Skilled Nursing Facilities

This page is used by staff working at Skilled Nursing Facilities contracted Optum Public Sector San Diego. Skilled Nursing Facility staff can obtain forms, protocols, and other documents that support their work with the County of San Diego clients residing Skilled Nursing Facilities.

Application


		2015-10-09

Forms


Claims_UB04_Example_Form.pdf		2015-10-06
Disbarment_and_Exclusion_Attestation_Form.docx		2015-10-06
SF-LTC_Bed_Hold_Request_Form.pdf		2015-10-06
SF-LTC_Concurrent_Review_Guide_for_County_Funded_SNF.pdf		2015-10-06
SF-LTC_Concurrent_Review_Process_for_County_Funded_SNF.pdf		2015-10-06
SF-LTC_Discharge_Process_For_County_Funded_SNF.pdf		2015-10-06
SF-LTC_Documentation_Needed_for_Referral_For_County_Funded_SNF.pdf		2015-10-06
SF-LTC_Mini-Cog_Exam.doc		2015-10-06
SF-LTC_Recommendation_for_Case_Manager.pdf		2015-10-09
SF-LTC_Referral_Process_for_County_Funded_SNF.pdf		2015-10-06
SF-LTC_Referral_Screening_Form.doc		2015-10-09
SF-LTC_Referral_Screening_Form_Tips.pdf		2018-05-25
SF-LTC_Tips_for_Completing_Referral_Screening_Form.doc		2018-05-25
SF-LTC_Verification_of_Admission_and_Request_for_Initial_Authorization_to_SNF.pdf		2018-05-25
SF-LTC_Notification_of_Return_to_County_Funded_SNF_From_Bed_Hold.pdf		2018-05-25
SF-LTC_Notification_to_Optum_of_Discharge_From_ County_Funded_SNF.doc		2018-05-25
Skilled Nurisng Facilities Discharge Form.docx		2023-05-30
		2015-10-06
		2018-05-25
Serious Incident RCA Worksheet (doc)		2015-11-05
Skilled Nurisng Facilities Discharge Form - Form Fill (pdf)	Revised 05/26/2023	2023-05-30

Manuals


Skilled_Nursing_Facilities_Handbook_-_3rd Edition.pdf		2016-08-01