Complex Manager Resume Sample

18 votes

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Timmy Glover
35867 Mertz Streets,  Phoenix, AZ
+1 (555) 629 5896

Work Experience

Manager Complex Issues
09/2015 - PRESENT
Los Angeles, CA
  • Perform all Executive Committee members performance appraisals according to Highgate Hotel S.O.P.’s, and ensure that managers are in compliance with the standards in their administration of performance appraisals to their staff
  • Prior case management, utilization review, and discharge planning experience
  • Home care/managed care or equivalent experience
  • Proficiency in Information Systems and computer programs including MS Office (Word, Excel Outlook, etc.)
  • Location/Facility – Temple Health Plan
  • High Performing General Manager with experience operating and positioning a boutique property, or comparable asset
  • Has a thorough understanding of the Firm’s products and those of its strategic partners; uses this knowledge to provide resources and direction in order to help drive sales
Complex Case Manager
01/2010 - 06/2015
New York, NY
  • Possesses a strong understanding of the firm’s resources; able to direct the sales force to the right resources in an efficient manner as to make the sales process more efficient
  • Monitors care, which is easily accessible with no access barriers as related to the patient’s available benefits
  • Communicates with sales, front office and reservations in order to coordinate and monitor guest room blocks and special reservation needs. Assigns banquet/meeting rooms set up based on needs of clients, e.g., classroom, rounds. Reviews banquet associates’ work to ensure accuracy. Monitors in house group activity providing assistance as needed such as organizing exhibit set up
  • Collaborate, coordinate and communicate with the member’s treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention
  • Develop/implement case or condition-specific plans of care and/or intervention plan, as needed, that can become a part of the member’s EMR or medical record to establish short and long-term goals
  • Work closely with FAD OSJ to support the firm’s multifaceted supervisory platform by
  • Collaborate, coordinate, and communicate with the member’s treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention
  • Develop and implement case-or condition-specific plans of care and/or intervention plans, as needed, that can become a part of the member’s medical record to establish short and long-term goals
Complex Networks Programme Manager
05/2007 - 11/2009
Chicago, IL
  • Reviews financial reports and statements to understand property’s performance versus budget and expenses
  • Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support
  • For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment
  • Manage time and people in accordance to the location manager’s request
  • Working Conditions: General office environment, plant conditions as well to include extreme temperatures, slippery floors
  • Drive enhanced business partner quality and productivity through direct and open collaboration, metrics monitoring and analytics, and relationship strategy / governance
  • Drive increased automation opportunities and business impact through rigorous monitoring, analysis, and management reporting
  • Develop and manage the team responsible for several production-oriented client escalation workflows
  • Influence and collaborate with internal stakeholders on process design decisions driving measurable service quality and/or efficiency gains


Troy University - Pensacola
2001 - 2006
Bachelor's Degree in Management

Professional Skills

  • Experience of managing Transformation Programmes whereby a customer’s existing solution is superseded by an improved solution involving the development of new applications, new WAN infrastructure, 3rd party suppliers, business process re-engineering, training, and the set-up of service arrangements
  • Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion
  • Demonstrate health literacy and cultural competence to work effectively, respectfully, and sensitively within the patient/family cultural context
  • Experience as a GM at a Hilton or Marriott branded property of atleast 140 rooms or equivalent experience
  • Proven success in developing and mentoring high performing teams and driving team engagement
  • General manager experience managing $75M+ revenue or greater
  • Case management experience in a managed care, hospital or clinic setting

How to write Complex Manager Resume

Complex Manager role is responsible for health, interviewing, clinical, securities, training, procurement, recruiting, reporting, design, insurance.
To write great resume for complex manager job, your resume must include:

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

Contact Information For Complex Manager Resume

The section contact information is important in your complex 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 Complex Manager Resume

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

  • Work effectively and collaboratively with a geographically disperse cross-functional team
  • Previous management experience and track record of measurable business results
  • Develop multi-disciplinary care plans with the input of the member and PCP to address identified member problems using evidence-based goals and interventions
  • General knowledge of payer industry, resource management, reimbursement, and evidence-based clinical practice is essential
  • Home health and/or hospice experience
  • ECIN and MCG experience

Education on a Complex Manager Resume

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

When listing skills on your complex 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 complex manager skills:

  • Utilization review, discharge planning, and managed care experience
  • Experience working with a senior population that is socially and medically challenged
  • General manager experience managing $100M+ revenue or greater
  • Experience managing multi-properties
  • Three or more (3+) years of clinical experience or in an acute care setting
  • Midas, ECIN, MCG, and Interqual experience

List of Typical Skills For a Complex Manager Resume


Skills For Manager Complex Issues Resume

  • Clinical RN/LVN experience
  • 5+years of work experience
  • Understanding of healthcare costs and the broader healthcare service delivery system
  • Work in a virtual environment (e.g., provider offices, facilities and/or member’s homes); accomplishing and coordinating work remotely
  • Act as member advocate responding to and working to resolve member concerns or barriers to care
  • Speak with a high level understanding of the Athena services lines and of the organization’s responsibility for delivering on them
  • Provide case management services for members with highly complex medical and psychiatric conditions where advocacy and coordination are required to help the member reach the optimum functional level and autonomy
  • Perform the primary functions of assessment, planning, facilitation and advocacy through collaboration with the member and other health care resources involved in the member’s care

Skills For Complex Case Manager Resume

  • Work closely with licensed and unlicensed staff to co-manage the care of complex cases telephonically through regular contact with members, caretakers, healthcare professionals and others involved in the member’s care
  • Uses collaborative strategies and open communication to resolve issues and barriers in the member's best interest. Demonstrates complex problem solving acumen
  • Act as a subject matter expert on the nursing process and perspective for the team
  • Drives corporate marketing initiatives to help increase market share in High Net Worth households
  • Identifies and reports potential quality of care issues according to SWHP policies and procedures
  • Expertise within large group house setting
  • Managing properties with 1000+ rooms

Skills For Enhanced Complex Case Manager Resume

  • Expertise within large group house setting
  • Managing properties with 700+ rooms
  • B.Sc. in nursing or other health care related field
  • Carry a caseload of members individually and co-managed as a team
  • Engage patients telephonically to promote high quality, cost effective outcomes during a care transition, or for follow-up with complex, chronically ill patients

Skills For Complex Networks Programme Manager Resume

  • Triage patients to facilitate the appropriate level of care
  • Act as the liaison between patients, the patient’s support network, treating physician(s), and ancillary providers to assess, identify and recommend clinical care
  • Provide health education to help patients manage chronic or serious conditions, and better utilize the health care system
  • Collaborates with member, family, significant other(s), and physician's to develop a customized CM plan of care with mutually established long term and short term goals
  • Advocates for the member and works collaboratively with the interdisciplinary health care team to coordinate quality and cost effective services to meet the member's care needs and established goals
  • Provides sufficient information to the member, family, significant other(s) to facilitate informed decisions and choices
  • Responsible for the complex’s sales performance and financial performance

Skills For North Complex Assistant Manager Resume

  • Manage all aspects of the Pharmacology and Toxicology department with respect to complex product development, including staffing, supervising, providing work direction, goal setting, prioritization, etc.
  • Experience with union partnerships and negotiations
  • Strong revenue management and commercial background
  • Active RN license in a Nurse Licensure Compact (NLC) state
  • Current, unrestricted RN/LVN California licensure
  • Our Mission: To unleash our collective potential to transform healthcare

Skills For Complex General Manager Resume

  • Our Perks:Along with health & financial benefits, our athenistas are offered a variety of perks that promote employee wellbeing such as commuter support, collaborative workspaces
  • Active Series 7, 8 (or 9 and 10), 66 (or 63 and 65) and 3 registrations (Series 31 acceptable if branch conducts managed futures business only)
  • Demonstrated ability to listen to employees’ assumptions about the culture; supporting initiatives in line with the culture and making positive changes as needed
  • Experience working with the healthcare needs of diverse populations
  • ACM Certification (Accredited Case Manager)
  • Certified Chronic Care Manager (CCM)
  • Previous knowledge of the US healthcare industry
  • Direct: Regional Director

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