Case Manager Specialty RN Resume Sample

4.7
18 votes

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Tierra Collier
777 Steve Point,  Los Angeles, CA
+1 (555) 445 6457

Work Experience


Case Manager Specialty RN
07/2016 - PRESENT
Dallas, TX
  • Evaluates and identifies members' needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs
  • Develops individualized patient/family education plan focused on self-management, delivers patient/family education specific to a disease state
  • Participates in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participates in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service. Ensures that accurate records are maintained of the care associated with each patient
  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, and contract providers and outside agencies
  • Evaluates and identifies members' needs
  • Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs
  • Ensures that accurate records are maintained of the care associated with each patient
  • Evaluates and identifies members' needs. Interfaces with primary care physicians, specialists, and various disciplines on the development of case management plans/programs
  • Acts as a clinical liaison, per their specialty, with outside agencies such as County CCS, non-plan facilities, outside providers, employers and/or workers' compensation carriers, and third party administrators
Case Manager Specialty Rn-pd
07/2010 - 05/2016
Philadelphia, PA
  • Prepares reports, communicates program changes to appropriate staff, and develops protocols in accordance with state regulations
  • Participates in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service. Ensures that accurate records are maintained of the care associated with each patient
  • Previous experience in the care of CHF patients, case management patient's education
  • Utilize data to track decreased readmissions
  • Or 10 hour shift position
  • Travel between medical offices in Orange County required
  • Travel between medical offices in Orange County
  • RN Case Manager for the Continuing Care departments including Outpatient & Inpatient Palliative Care, Long Term Care, and the Special Needs Program
Case Manager Specialty, Rn-pd
07/2006 - 05/2010
Chicago, IL
  • This is a temporary position for approximately 90 Days
  • Having worked as a RNCM within Special Needs Program within the last six (6) months
  • After hours and weekend possibilities based on needs of operation
  • Evening calls up to 11:00 pm
  • This is a Case Manager position for the OB/GYN department. The assignment include but are not limited to: Colpo, MFM, Prenatal, Oncology, OB
  • Computer knowledge, Microsoft Word, Excel
  • Experience working as case manager /cancer patients
  • Data collection, tracking and presentation

Education


University of Phoenix - Omaha Campus
2001 - 2005
Bachelor's Degree in Nursing

Professional Skills


  • Patient education skills and experience with skills and experience with readiness to change assessment and intervention
  • Team oriented, self motivated, strong work ethic, excellent communication skills and strategic thinking abilities
  • Strong assessment, critical thinking, care planning, intervention and evaluation skills
  • Strong communication skills and flexibility required
  • Expanding clinical skills to encompass the department and patient needs as the department evolves
  • Organizational and leadership skills for coordinating multidisciplinary interaction, delegating tasks, ensuring follow through and completion of task
  • Customer service skills and strategies to interact successfully with complex issues and patients over the phone and in person

How to write Case Manager Specialty RN Resume

Case Manager Specialty RN role is responsible for software, clinical, training, compensation, oncology, reporting, education, travel, events, messaging.
To write great resume for case manager specialty rn job, your resume must include:

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

Contact Information For Case Manager Specialty RN Resume

The section contact information is important in your case manager specialty rn 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 Manager Specialty RN Resume

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

  • Chronic pain management experience
  • Experience with complex medical and psychosocial population
  • Identifying member needs/developing specific care management plan
  • Rotating weekends every 3rd, 4th, or 5th weekend
  • Understanding of social determinants of health
  • Schedule to include rotating weekends, holidays and floating within the established seniority section

Education on a Case Manager Specialty RN Resume

Make sure to make education a priority on your case manager specialty rn resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your case manager specialty rn 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 Manager Specialty RN Resume

When listing skills on your case manager specialty rn 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 manager specialty rn skills:

  • Strong clinical and social competency, program development and collaboration skills are highly valued
  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills required
  • Two (2) years clinical experience working with patients with chronic disease, e.g. diabetes, coronary artery disease, hypertension, heart failure
  • Skilled in Microsoft Offices (excel and powerpoint), and willing to expand knowledge base around support software as software and the department evolves
  • Two (2) years clinical experience working with patients with chronic disease, e.g. cancer, diabetes, coronary artery disease, hypertension, heart failure
  • Experience in managing complexity d/t both medical and psychosocial issues

List of Typical Experience For a Case Manager Specialty RN Resume

1

Experience For Case Manager Specialty Rn-pd Resume

  • Previous experience in Chronic Disease Conditions (CVD, DM, CAD, HTN, Dyslipidemia, Osteoporosis, Asthma
  • Home base is West LA
  • This per diem case manager position supports our high risk pregnant patients
  • Travel between Alton Sand Canyon office and Anaheim office
  • Variable hours and days
2

Experience For Case Manager Specialty Rn-cardiology Resume

  • Travel to Fontana and possible other medical centers in Region for clinics 1 - 2 times per month
  • Responsible for patients with chronic metabolic genetic conditions
  • Shift typically mirrors schedule of providers in clinic
  • Experience requires care coordination of services across the care continuum covering medical and behavioral issue, coordinating with primary care MD and MC's SNP program case managers
  • This job requires telephone outreach to members to manage and coordinate members' health issues to reach optimum healthcare outcomes while prevent ER visit and IP admission
  • It also requires documentation in electronic medical records
  • Case Management of Diabetic Population with and emphasis on Type I DM population
3

Experience For Case Manager Specialty, Rn-pd Resume

  • Management to include patients with Insulin Pumps
  • Work independently with other departments in a multi-disciplinary team
  • Proficient in KP HealthConnect - EPIC, POINT, Microsoft Office Suite
  • Potential 10 hour shifts
  • Knowledge of diabetes in pregnancy
  • Ultrasound Certificate within six (6) months of hire
  • Licenses, Certifications, Registrations

List of Typical Skills For a Case Manager Specialty RN Resume

1

Skills For Case Manager Specialty Rn-pd Resume

  • Customer service skills, interpersonal, and team work capabilities
  • One year cardiology experience required
  • Ambulatory Neurology experience
  • Recent Pediatric experience
  • Rotating weekends possible
2

Skills For Case Manager Specialty Rn-cardiology Resume

  • The role serves to support various patient needs, case managing and communicating with various disciplines
  • Nurse visits for new program teaching or Lupron therapy
  • Management of ongoing prostate cancer case load
  • Pre-op teaching and post op follow up visits
  • Advanced fetal monitoring as well as limited ultrasound to include AFI and BPPs
3

Skills For Case Manager Specialty, Rn-pd Resume

  • Primary responsibility is diabetes case management, antepartum testing as well as our obstetrics patients
  • Focus mainly on asthma and cvd management including but not limited to education, medication initiation/titration, & assessments
  • Comfortable with public speech and teaching
  • Support Population Management department through telephonic outreach to assist members in managing chronic conditions
  • Focus is on diabetes management including but not limited to education, medication initiation/titration (oral meds, insulin, & insulin pumps), & assessments
  • Advanced Fetal Monitoring Certificate
4

Skills For Case Manager Specialty Rn-electrophysiology Resume

  • Work collaboratively with physicians and Health Care Team
  • Complex Chronic Disease Management to include, but not limited to Diabetes, High Cholesterol, HTN, COPD, Asthma, and CHF. Utilization of Clinical Practice Guidelines to titrate medications in partnership with primary care physician
  • Weekend Responsibilities: Walk-in appointments, hard to reach patient list, Retinal Photos, additional focused outreach lists as directed by Regional Complete Care and Medical Center needs
  • RN Case Manager responsible for coordinating care for multiple pediatric sub-specialties
  • Travel - Specifically around campus to see patients in the inpatient setting and various ambulatory settings
5

Skills For Case Manager Specialty Rn-peds Resume

  • Working with physician to implement care/treatment plan by coordinating access to health services across multiple providers/disciplines, monitors care, utilization of resources, promotes self-care management and ensures paper work is completed
  • Able to handle difficult questions/sensitive information/high level of frustration
  • Prepares report for the department's Quality Improvement for M&M and the quarterly Cardiac Services QI presentation
  • Handle difficult questions/sensitive information/high level of frustration
  • Working with physician to implement care/treatment plan by coordinating access to health services across multiple providers/disciplines, monitors care, utilization of resources, promotes self-care management
  • Travel to other KP facilities as needed
  • Manage Lupron hormone therapy patients
6

Skills For Case Manager Specialty Rn-oncology Care Management Resume

  • Manage active surveillance patients “annual PSA.”
  • Manage and maintain data spread sheets
  • Comprehensive management of new prostate cancer patients
  • Meet with newly diagnosed prostate cancer patient, discuss options, coordinate care, and plan treatment
  • Complete comprehensive questionnaire in HealthConnect (periodic updates throughout treatment)
  • Review pathology results and call negative results
  • Position located at the Fontana Medical Center - Family Medicine department
  • As a Case Manager
7

Skills For Case Manager Specialty Rn-pediatrics Resume

  • Case Manager in support of Southern California Regional Craniofacial Program
  • Travels approximately one day per week to support clinics at Southern California KP locations
  • Travel required for home visits
  • Possibly 10 or 12 hour shifts to support MOB
  • Able to work independently under Standard Procedure
  • Carry up to 35 pounds
  • Supports our high risk pregnancy division
  • This is position floats between Kraemer and Alton Sand Canyon as operationally necessary
8

Skills For Case Manager Specialty RN Resume

  • For positions in OB/Gyn: (2) years of recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care. Demonstrated knowledge of maternal/fetal medicine, including high risk pregnancies
  • Knowledge of Neurology visit types
  • Direct book appointments
  • Experience with caring for and case managing pediatric neurology patients (help access care resources, coordinating care, and teaching parents of patients about their specific disease processes and self care) under CCS and non-CCS guidelines
  • As with the Osteo Arthritis program as part of the job responsibilities
  • Two (2) years of recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care. Demonstrated knowledge of maternal/fetal medicine, including high risk pregnancies
  • Case Manager for high risk diabetic patient in the OB GYN department
  • Flexibility to work evenings and weekends is required
9

Skills For Case Manager Specialty Rn-pd Resume

  • Self-motivated to drive the Vascular Access Coordinator program
  • Perform Data Collection and Analysis under guidance of Department Leaders, management and Provider leaders
  • Work independently under Standard Procedure
  • BLS certified and current CA RN License required
  • CDE certification highly desired
  • This is a case manager position for the high risk maternal fetal medicine dept of OB GYN
10

Skills For Case Manager Specialty Rn-cardiology Resume

  • Weekend rotation and holidays required
  • Demonstrate strong communication skills and highly motivated to be part of a flexible, interdisciplinary patient-centric team, working with departments across the continuum of care
  • The Bridge Clinic sees patients who are high-risk for readmission and/or bounce back to ED
  • For positions in OB/Gyn: Two (2) years of recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care
  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, care coordination, transfer coordination, discharge planning or case management
  • Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.)
  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills required. Computer literacy skills required

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