Hudson Staffing Travel Nurses & Allied Health Careers
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Hudson Staffing Travel Nurses| Case Management/Utilization Review Online Checklist
Case Management/Utilization Review Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Case Management/Utilization Review field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
Confirm E-mail Address
 *
Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Case Management/Utilization Review discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
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

SETTING 1 2 3 4
     Acute Care
     Skilled/LTAC
     MDS Coordinator
     Home Health
     Telephonic
     Workers Compensation
     Insurance
     Managed Care
     Acute Rehab
CM/UR SOFTWARE 1 2 3 4
     Interqual
     Milliman
     MIDAS
     Allscripts UR
     Word Processing Software
REGULATORY 1 2 3 4
     CMS/Medicare
     Core Measures
     Medicaid/Medical
     DRG
     ICD Coding
     CPT
PROCESSES 1 2 3 4
     Benefits Eligibility
     Pre-Certification Review
     Review for Admission Criteria
     Identify Appropriate Level of Care
     Review Status During Stay
     Discharge Planning
     Physician Advisor
     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 1 2 3 4
     National Patient Safety Goals
     Age Specific/Population Based Care
EMR 1 2 3 4
     EPIC
     Cerner
     Eclipsys
     McKesson
     Meditech
     Allscripts
     EMR Conversion y/n Yes No
Certifications 1 2 3 4
     BLS
     Certified Case Manager (CCM)
     Accredited Case Manager (ACM)
     Certified Disability Management Specialist (CDMS)
     ACLS
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Case Management/Utilization Review Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.235.176.80) which will be used as a digital signature.



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Hudson Staffing
Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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