assessment/Hospice

Needs Assessment/Skilled

Concurrent Review

Retrospective Review

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct.