Please enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastPlease enter your full legal name as it appears on your Social Security Card.Email *Phone * No experience: requires education, training and supervision Intermittent experience: may need support or supervise Proficient: consistent experience, independent Expert level: can teach/supervise others. Work Setings:Acute Hospital1234Catastrophic Case Management1234Health Maintenance Organization Review Department1234HMO Review Department1234Home Health1234Hospice1234Insurance Company1234Long Term Acute Care/Rehab/Skilled Nursing1234Managed Care Service Provider1234MDS Coordinator1234Telephonic1234Worker’s Compensation1234Case Management/Utilization ReviewAdmission Criteria1234Appeals and Denials1234Prior Authorizations1234Benefits Eligibility1234Care coordination1234Concurrent Review1234Continued Stay Reviews1234Data Abstraction1234Audits1234Discharge Planning1234Disease management1234Needs Assessment/ Order DME1234Disability case management1234Pre-Cert Review1234Retrospective Review1234Utilize InterQual Criteria1234Utilize Milliman Guidelines1234Worker’s comp case management1234REGULATORYCMS: Centers for Medicare and Medicaid Services1234CPT (Current Procedural Terminology) coding and billing1234HIPAA (The Health Insurance Portability and Accountability Act)1234DRG (Diagnosis Related Groups)1234Department of Health1234HEDIS (The Healthcare Effectiveness Data and Information Set) Measures1234NCQA (National Committee for Quality Assurance)1234ICD 10 Coding1234OSHA: Occupational Safety and Health Administration1234The Joint Commission/ Core Measure/National Safety Goals1234Worker’s Compensation1234Professional Topics and SkillsAge Specific/Population Based Care1234Patient / Family Teaching1234COMPUTERIZED CHARTINGCerner1234EPIC1234McKesson1234Meditech1234Allscripts1234OASIS1234MIDAS1234Others1234If other, please specifyAge specific competencyNeonate1234Infant1234Child1234Adolescent1234Young Adult1234Middle Adult1234Older Adult1234Submit