CASE MANAGER Skillsheet
COMPUTER SKILLS
Job-Related Computer Knowledge
                             
Interqual - McKesson Sofwtare Familiarity
                             
EXPERIENCE
Concurrent Review
                             
Utilization Review
                             
Prior Authorization
                             
Disease Focused Case Management
                             
Catastrophic Case Management
                             
Home Health
                             
Work Comp
                             
SPECIFIC SKILLS
Knowledge of Community Health Care and Vocational Services
                             
Ability to properly maintain records
                             
Knowledge of medical billing procedures
                             
Strong interpersonal and communication skills and the ability to work effectively in all situations
                             
Ability to monitor, assess and record client progress against care plan and make adjustments accordingly
                             
Ability to assess mental status in clients and to devlop individual treatment goals and plans
                             
Ability to plan, implement and evaluate individual patient care programs
                             
Ability to gather data, compile information and prepare reports
                             
Ensure outcomes are met within an appropriate length of stay
                             
Coordinate and monitors services including comprehensive tracking of client activities in relation to the care plan
                             
Assist clients in developing goals and areas of need and assists in developing treatment plans which are assessed regularly
                             
Conduct medication and mental status assessment and determines required level and frequency of service
                             
Document all client encounters and contracts made on behalf of clients
                             
Complete and submit billing documentation as appropriate
                             
Maintain comprehensive client files, which may include documents held for safekeeping on behalf of the client
                             
Assess patients, evaluate effectiveness of care plan and progress made by client
                             
Participate in patient treatment planning and case review with patient care providers
                             
Ability to develop and implement action plans for health centers to improve performance
                             

 

SUPPLEMENTAL  
 

Infant (Birth to 1 Year)

Toddler (1-3 Years)

PreSchool (3-6 Years)

School Age (6-12 Years)

Adolescent (12-18 Years)

Young Adult (18-30 Years)

Mature Adult (30-60 Years)

Elderly (>60 Years)