Your name
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Last 4 Of SSN
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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
Organizational structure and relationship: 0★★★★−
Build collaborative relationships: 0★★★★−
Develop and maintain medical staff relationships: 0★★★★−
Provide internal customer service: 0★★★★−
Practice and value shared decision making: 0★★★★−
Sensitive to what is correct behavior when communicating with diverse cultures, internal, and external: 0★★★★−
Communicate organizational mission, vision, objectives, and priorities: 0★★★★−
Prepare and deliver business communications, including meeting agendas, presentations, business reports, and project communications plans: 0★★★★−
Present results of data analysis to decision makers: 0★★★★−
Provide and receive constructive feedback: 0★★★★−
Mediation, negotiation, and dispute resolution techniques: 0★★★★−
Team building techniques: 0★★★★−
Create, participate in, and lead teams: 0★★★★−
Facilitate group dynamics, process, meetings, and discussions: 0★★★★−
Leadership styles/techniques: 0★★★★−
Potential impacts and consequences of decision making: 0★★★★−
Establish a compelling organizational vision and goals: 0★★★★−
Hold self and others accountable for organizational goal attainment: 0★★★★−
Promote and manage change: 0★★★★−
Promote continuous organization learning/improvement: 0★★★★−
Managed care models, structures, and environment: 0★★★★−
Levels of healthcare along the continuum of care: 0★★★★−
Evidence-based management practice: 0★★★★−
The interrelationships among access, quality, cost, resource allocation, accountability, and community: 0★★★★−
The patient experience (e.g., cultural differences, expectations): 0★★★★−
Healthcare technological research and advancements: 0★★★★−
Organization and delivery of healthcare: 0★★★★−
Regulatory and administrative environment in which the organization functions: 0★★★★−
Infant (Birth - 1 year): 0★★★★−
Preschooler (ages 2-5 years): 0★★★★−
Childhood (ages 6-12 years): 0★★★★−
Adolescents (ages 13-21 years): 0★★★★−
Young Adults (ages 22-39 years): 0★★★★−
Adults (ages 40-64 years): 0★★★★−
Older Adults (ages 65-79 years): 0★★★★−
Elderly (ages 80+ years): 0★★★★−
Ability to analyze and evaluate information to support a decision or recommendation: 0★★★★−
Collect and analyze data from internal and external sources relevant to each situation: 0★★★★−
Techniques for business plan development, implementation, and assessment: 0★★★★−
The functions of organizational policies and procedures: 0★★★★−
Promote and apply problem-solving philosophies: 0★★★★−
Demonstrate critical thinking and analysis: 0★★★★−
Systems thinking: 0★★★★−
Facilities planning: 0★★★★−
ACHE Fellow Status
Nurse Executive
Nurse Executive, Advanced
Other:
