Executive Leadership

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Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

SKILLED ENVIRONMENTS

Acute Care/ Hospital

1

2

3

Managed Care

1

2

3

SNF/ Long Term Care

1

2

3

Home Health

1

2

3

Outpatient

1

2

3

GENERAL/EXPERIENCE

Written Communication Skills

1

2

3

Verbal Communication Skills

1

2

3

Basic Negotiation Skills

1

2

3

Job Related Computer Skills

1

2

3

Ability to Prioritize

1

2

3

Knowledge of Community Health Care and Vocational Services

1

2

3

Ability to Properly Maintain Records

1

2

3

Ability to Work Effectively in All Situations

1

2

3

Ability to Gather Data, Compile Information and Prepare Reports

1

2

3

Knowledge of Medical Billing Procedures

1

2

3

Community and Relationship Management

1

2

3

Knowledge of Healthcare Environment

HIPAA and Patient Rights

1

2

3

Staff Roles and Responsibilities

1

2

3

Organizational Policy and Risk Management

1

2

3

Quality Improvement

1

2

3

Financial Management

1

2

3

Billing and Reimbursements

1

2

3

EXPERIENCE

Ability to Develop and Implement Action Plans for Health Centers to Improve Performance

1

2

3

Medicare CertificationsMedicare Certifications

1

2

3

Interviewing/ Hiring Staff

1

2

3

Build/Review Orientation Plan

1

2

3

Performance Improvement

1

2

3

Terminating Staff

1

2

3

Compliance with State Protocols and Regulations

1

2

3

Review and Write Facility Protocols and Procedures

1

2

3

Maximize Talent and Reduce Turnover

1

2

3

Capital Budgeting

1

2

3

Operational Budgeting

1

2

3

Magnet Oversight

1

2

3

CMS

1

2

3

DNV

1

2

3

HFAP

1

2

3

The Joint Commission

1

2

3

Board Meeting Presentation

1

2

3

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