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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied employment opportunity, an electronic skills assessment must be completed. From the skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

ClubStaffing
1905 Corporate Blvd NW
STE 200
Boca Raton, Florida 33431
Fax: (561) 367-0884


Social Worker/Licensed Social Worker Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
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
 
WORK SETTINGS
1 2 3 4
 
Acute Care (Short Term Stay/Inpatient Setting)
 
Teaching Hospital / Academic Hospital
 
Level 1 Trauma Center
 
Long Term Acute Care Hospital (LTACH)
 
Pediatric / Children’S Hospital
 
Skilled Nursing Facility (SNF)
 
Psychiatric / Behavioral Health Facility
 
Remote/Work From Home
 
Home Health
 
Hospice / Palliative Care
 
Critical Access Hospital
 
Schools Setting
 
ASSESSMENT & TRANSITIONAL CARE PLANNING
1 2 3 4
 
Coordinating Patient Discharge And Continuity Of Care Planning
 
Initial Screening And Evaluation Of Patient And Families
 
Comprehensive Psychosocial Assessment Of Patients
 
Daily Patient Rounds
 
High Acuity/Complex Case Discharge Planning
 
Arranging Discharge Resources/Funds
 
Organizing Referrals & Transfers
 
National Patient Safety Goals
 
Mandatory Reporting Child/Adult
 
Involuntary Hold
 
SCHOOL SKILLS OVERVIEW
1 2 3 4
 
Crisis Intervention
 
Develop Inservice/Staff Training
 
Classroom Behavior Management Strategies
 
Individual Educational/Development Plan (IEP/IDP)
 
Consult On Section 504
 
Individuals With Disabilities Education Act (IDEA)
 
Counseling
 
Assess Students With Mental Health Concerns
 
Develop/Implement Treatment Plans
 
Link Students To Community Services
 
REGULATING AGENCIES & STANDARD POLICIES
1 2 3 4
 
Centers For Medicare & Medicaid Services (CMS)
 
Three Midnight Rule
 
Medicare Outpatient Observation Notice (MOON)
 
IMM (Important Message From Medicare)
 
PASRR (Preadm. Screening & Resident Review)
 
SOCIAL WORK DAILY PRACTICES
1 2 3 4
 
Helping Patients/Families Adjust To Hospital Admission
 
Patient Education Based On Patient Needs
 
Assisting Patient/Family Communication
 
Navigating Emotional/Social Responses To Illness And Treatment
 
Diagnosing Underlying Mental Illnesses
 
Referrals For Individual, Family, & Group Psychotherapy
 
Illness And Treatment Options, Including Treatment Refusal
 
Community Assistance Programs
 
Experience As A Group Leader
 
PATIENT POPULATION
1 2 3 4
 
Alcoholism
 
Attention Seeking Behavior
 
Neurological Disorders
 
Confused/Disoriented/Delusional /Dementia
 
Developmental Delays/Autism Spectrum
 
Drug Seeking Behavior, Drug Dependent /Withdrawal
 
Dysfunctional Families
 
Grieving Patients
 
Involuntary Hold
 
Suicidal/ Self Harm
 
Psychiatric Disorders
 
EHR/EMR/CHARTING CRITERIA
1 2 3 4
 
Diagnostic And Statistical Manual Of Mental Disorders (DSM-5)
 
ICD-10 Coding Basics (In Relation To Patient Statusing & Charting)
 
Cerner
 
Epic
 
Meditech
 
Microsoft Office Suite (Including Outlook Email & Teams)
 
Other/Specific
 
Other/Specific
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
PLEASE MARK ALL APPLICABLE INPATIENT FACILITY UNITS OF COVERAGE EXPERIENCE
 
UNIT OF COVERAGE
 
Admissions
 
Observation
 
Ambulatory
 
Adult Critical Care
 
Emergency Room
 
Gender Reassignment
 
General Floor/Med-Surg/Telemetry/Step Down
 
Labor-Delivery / Ante-Partum/ Post-Partum
 
NICU (Neonatal ICU)
 
Oncology
 
Ortho
 
Palliative/Hospice
 
Pediatric
 
PICU (Pediatric ICU)
 
Psychiatric
 
Renal
 
Transplant
 
CERTIFICATIONS (Current at time of completing this form)
 
BLS
 
CPI (Crisis Prevention Institute)
 
Addiction
 
Other/Specific
Social Worker/Licensed Social Worker Skills Checklist, version 1

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. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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