Case / Care Manager Resume Sample

5.0
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Jamir Wilderman
506 Lynch Meadow,  Detroit, MI
+1 (555) 125 0444

Work Experience


RN Case / Care Manager
12/2015 - PRESENT
Boston, MA
  • Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care
  • Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care
  • Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan
  • Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, and substance abuse
  • Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services
  • Provides oversight and collects data required for regulatory and accreditation compliance. Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions
  • Contacts members of the medical team to discuss the patient’s course of progress and needs
  • Contacts/visits family to check understanding of the patient’s diagnosis, prognosis and ability to provide caregiver support
  • Conducts personal visits to the patient’s home/hospital as needed
Palliative Medicine Complex Care Case Manager
09/2012 - 09/2015
Boston, MA
  • Researches and identifies appropriate equipment that meets the beneficiary’s needs and pursues contracts with these providers
  • Explores patient’s feelings about his/her injury or illness; helps with associated trauma and frustration
  • Monitors family’s feelings about the patient’s illness and observes the family’s ability to manage new emotional stress
  • Offers information about patient’s condition
  • Assesses patient’s condition, understanding of their injury and their ability to follow the treatment plan
  • Contacts members of the medical team to discuss the patient’s course of progress and needs utilizing available discharge information (if there was a hospitalization) and the initial needs assessment
  • Maintain accurate information in Beacon’s clinical documentation systems as directed
  • Collaborate with Primary Care Physician (PCP), behavioral health professionals, County personnel, and other members of the health care team, including health plan Medical Care Managers, pharmacies, community based providers and others to coordinate services and optimize the member’s ability to engage in the appropriate plan of care
  • Review and create care plans for chronically ill patients
Care Services Coordinator & Case Manager
09/2005 - 08/2012
Phoenix, AZ
  • Partner with the Physician’s office to deliver a plan of action for patients
  • Serve as the main point of contact for patients when it comes to their care plans
  • Assess student needs and assist them in connecting to appropriate on- and off-campus resources and services
  • Enhance students’ knowledge of and access to University policies
  • Facilitate students’ ability to successfully navigate the various policies, procedures, and processes of the University
  • Provide courtesy letters to faculty regarding verifiable student absences
  • Formulate intervention/success plans for resolving student issues
  • Contact emergency contacts when necessary and appropriate

Education


University of Central Florida - Cocoa Campus
2000 - 2005
Bachelor's Degree in Nursing

Professional Skills


  • Position is in the field, and is primarily housed at a Skilled Nursing Facility/Facilities (SNF) with daily huddling with department team
  • Experience working with elderly or disabled adults in a social work or mental health work capacity in a hospital, nursing home, or home care
  • Possess an active and valid driver’s license with 5 or fewer points on driving record – In-state travel is required
  • Skilled Nursing Facility ( SNF) Case Manager
  • Strong understanding of Medicare/Medicaid guidelines, DME requirements and transportation assistance
  • This job involves overight and management of silled patients in the contracted skilled nursing facilities
  • ECC Antelope Valley: One (1) year of Utilization Management experience, to include Dischage Planning

How to write Case / Care Manager Resume

Case / Care Manager role is responsible for events, travel, insurance, training, health, transportation, education, contracts, benefits, planning.
To write great resume for case / care manager job, your resume must include:

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

Contact Information For Case / Care Manager Resume

The section contact information is important in your case / 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 Case / Care Manager Resume

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

  • Assessing potential foster/adoptive foster homes to determine best fit for a child and providing post-placement supervision
  • Facilitating connections with birth families and other relatives through visitation and on-going contacts
  • Performing assessments to determine appropriate case plans of action for abused or neglected children and adolescents
  • Providing crisis intervention services and referrals
  • Completing relative, kin and resource family searches to identify potential adoptive placements
  • Completing follow up monthly visits with each child and families; and

Education on a Case / Care Manager Resume

Make sure to make education a priority on your case / 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 case / 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 Case / Care Manager Resume

When listing skills on your case / 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 case / care manager skills:

  • Position provides utilization management clinical case management to Kaiser patients in Skilled Nursing and Rehabilitation facilities
  • Position is in the Skilled Nursing facilities contracted with Kaiser in the LA Area
  • ECC Antelope Valley: One (1) year of Utilization Management experience, to include Discharge Planning
  • Experience in Care / Case Management
  • Three to five years Case Management experience required
  • Geriatric and rehab experience

List of Typical Skills For a Case / Care Manager Resume

1

Skills For RN Case / Care Manager Resume

  • Rehab and geriatric experience
  • Valid CA Registered Nurse license
  • Basic knowledge/experience with computer applications
  • Developing intervention and service delivery plans appropriate to the needs of the child and family
  • Working flexible hours to meet member’s needs
  • Providing clinical and utilization management oversight
  • Paid training; Holiday pay; mileage reimbursement
2

Skills For Palliative Medicine Complex Care Case Manager Resume

  • Assist with assessment of current practices relating to persons of concern and recommend revisions as appropriate
  • Conduct outreach efforts directed at students, faculty, staff, and family members regarding available services and the Care Team referral process
  • Attend professional development programs, conferences, and trainings to stay current with best practices and training requirements
  • 120 Freeman Drive , Lewisburg, TN 37091-3047 USA
  • Work collaboratively with families, their relatives, other professionals, schools, the mental health system, community agencies and others in order to provide the services needed by the family
  • 1455 S. Alvernon Way
  • Three to five years managed care experience, including discharge planning, Case Management, Utilization Management, Home Health, transplant or related experience required
  • This is for a represented per diem Extended Care Coordinator position
3

Skills For Case Management & Value Based Care Product Manager Resume

  • Case management certification recommended, flexible, team player, knowledge of community resources are additional pluses
  • Case management certificate are recommended
  • Certificate in Case Management recommended
  • Familiar with the CCQM model
  • Travel to contracted and non-contracted facilities
  • Knowledge of community resources are recommended
  • LSW licensed (or eligible)
  • Position to cover both Woodland Hills and West Ventura Long Term Care
4

Skills For Care Services Coordinator & Case Manager Resume

  • Licensed Social Worker (LSW) (or eligible)
  • A chance to make a difference in children's lives on a daily basis
  • Family-oriented environment, employee events
  • A dynamic work environment where no day is ever the same as the next
  • Travel in between Rounded and non-Rounded SNF
  • Out some oriented Case Management action plans on assigned caseload
5

Skills For Case Manager Extended Care Coordinator RN Resume

  • Assist in Quality and PI metrics
  • Flexible w/ schedule and location
  • A newly revised, competitive pay scale
  • Complying with mandates for service delivery including court reviews, record documentation, and administrative/statutory requirements throughout the foster care and adoption process
  • Family group facilitation in clinical services to include individual/family therapy; and/or
6

Skills For Case Manager Long Term Care-gateway Resume

  • Virginia licensed or license eligible as a clinical social worker
  • Familiarity with Benefit Utilization System (BUS) and/or Single Entry Point (SEP)
  • Registered Nurse (RN) licensure in state of practice: Required
  • The Long Term Care Case Manager applies risk management processes in the initial review and ongoing recertification of active long term care claims for continued eligibility and executes final benefit decision
  • Communicates with claimants, appropriate legal guardians and service providers in review of medical records. Responsibility of rendering final approval/denial of benefits
7

Skills For Case Manager, Integrated Care Resume

  • Clearly communicates the benefits of the policy to claimants and delivers the final decision of claim eligibility
  • Reviews existing claims to determine continued benefit eligibility while recertifying or recovering claimants based on documentation, verbal communication with claimant and service provider information
  • Successfully pass background and reference checks. Employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions
  • Serve as member of the Care Team
  • Evaluate new referrals, create electronic cases, and assign cases to Team members as appropriate
  • Compile annual report for team and disseminate to campus stakeholders
8

Skills For Clinic Care Manager, Mgmg Case Mgmt .DV Resume

  • Present at Orientation programs for students, employees, and family members as requested
  • Serve on divisional and institutional committees as assigned
  • Represent Care Team at programs and events as needed
  • Coordinate the development and implementation of services and treatments with the children and families we serve
  • Attend weekly supervision meetings with Program Director and attend weekly staff meetings
  • Serve in rotation (with Supervisor back-up) for after hours emergency on- call response
  • Weekly home visits with foster parents and children

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