Care Mgr Resume Sample

4.8
12 votes

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Work Experience


Case Mgr Lead-comm Care
12/2016 - PRESENT
Houston, TX
  • Manages the day to day operations. Sets departmental goals and objectives, and develops action plans to ensure they are met
  • Researches and takes an active role in identifying problems and possible solutions in the coordination of care to determine most appropriate setting
  • Position reports to Director of Customer Care
  • Accountable for the management of a department or functional group through subordinate supervisors/managers and for all personnel issues - including selection, termination, performance appraisal and professional development of subordinates
  • Ensure providers complete accurate evaluations, authorizations and determinations for ABA assessment and services based on established medical necessity criteria
  • Oversee the coordination of outpatient discharge planning with the practitioner to assure continuity of care
  • Manage trades to completion of service requests to customers’ satisfaction
  • Determine trade accountability for back charges and P.O.’s
RN Case Mgr-my Care OH
09/2010 - 10/2016
San Francisco, CA
  • Responsible to ensure uniform application of Company policies and procedures pertaining to the tariff, Standard Practices
  • Support Allina Health’s strategy for whole person care by managing the highest quality spiritual care and pastoral education program to further integrated healing in our patients, staff, and community members
  • B.A., Masters of Divinity or equivalent, required
  • Develop a comprehensive understanding of Beacon Colorado’s Policies & Procedures, Clinical Criteria and Benefit Plan requirements
  • Full responsibility for P&L management Achieve targeted sales, productivity, utilization, and profit goals
  • Willingness to travel within the market spending significant time with current and potential customers Valid driver’s license and acceptable motor vehicle record (2 year history)
  • Educate and promote connections with community organizations regarding the state initiatives, specifically but not limited to the Colorado Opportunity Framework
Asst Mgr Amb Care Dept RN
10/2005 - 03/2010
San Francisco, CA
  • Leads a team of 80+ to ensure efficient, high-quality customer support while maintaining high employee engagement
  • Overall accountability for development and mentoring of team to provide opportunities for skills expansion and career development
  • Facilitates a culture of open and honest two-way communication ensuring key messages are cascaded
  • Champions customer needs, and using data to drive decisions on behalf of customers
  • Develops and delivers innovative solutions to support customers and business operations
  • Administers provisions of bargaining unit labor agreement and develop effective relationships with local union management
  • Responsible for ensuring compliance with PPUC Regulations, Chapter 56 Standards and Billing Practices and Chapter 55

Education


Texas A&M University
2001 - 2005
Bachelor's Degree in Healthcare Field

Professional Skills


  • Demonstrates solid critical thinking and problem solving skills
  • Makes informed decisions and solves problems using data analysis and critical thinking skills
  • Utilize your managerial and leadership skills to support and lead a high-performing team
  • Develop your skills in leading a remote workforce
  • Proactively works to manage customer relationships to effectively solve issues and demonstrate value
  • Demonstrates adaptability and flexibility when working on special projects that support business needs
  • Actively builds strong relationships with key stakeholders in the customer's organization

How to write Care Mgr Resume

Care Mgr role is responsible for training, government, travel, manufacturing, reporting, analysis, retail, regulatory, mentoring, leadership.
To write great resume for care mgr job, your resume must include:

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

Contact Information For Care Mgr Resume

The section contact information is important in your care mgr 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 Mgr Resume

The section work experience is an essential part of your care mgr 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 mgr 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 mgr position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Care Mgr resume experience can include:

  • Have an understanding of how the Colorado Opportunity Framework, Social Determinants of Health, Health Neighborhoods and individual community entities interact and be able to articulate this interaction. Within this understanding be able to identify gaps in the community, identify areas of duplication and identify areas of opportunity
  • Identify opportunities for partnership, collaboration and data sharing with community partners which addresses the Colorado Opportunity Framework and Social Determinants of Health initiatives
  • Registered RN with prior Cardiac Services experience or Registered Diagnostic Cardiography Sonographer
  • Laboratory experience to provide technical/non-invasive services oversight and program development
  • Experience in a service-oriented role, such as healthcare, hospitality, retail and/or call center environment
  • Annual, quarterly, monthly and daily workforce planning including Paid Time Off planning, vacation buy-back program, and attendance policy adherence

Education on a Care Mgr Resume

Make sure to make education a priority on your care mgr resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care mgr 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 Mgr Resume

When listing skills on your care mgr 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 mgr skills:

  • Participate in new technician on-boarding and implementing/executing a district training plan
  • Manages, supports and coaches your direct reports enabling them to deliver great consumer care and helping them meet their performance objectives
  • Communicates with referrers including hospital administrators, physicians, support staff, patients and families
  • Manage daily work force flow, scheduling issues, vacation schedule, and the emergency service schedule for weekends and evenings
  • Daily work with dispatchers on technician scheduling, service efficiency, schedule adherence, and contracted service completion
  • Manage technician performance through coaching and direction under the direction of the District Manager

List of Typical Skills For a Care Mgr Resume

1

Skills For RN Case Mgr-my Care OH Resume

  • One to three years Case Management experience required
  • Knowledge of community agencies, evidence-based programs and interventions, health equity, and social determinants of health
  • Work with Parts Department on parts issues, shipping, and delivery
  • Prepares and communicates information to appropriate parties regarding benefit programs, procedures, changes and government mandated disclosures
  • Monitors efficiency and compliance with policies and provides coaching when needed
  • Meets contract and reporting requirements for assigned projects and programs
  • Provide education and guidance to community partners regarding the project and the resources available to advance the goals of the project
  • Communicates with Medical Group, Voluntary and Community Physicians to help facilitate appropriate patient referrals in a timely manner
  • Provides telephone patient triage and physician outreach to coordinate proper patient healthcare
2

Skills For Mgr Customer Care Resume

  • Triages clinical needs and coordinates clinical care for patients
  • Processes, tracks documents, and directs patient care throughout the Health System
  • Maintains documentation for patient inquiries
  • Collects pertinent insurance information and matches for physician participation
  • Promotes relationships between physicians to enhance physician involvement with Health System and for best practice patient care
  • Current, unrestricted RN licensure in state of practice is required
3

Skills For District Mgr, Equip Care Resume

  • Reviews technician time cards for accuracy; make adjustments in accordance with work rules and state law, and meet weekly payroll deadline
  • Execute and manage all safety initiatives in the field
  • Coach and empower Technicians to own their results and provides the tools and resources to achieve them
  • Identifies the potential in an individual and aligns development activities to their abilities and talents
  • Review district performance with District Manager monthly to identify needed improvements to achieve sales and profitability budgets
  • Actively participate in service vehicle inventories and implement action plans for compliance issues with District Manager direction. Work with division fleet manager to maintain accurate district fleet information
  • Direct management employees in the development of strategies and implementation of tactics in support of business and financial plans. Coordinate and evaluate scheduling of work within the area. Coordinate operations activities with Contact Center Support teams. #CD# Review and approve all departmental expenditures. 30%
4

Skills For Care Mgr-autism Resume

  • Develop, direct, manage, evaluate and instruct managers of bargaining unit or non-exempt line employees in the department. Evaluate management, supervisory and line employee performance and develop programs and new processes to enhance job skills and motivate employee towards department goals. 30%
  • Develop working relationships and implementation plans with union to reduce union / management misunderstandings and resolve labor / management disputes / grievances. #CD# Manage activities and processes in accordance with management guidelines and the CBA. 10%
  • Design, implement, and monitor identified process/procedural improvements. 10%
  • Interface with other business units to ensure timely completion of work and identified process/procedural improvements. Manage, direct and supervise the servicing of internal/external customer special needs. 10%
  • Establish and maintain a safe work environment for subordinates within the department. Manage the facility to ensure a safe, clean and productive work environment. 10%
  • Experience with Anthem Health guide model
  • Experience with Anthem Mercer Health Advantage model
5

Skills For Mgr Customer Care Operations Resume

  • Become part of a field service management team with advancement opportunities
  • Experience and demonstrated success in recognizing / developing talent and nurturing a team environment which results in open collaboration, strong business results and improved consumer experiences
  • Work collaboratively with both internal and external medical
  • Develop project plans, establish milestones, monitor progress and deliverables
  • Convene stakeholders, facilitate meetings, mediate conflict, and build consensus among participants
6

Skills For Intgrtd BH & Med RN Care Mgr Resume

  • High level of written and verbal proficiency; ability to develop and deliver high quality written reports and oral presentations related to Colorado Opportunity Framework, Social Determinants of Health and other related topics
  • High level of organization, ability to work independently, think critically, prioritize competing tasks, and communicate clearly and professionally to supervisor and community stakeholders
  • Service First:Brining our consumer promise to life
  • Inspire Greatness:Be the best
  • Be a Challenger:Have Courage
  • Achieves business results and strives to continuously improve for our consumers
  • Engages and motivates direct reports within a busy call center environment
7

Skills For Mgr Asset Care Resume

  • Engages and motivates direct reports within a busy fast paced call center environment
  • Serve as a liaison between the RAE (Regional Accountable Entity), the community and the Department (HCPF) to facilitate successful planning, development and community engagement with the Colorado Opportunity Framework
  • Primary point of contact with the member’s PCP
  • Keep Our Promises:Commit

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