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Licensed Practical Nurse: Post-Core Orientation Milestones
                                                                                   Phase One Milestones
                                                            Final
         Employee Name __________________          DATE _____________                      BRANCH/TEAM ___________

                                      The following Milestones are to be completed by Week 12

                                                                            RN                 CFM             MET?
                                                           Date
                                                                       Self-assessment     Assessment/Feedback   Yes   No
         1.  Documents within established guidelines for
             assessment data and findings, nursing
             interventions and responses to
             interventions.
         2.  Identify payer and demonstrate ability to
             verbalize whether it is a Manage care,
             straight Medicare or Medicaid.
         3.  For Managed care cases:
                Can identify if the patient has authorization.
               Demonstrate ability to escalate for timely
                visit authorization.
         4.  Demonstrates ability to complete

             subsequent visit notes with minimal
             corrections.
         5.  Demonstrates ability to sign off visit notes
             independently.
         6.  Demonstrates ability to sign off 80% of
             subsequent visit notes on the same day.
         7.  Based on outcome of visit, communicates
             pertinent findings and clinical changes as
             appropriate to Care Manager and CFM.
         8.  Escalates complex case-related issues timely
             and appropriately to the Care Manager and
             the CFM (i.e. utilize complex case trigger
             form).
         9.  Demonstrates customer service behaviors
             and communication skills that achieves the
             patient perception of service excellence.
         10. Compliant with established personnel
             policies /organizational mandates.
             ALL E-Learnings must be completed by:
                                                              The above Milestones are expected to be achieved No Later
         Comments and Next Steps:
                                                              Than:
                                                              LPN Signature:                      Date:

                                                              CFM Signature:                      Date:

                                                              LPN Signature                       Date:
                                                              CFM Signature                       Date:




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