Care Manager, Care Manager Resume Sample

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Jamil Grant
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Work Experience


Utilization Review Care Manager
06/2017 - PRESENT
Boston, MA
  • Manage roll out and delivery of best practice Asset Care processes
  • Work with North American cross-functional teams to deliver SAP, RCM and Maintenance training for craftsmen at various NA site
  • Support the region’s overall Asset Care transformation using internal assessments and the asset care playbooks
  • Update and monitor a suite of Departmental KPIs such as Planning effectiveness, Schedule adherence, PM completion rate, Continuous improvement % and more. The goal being to move all sites to world class
  • Manages the day to day operations. Sets departmental goals and objectives, and develops action plans to ensure they are met
  • Support and closely coordinate mental health care with the member’s primary care provider, Embedded BH Clinician and, when appropriate, other treating mental health providers
  • Consistently rated as High Performer within current role/function
Asset Care Manager
01/2010 - 12/2016
Phoenix, AZ
  • Track record of project and/or programme management
  • Specific product /therapeutic experience would be a benefit
  • Functional competencies as follows
  • Own the customer experience-think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services
  • Know your stuff-be enthusiastic learners, users and advocates of our game-changing technology, products and services, especially our digital tools and experiences
  • Win as a team-make big things happen by working together and being open to new ideas
  • Be an active part of the Net Promoter System-a way of working that brings more employee and customer feedback into the company-by joining huddles, making call backs and helping us elevate opportunities to do better for our customers
Expert Care Manager
07/2003 - 11/2009
San Francisco, CA
  • Drive results and growth
  • Respect and promote inclusion and diversity
  • Do what's right for each other, our customers, investors and our communities
  • Dynamic and sales oriented person
  • Computer proficiency in CRM systems, MS Office (ppt, excel, word, Outlook) and iPad applications
  • Previous sales experience with a track record of success achieving all sales objectives
  • Advises customer’s designated contacts in the development of “Best Practices” based on previous experience
  • Acts as an internal advocate for customer-specific application needs – championing customer’s interests within Ariba
  • Assists customer’s Expert Care contacts with understanding of new features and functionality due to product upgrades

Education


Howard University
1997 - 2002
Engineer's Degree in Related Field

Professional Skills


  • Nursing Home or LTC knowledge or experience
  • Home Health, Nursing Home or Long Term Care knowledge or experience
  • Home Health, Nursing Home or LTC knowledge or experience
  • Demonstrated success selling to C-Suite
  • Proven track record in delivering World Class Maintenance regimes
  • Valid and clear driving record
  • At least seven years of experience in consumer healthcare and / or goods marketing with successful track record

How to write Care Manager, Care Manager Resume

Care Manager, Care Manager role is responsible for health, software, events, travel, insurance, telecom, digital, manufacturing, reporting, procurement.
To write great resume for care manager, care manager job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Care Manager, Care Manager Resume

The section contact information is important in your care manager, care manager resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Care Manager, Care Manager Resume

The section work experience is an essential part of your care manager, care manager resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous care manager, care manager responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular care manager, care manager position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Care Manager, Care Manager resume experience can include:

  • Communicate operational vision and plan connecting the employee’s role to the company’s priorities and strategic plan
  • Develops, communicates and implements Mass Care priorities, goals and objectives in support of the region’s territories
  • Evaluates and reports on the capacity and effectiveness of Mass Care services. Prepares recommendations for continuous improvement
  • Proven ability to successfully engage Ariba internal teams
  • Identifies feeding requirements based on regional needs analysis and supports Logistics in negotiating and managing regional feeding contracts
  • Onsite and home visits for the complex patient, staff mentoring, coaching, supporting, and counseling

Education on a Care Manager, Care Manager Resume

Make sure to make education a priority on your care manager, care manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care manager, care manager experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Care Manager, Care Manager Resume

When listing skills on your care manager, care manager resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical care manager, care manager skills:

  • Prior experience working with a managed care or managed long term care (MLTC) company
  • Nursing Home or LTC product sales knowledge or experience
  • Experience conducting (facilitating) a virtual meeting as well as an extreme comfort with face to face customer interactions and working with global teams
  • Follow Good Manufacturing Procedures (GMP) and follow general housekeeping guidelines and rules for Food Safety Regulations
  • Solid understanding of Milliman and Interqual guidelines
  • Tracks standard manufacturing measures, prioritizes and plans plant maintenance opportunities

List of Typical Experience For a Care Manager, Care Manager Resume

1

Experience For Utilization Review Care Manager Resume

  • Increases training and finds ways our listening and engagement tools can be a part of a larger CRM solution
  • Manages National Shelter System reporting for both Red Cross and non-Red Cross shelters
  • Ensures roles and responsibilities of Red Cross identified in tribal, local, state and FEMA agreements (MOUs, MOAs, etc.) are being met
  • Coordinates specialized training in Mass Care
  • Ensures proper scheduling for 24x7 real-time customer support operations across social media platforms
2

Experience For Asset Care Manager Resume

  • Daily staffing and census management based on Population Health and Risk Stratification, TEAM timecard oversight
  • Responsible to assist Care CoordinatorDirector with hiring process of Care Coordination Social Workers and RN Care Coordinators
  • Assists in orienting new care coordination staff as necessary
  • 2 Ensure Maintenance planner issues job cards and resources are allocated and job cards are completed correctly and returned to Planner for recording on CMMS
  • 5 Ensure correct engineering standards are applied across the site as part of the overall maintenance program
3

Experience For Digital Care Manager Resume

  • Assists customer’s Expert Care contacts with knowledge of known product defects and workarounds
  • Manage the identification and survey of shelters in coordination with the Disaster Program Managers and Mass Care volunteers
  • Ensures functional needs shelter requirements are identified, resourced and met
  • Serve as the subject matter expert (SME) and provide oversight for Mass Care role that Red Cross plays at both local level as well as in the co-lead role of ESF-6 within the National Response Framework
  • Conducts regular meetings with supervisors to maintain two-way communication and achievement of departmental objectives
  • Provides insight into key performance indicators (KPI) and return on investment (ROI) measurement, and further solidifies social servicing efforts as a tenant of the company's customer support approach
  • Supports different CRM strategies throughout the organization
  • Engages with customers in real-time on social platforms if needed for escalations to provide superior customer service
4

Experience For Expert Care Manager Resume

  • Oversees root cause analysis to support organizational change
  • Development and implementation of performance improvement plans
  • Assist in complex patient/family management issues
  • Perform documentation audits per department guidelines
  • Coordinate with ACN Transitional Care Team based on risk stratification and established care plans
  • Assist practices with daily workflows as identified by their Population Health needs
  • Implement Population health strategies at the practice level
5

Experience For Manager, Clinical Care Resume

  • Possible backup to the Manager Patient Navigators when necessary
  • 1 Use the Maintenance KPIs (% planned work, maintenance schedule adherence, availability, maintenance costs and % breakdown work) to ensure all planned maintenance is carried out and unplanned breakdowns are reduced
  • 3 Identify and review on a routine basis the critical equipment list
  • 6 Plan and schedule maintenance, overtime shifts and shutdowns
  • 7 Ensure correct Work planning & control processes are followed: ensure that a planning/scheduling process is operating to plan as much work as possible (PPM and non-urgent other work). Planning/scheduling needs to work with production around plant availability for any intrusive maintenance
  • Documented assessment skills of the bio psychosocial needs of behavioral health clients
  • Demonstrated ability to meet deadlines with a ‘whatever it takes’ philosophy
6

Experience For Mass Care Manager Resume

  • Valid CT RN license or Licensed/License Eligible LCSW, LPC, LMFT, LADC
  • Valid CT RN license (or Licensed clinician /license eligible clinician)
  • Management experience in relevant area for assigned department/care center
  • Accredited certification in chemical dependency nursing or counseling (or is actively pursuing credentialing)
  • 13 Planning and scheduling of shutdowns (minor and major)
7

Experience For Area Sales Manager, Long Term Care Resume

  • 3 Responsible for the maintenance of the bill of materials for assets including ensuring current information is accurate
  • 9 Advise Maintenance and Engineering Services Managers re: equipment replacement
  • 4 Ensure the value of Engineering stores is within agreed value always
  • 3 Continuously seeks external knowledge to improve the ways of working
  • This is a dual posting - Requisition #507493 and #492030 are for one position only
  • Track record of delivering results through others
8

Experience For Territory Manager, Post Acute Care Resume

  • Federal, state, and local laws, ordinances, rules, and regulations relating to the management and operations of physician practices
  • 12 Ensure there are adequate maintenance meetings and learnings re-applied to maintenance
  • 2 Ensures that the whole Asset care system is audit ready at all times
  • Responsibilities also include oversight of Home Health activities and involvement with Hospice and Palliative Care
  • Current licensure as a RN in the state of California
  • Extensive functional knowledge of Asset Care and Manufacturing Excellence techniques. A skilled and committed exponent of lean manufacturing tools, such as RCPS and CI, with a proven ability of delivering performance improvements through their application
9

Experience For RN Care Center Manager Resume

  • Exceptional leadership and people management skills are a pre-requisite for the role, with a strong track record in employee engagement
  • PR certified within six months of employment
  • Medical terminology, clinical and administrative procedures, equipment, and facilities
  • BA or Post Secondary Education essential
  • Intervenes in any guest/employee situation as needed to insure the integrity of the property is maintained, guest satisfaction is achieved, and employee well being is preserved
  • Demonstrated ability to work collaboratively with a managed care and a clinical team as evidenced by credentials and supervised experience
  • Achieves established MBO’s
  • Asset Care Responsibilities
  • Managed Care background

List of Typical Skills For a Care Manager, Care Manager Resume

1

Skills For Utilization Review Care Manager Resume

  • Experience in a local Marketing role (ideally within the OTC / Nutrition sector)
  • Superior experience working with software applications
  • Strong customer satisfaction in customer facing role (Ariba 8.75+)
  • Acute Care Clinical, Case and/or Utilization Management, or Managed Care experience
  • Inpatient, SNF, and Medicare/Medicaid experience
2

Skills For Asset Care Manager Resume

  • Interqual and Milliman experience
  • Acute Care, Case Management, Managed Care, and/or Utilization Management experience
  • Drive performance through high quality brand reviews, issue identification and brainstorming with medical-marketing solutions aligned with the region
  • A business understanding of sourcing and/or procurement
  • History of consistently meeting or exceeding established individual performance objectives
  • Currently licensed and registered in the State of New York as one of the following: Registered Nurse, Nurse Practitioner, Physician’s Assistant
  • Compliance with internal Operating Level Agreements (OLAs)
  • Profitability on contracts improving Maintenance Variable Margins
3

Skills For Digital Care Manager Resume

  • Leads and inspires collections specialist to achieve production standards Tracks KPI’s for team leaders regarding call types and areas of concern
  • Responsible for managing assigned customers’ interactions on the products designated by the customer in their support agreement
  • Assists customer’s support contacts with understanding of new features and functionality due to product upgrades
  • GA, OH, MO, IN, KY, WI, and/or TN Registered Nurse (RN) license
  • Recent knowledge of Insurance Utilization management as related to Post-Acute Clinical Reviews for SNF, LTACH and AIR
  • Knowledge of MEDICARE rules and regulations as it applies to SNF, LTACH and AIR
  • Knowledge of Medical Management process and ability to interpret and apply member contracts, member benefits, and Managed Care products
4

Skills For Expert Care Manager Resume

  • Previous participation in the American Association of Managed Care Nurses
  • Knowledge of Centers for Medicare and Medicaid Services (CMS) or New York State Department of Health (NYSDOH) regulations governing medical management in managed care
  • Utilization management/utilization review/concurrent review experience
  • Active and unrestricted GA Registered Nurse (RN) license
  • Knowledge of Medical Management process and ability to interpret and apply Member Contracts / Benefits and Managed Care Products
  • Verifies that orientations for new team members are thorough and completed in a timely fashion
5

Skills For Manager, Clinical Care Resume

  • Customer satisfaction associated with operational performance
  • Accuracy and timeliness of Contract renewal
  • Delivery of direct customer and Channel Partner mobilisation to time cost and quality parameters
  • Drive the implementation of stroke care strategies (components of ANGELS program) within Korea
  • Manage allocated brand direct promotion budgets (field force, A&P)
6

Skills For Mass Care Manager Resume

  • Development, implementation and follow up of operational plans especially at individual hospital and country level
  • CROSS FUNCTIONAL ALIGNMENT AND INTERACTION
  • Fully demonstrate the application of Asset Care and Manex best practice and the implementation of new systems and technologies to drive these relentless improvements in all aspects of performance and efficiency
  • Demonstrate the use of an engagement culture within the asset care teams, which encourages a high performing environment built around continuous improvement and capability development
  • Build and maintain effective (internal & external) partnerships including Operations Teams, Manex Team, Project Engineers, Technical Team, Finance, Governance, Statutory Regulators (HMRC, SEPA, HSE), Suppliers and Contractors
  • Demonstrated experience and knowledge of Arizona’s behavioral health program delivery system (mental health, substance use, integrated care)
  • Directs and builds the capability of Team Leads and craftsmen
  • Implements MMS best practice process, 5S, SMED technics, visual factory and other world class tools to drive performance and reduce waste
7

Skills For Area Sales Manager, Long Term Care Resume

  • In alignment with the global asset care standards and based on MMS concepts, develops action driven work streams to further overall maintenance maturity levels to achieve world class standards
  • Deliver “Our Purpose and Mission” statement through professional business conversations
  • Achieve Quarterly & Annual Sales, Gross Profit $ & Gross Profit percentage goals
  • Add PCP information to patients’ demographic record
  • NPI’s launches implementation: AW development, Launch agreement preparation and feasibility supervision
  • Develops and converts new customers to Masimo products and solutions in Post-Acute markets to achieve assigned sales quota, while also developing new assigned market opportunities for Masimo’s Pulse Co-Oximetry solutions
  • Collaborate with Masimo’s extended sales teams (sales reps, managers, national accounts, etc.) to accelerate the adoption and opportunities that exist in Post Acute markets
  • Build positive relationships with Masimo’s clinical support group and hospital Account Executives to support Alternate Care business through a Continuum of Care market penetration strategy
  • Ensure continuity of the relationship with the accounts and operates at multiple levels in the accounts’ organizations, but also facilitate the executive level interfaces between company and the accounts
8

Skills For Territory Manager, Post Acute Care Resume

  • OPERATIONAL PLAN EXECUTION/IN-MARKET IMPLEMENTATION DRIVE
  • Development, implementation and follow up of operational plans especially at individual hospital and country level. Drive Implementation in individual hospitals (70-80% of field time), which involves but not limited to,
  • Works collaboratively with other internal organizations to ensure key
  • Assists customer’s support contacts with knowledge of known product defects and workarounds
  • Works with Region Director, Clinical Support staff, Sr. VP of US Alternate Care Sales, and Masimo local area team members to insure growth in the Post-Acute market by adding new customers for all markets through sales of all Masimo products and solutions. Achieves established MBO’s quarterly and yearly
  • Maintains records and prepares statistical reports as assigned. Enters data into CMHC and ABH to ensure correct billing procedures
  • Determines appropriate level of care related to mental health and substance use treatment for members based on medical necessity level of care criteria
9

Skills For RN Care Center Manager Resume

  • Determines appropriate level of care related to mental health and substance abuse treatment for members based on Beacon’s medical necessity criteria
  • Runs Front Desk shifts whenever necessary
  • Obtains level-of-care authorizations from managed care companies, when clinically necessary
  • Collaborates with the payor source and the primary clinician/treatment team and refers clients to appropriate level of care, based on symptomatology and benefit structure
  • Ensures client admission, continued stay, and discharge meet the criteria of the program
  • Communicates with referral sources to determine benefits and pre-certify admissions
  • Assists with process of appeals as directed by the Manager – Utilization Review
10

Skills For Stroke Care Program Manager Resume

  • Provides backup coverage for the Assessment Center as necessary
  • Empowers employees to take responsibility for their jobs and goals. Delegates responsibilities and expects accountability and regular feedback while driving a coaching culture
  • Fosters a spirit of teamwork and unity among department members that allows for disagreement over ideas, conflict and expeditious conflict resolution, and the appreciation of diversity as well as cohesiveness, supportiveness, and working effectively together to enable each employee and the department to succeed
  • Acts as an agent of change while advocating quality assurance and leading with customer obsessed mindset
  • Works collaboratively with other internal organizations to ensure key messaging is consistent with brand campaign strategy and relevant in social media platforms. Implements company policy, procedures, standards, and goals
  • Establishes metrics oriented social media operation to show measurable, quantifiable impact of customer engagement efforts and opportunities with customers, potential customers, and competitors on these tools. Tracks effectiveness of individual posts along with influencer monitoring and engagement
  • Strong operations and leadership skills required
  • Demonstrated B2B Field sales experience

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