Manager, Care Management Resume Sample

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Work Experience


Manager, Care Management
10/2016 - PRESENT
San Francisco, CA
  • Assure compliance with state and federal regulations, accreditation requirements, contract agreements, and performance guarantees and participates and/or leads with on-site account and provider meetings
  • Analyze data and recommend strategies for pilots, projects, and trends for care management initiatives
  • Manages the department including interviewing and hiring employees following required EEO and Affirmative Action guidelines and ensuring employees receive the proper training. Conducts performance evaluation, and is responsible for managing employees, including skill and career development, policy administration, coaching on performance management and behavior, employee relations and cost control
  • Current RN licensure in the state of MN without restrictions or pending restrictions
  • Relevant direct clinical care or managed care experience to include 1 year of previous experience managing Medicare Advantage operations in the functional area(s) of utilization management, transition of care management and/or case management
  • Experience implementing large scale projects and care model strategies, including policy and process development and documentation, hiring, training and assigning work and managing performance of staff
  • Experience in analyzing utilization and population based data and participating in strategic planning and key initiatives to meet immediate and future needs effectively
  • Knowledge of Medicare guidelines with accountability for operational adherence and experience with CMS audits
  • Excellent organizational, change management and time management skills
Manager Care Management
11/2012 - 05/2016
Chicago, IL
  • Broad knowledge of managed care and state/federal health insurance regulations
  • Previous experience in care management processes in a health plan, 5 – 7 years management experience or previous leadership role in Utilization Management, Case and Chronic Disease Management (CM/C-DM) with Certification in Case Management (CCM)
  • Maintains current knowledge of case management topics and acts as the unit’s subject matter expert (SME) on case management at department and company meetings
  • Current MN RN licensure in the state of MN without restrictions or pending restrictions
  • Relevant direct clinical care or managed care experience
  • Taff, team lead or project lead experience
  • CCM or certification from the URAC approved list of certifications w/in 3 years of functioning in the manager position
  • Assures that clinical staff resources and assignments are consistent with meeting patient care needs. Determines qualifications and competence of departmental personnel who provide patient care and services
RN Case Manager Care Management
02/2007 - 10/2012
New York, NY
  • Ensures performance evaluations for all staff are completed with meaningful feedback within established time frames
  • Ensures that effective patient education is occurring through observation of unit clinicians
  • Participates in the development and presentation of clinical programming within the scope of licensure
  • Maintains and meets expectations on time for all competencies, license, certifications and education requirements as outlined by regulatory agencies
  • Develops, integrates and implements all components of case management, including the
  • Supports designated personnel in compliance with established policies/procedures of facility,
  • Maintains current knowledge of care management topics and acts as the unit’s subject matter expert (SME) on care management at department and company meetings
  • Oversees the team’s daily staffing requirements to meet program standards

Education


Western New Mexico University
2002 - 2006
Bachelor's Degree in Nursing

Professional Skills


  • Recent Acute Care experience (Nursing or Social Work) with 3 years experience in case management and 2 years leadership experience
  • Demonstrated professionalism and leadership skills along with ability to develop, direct, and support a team
  • Demonstrated leadership skills in a team environment, flexible/adaptable to change
  • Excellent written computer and oral communication skills
  • Assessing and recommending budget requirements and responsible for budget preparation to cost-effectively and efficiently operate departmental programs
  • Healthcare experience; To include experience in a managed care setting, hospital setting. and/or physician practice setting
  • Clinical nursing experience (RN) or 3 years experience in a health related field

How to write Manager, Care Management Resume

Manager, Care Management role is responsible for health, leadership, organizational, reporting, leader, interviewing, finance, training, auditing, payroll.
To write great resume for manager, care management job, your resume must include:

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

Contact Information For Manager, Care Management Resume

The section contact information is important in your manager, care management 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 Manager, Care Management Resume

The section work experience is an essential part of your manager, care management 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 manager, care management responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular manager, care management position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Manager, Care Management resume experience can include:

  • Collaborates with Care Management and Mercy facility leadership in the development of performance improvement indicators and best practices, identification of clinical and operational opportunities for improvement and is responsible for outcomes
  • Basic computer skills required and familiarity with Web search for programs and resources within the Main Line Health System and community
  • Four (4) years care management experience or equivalent experience in healthcare environment required
  • 3+years of demonstrated supervisory or management experience, with responsibility for team performance management
  • Effectively manage performance as well as set and achieve goals
  • Prior home care experience/Case Management, SNF management

Education on a Manager, Care Management Resume

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

When listing skills on your manager, care management 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 manager, care management skills:

  • Progressive experience in the long term care industry, with emphasis on leading and managing teams
  • Responsible for the hiring, training, performance evaluation of assigned unit’s staff
  • Foster principles of participative management by identifying/involving relevant individuals in program-related decisions is required
  • Learn and comply with company policies consistently and seeking out guidance when necessary is required
  • Perform out-of-the-box thinking, collaborate with others, and make a difference every day!
  • Oversees the initial development and ongoing operations of a client Health Care Management Services group

List of Typical Experience For a Manager, Care Management Resume

1

Experience For Manager Care Management Resume

  • Experience with planning, developing, evaluating and improving systems such as social services and discharge planning
  • Previous nursing experience to include: med/surg and home health/discharge planning, or utilization review or other appropriate health related field
  • Provides ongoing program development program support and implements best practices for an effective care management program
  • Clinical nursing experience required
  • Develops reporting tools to assist CM Director and executive leadership teams to assess the effectiveness of CM efforts
2

Experience For MSW Care Manager Care Management Resume

  • Four-Six (4-6) years nursing experience required
  • Experience in managing geriatric/chronic illness populations and/or direct care of inpatient/ambulatory geriatric/chronically ill population required
  • Case management/utilization management experience required
  • Coordinates with CM staff to ensure safe/effective/efficient plans of care are implemented
  • Inpatient hospital experience needed
  • Case management certification or approved clinical certification required or 2 years health plan management experience required
  • Working knowledge of insurance including but not limited to Medicare, Medicaid and Managed Care
3

Experience For RN Case Manager Care Management Resume

  • M. Financial issues/funding for post-acute needs/identifying possible MA eligibility cases with appropriate referrals
  • Assure that direct reports achieve the minimal qualification of their positions through ongoing staff development, counseling, and guidance
  • Takes a leadership role in the mentoring and monitoring of documentation expectations in Care Management technology
  • Conducts interdepartmental team conferences for identifying aberrant utilization; establishes a method of tracking variances based on critical timelines
  • D. Cases involving active psychiatric conditions
  • Develops and implements training plans and quality standards
  • Oversight and monitoring of the day-to-day care management functions
4

Experience For Clinical Case Manager, Care Management .DV Resume

  • Monitors and adheres to annual hospital operating budget (5%)
  • Plans, organizes, and oversees staff to ensure timely completion of determinations, discharge planning, and case management assessments
  • Ensures team meets established performance metrics and medical cost reduction goals; Includes timely reporting of monthly KPIs
  • Oversees the team's daily staffing requirements to meet program standards
  • Coordinates daily flow of the department (this includes overseeing PTO requests, assignment coverage, weekend coverage)
  • Develops and implements processes for timely and accurate documentation of appropriate data relating to concurrent denials
  • Ensures training programs address identified needs of CM staff
5

Experience For Manager, Care Management for Wellmed Resume

  • Utilizes identified denial trends to develop training tools to facilitate maximum financial reimbursement
  • Proficiency with analytical and reporting software tools
  • Manages process of pre-admission review of questionable admissions as referred by Admitting, Emergency Room and medical staff and offers workable solutions
  • Oversees submission of any audits, including but not limited to MediCal, Medicare and internal compliance studies
  • Assists in analyzing reviews, metric data, and PHI audits and uses that information to identify opportunities for improvement
6

Experience For Manager, Care Management Resource Center Resume

  • Conducts regularly scheduled staff meetings to communicate issues regarding compliance
  • Participates with department Director in employee performance evaluation process ensuring
  • Communicates performance improvement indicators, best practices, clinical and operation opportunities for improvement with Care Management co-workers
  • Develops and supervises action plans to implement identified improvements to resolve problems, increase effectiveness and efficiency, maximize resources and/or decrease cost and length of stay as evidenced by metric dashboards
  • Reports the analysis of Care Management’s performance, statistical data and results of completion of action plans to Care Management and Mercy facility leadership
  • Collaborates with Care Management and Mercy facility leadership in developing, evaluating and revising assigned Care Management Department to meet Mercy facility and customer needs
  • Coordinates with the RN Case Managers for post-discharge arrangements and advocates for the patient in obtaining and negotiating resources to meet patient needs, as necessary
7

Experience For Clinical Case Manager, Care Management DV Resume

  • Interviews patients/families to complete a thorough and timely psycho-social assessment and to evaluate current support systems available to the patient and family
  • Completes assessments, per department standards, based upon information from multiple sources including the patient, family, nursing staff and physician as well as information discussed in multi-disciplinary rounds. Documented assessments confirm an understanding of the patient’s functional status and psycho-social needs
  • Prepares for and participates in multi-disciplinary rounds on assigned nursing unit for the purpose of updating the team on the discharge plan/needs and to identify potential social work referrals. Appropriately prioritizes cases according to assessed needs
  • B. New nursing home or skilled nursing placement
  • A. Acute rehabilitation placements
8

Experience For Manager, Care Management Az-tempe Resume

  • C. Psychiatric or substance abuse placements
  • F. Acute care transfers
  • H. Hospice referrals and placements
  • I. Legal issues: adoptions and guardianship cases in collaboration with legal counsel
  • J. Specialty program participation (Transplants)
  • L. Community resource needs
9

Experience For Manager, Care Management RN Rancho Cordova Resume

  • Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers
  • Adapts quickly to changes in patient status and updates the assessment and discharge plan as the patient’s situation warrants. Stays abreast of changing social work clinical trends, regulatory matters and third-party payer requirements related to discharge planning and precertification of after-care benefits
  • As required, and/or depending on interests, serves on departmental and hospital committees
  • Monitor team member performance which includes quality, outcome and productivity measures; deploy strategies to improve performance. Provide coaching and mentoring to team members to address performance related issues. Use problem solving abilities to create solutions to operational and clinical issues identified during day to day operations
  • Collaborate with the Director, Care Management and internal audit teams to address audit related findings and implement performance improvement strategies
  • Collaborate with other functional areas within organization to ensure that care managers are implementing EmblemHealth Health Plans policies, procedures and all regulatory mandates, consistent with our mission, vision, purpose and value statement
  • Establishes communication practices within the department for effective operations and to promote positive employee relations
10

Experience For Manager, Care Management Resume

  • Manages Care Management Services team to ensure department meets the needs and expectations of HealthEast and its customers
  • Complies and analyzes data to help develop action plans to improve customer service, work processes, and employee productivity
  • Supervises staff, evaluates work and implements approved disciplinary action
  • Develops staff to expert level of practice
  • Ensures departmental compliance with regulatory agency requirements

List of Typical Skills For a Manager, Care Management Resume

1

Skills For Manager Care Management Resume

  • Solid experience with MS Office, including Word, Excel, and Outlook, with proficient ability to navigate in a Windows environment
  • Experience managing and leading a team required
  • Current, valid, unrestricted license in one or more of the following disciplines: RN, LCSW, LSW, LPC, or other related clinical license
  • Clinical nursing experience
  • Experience and comfort with reviewing clinical and financial data
  • Supervisory or management experience overseeing care management operations OR 3 to 5 years of a comparable level of responsibility
  • Experience representing the organization in a variety of settings
  • Three to five years of supervisory or management experience overseeing care management and/or specialty population operations
2

Skills For MSW Care Manager Care Management Resume

  • Strong working knowledge of Microsoft Office applications (Access, Excel, PowerPoint & Word)
  • Influencing others -- within and outside of direct reporting relationships
  • Coaching and Mentoring - primarily of direct reports, but also of others
  • Adept at planning, organizing, and executing
  • Maintains professional competency and future development by attending continuing education conferences and seminars
3

Skills For RN Case Manager Care Management Resume

  • Use logical reasoning for simple and complex problem-solving
  • Licensed Social Worker (LSW) wtih MN Board of Social Work or Registered Nurse (RN-MN) with MN Board of Nursing
  • Non-Profit in Manhattan looking for a Manager to join their team
  • Knowledge of UM/QM case philosophies and reporting requirements to state and federal agencies
  • Reviews daily, weekly and monthly production and quality data to identify individual/unit performance strengths and weaknesses
  • Coordinates individual unit’s activities with other care management functions as well as other divisions to ensure optimal performance and cost effectiveness to meet corporate goals and objectives
  • Fast paced office environment handling multiple demands and exercising appropriate judgement when necessary
4

Skills For Clinical Case Manager, Care Management .DV Resume

  • Use of expert clinical practice, leadership skills, and critical thinking skills to efficiently coordinate and direct patient care among all health care providers while maximizing use of resources is required
  • The ability to prepare and critically analyze data, make appropriate recommendations toward resolution, and follow-through of identified action is required
  • Strong sense of commitment and of being in control of one's practice is needed. Ability to effectively resolve practice issues and facilitates practice changes within the organization and throughout the continuum of care is required
  • Apply creative and innovative approaches to develop and maintain systems that achieve higher levels of multi-disciplinary team performance and desired patient outcomes is needed
  • Active partner in day-to-day operations of Care Management and development of new initiatives
  • Implements and facilitates disease or utilization-specific databases and processes
  • Assures program components are up to date
  • Manage, hire and mentor, staff to meet corporate and departmental goals; includes, Supervisors, Nurse Care Managers, Health Coaches, utilization review specialists, Social Workers and administrative staff
  • Initiate and develop clinical programs that support the care management model and enhance health engagement through member education, employer support and provider collaboration. Support and develop care models that align with the corporate strategy
5

Skills For Manager, Care Management for Wellmed Resume

  • Ensure the appropriate administration of member benefits. Gather and analyze program data and implement action plans that result in measurable outcomes
  • Hires, trains and directs care management staff
  • Develops operational policies and procedures that integrate the work of all positions within the care management organization, and ensures that they are known and followed
  • Understands, monitors and drives tangible improved care management team performance on caseloads, engagement rates, outcomes, quality, population health, productivity and financial measures
  • Managed care experience in case, utilization or quality management, 3 years of which are in management or high level individual contributor role
6

Skills For Manager, Care Management Resource Center Resume

  • Medicare Advantage Health Plan experience required
  • Contributes to the ongoing improvement and development of technology platform, helping to drive efficacy and functionality for users
  • Works with the reporting team to develop a suite of reports for managing care team productivity and performance
  • Assures that standards of practice and policies are in compliance with the NCQA and other regulatory guidelines and standards
  • Light physical effort: lift/carry < 10 lbs
7

Skills For Clinical Case Manager, Care Management DV Resume

  • Speech discrimination within functional limits
  • Manages staff relations including performance management, staff satisfaction and conflict management. Performs and oversees scheduling, recruitment, payroll and student engagements
  • Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. Manages complaints and conflicts through to resolution
  • Monitor employees’ performance regularly and coaches employees as needed
  • Manages and leads the overall care management activities and day to day operations of the team includes aspects of budget. Evaluates policies and workflows for efficiencies, and makes necessary changes to diminish risk and enhance process improvements
  • Coordinates the development, revision and implementation of care management policies and procedures. Assures consistency in processes and function across teams auditing and solid business practices
8

Skills For Manager, Care Management Az-tempe Resume

  • Ensure that team members are managing enrollees across the care continuum, inclusive of behavioral health to ensure that enrollees have access to needed care and services
  • Monitor employees’ performance regularly and coach employees as needed
  • Knowledge of medical care terminology and disease processes, healthcare organizational structures, human resources management and medical staff structure, generally acquired by five or more years of progressive experience, including two years in a supervisory/coordinator capacity. A Clinical Social Worker or Licensed Registered Nurse
  • Case management certification or approved clinical certification required -or- 2 years care management/health insurance management experience required
  • Use Midas, Intequal. Knowledge of payer and regulatory requirements
  • Thorough knowledge of cost containment activities
  • Review and evaluation of key clinical/financial data as it relates to cost and utilization for designated medical groups
9

Skills For Manager, Care Management RN Rancho Cordova Resume

  • Collaboration with the SP CM leadership team and other key stakeholders to monitor/manage /develop/implement clinically focused programs/initiatives to improve performance
  • Work collaboratively with other members of the SP CM Leadership team, SP
  • Medical Directors and other appropriate Tufts HP staff to identify and address opportunities to manage utilization/cost, improve quality, identify gaps in knowledge or services, reduce administrative cost and demonstrate outcomes for clinical, financial and utilization functions and programs
  • Ongoing communication and partnership with Network Contracting and Allied Health departments to develop and implement strategies to optimize the critical relationships with our community partners (Home Care agencies Skilled Nursing Facilities, Acute Inpatient Care Facilities vendors, etc.) 60%
  • Identify the key drivers of unfavorable clinical performance
10

Skills For Manager, Care Management Resume

  • Create and excecute clinical action plans to address clinical performance
  • Collaborate with medical group or key constituencies to execute action plan
  • Reevaluate and refine clinical action plan as needed
  • Share best practices on clinical performance 20%
  • Plans, directs, and evaluates the overall services and functions of the care coordination
  • Coordinates quality, service excellence and performance improvement initiatives
  • Identifies and resolves issues affecting service delivery of the Care Coordination and serves as a liaison with internal hospital departments and external facilities/agencies

List of Typical Responsibilities For a Manager, Care Management Resume

1

Responsibilities For Manager Care Management Resume

  • Licensure/Certification/Registration: Current PA licensure as an RN; National recognized Care Management certification within 5 years of start date (3 years for currently employed CCs) required. CPR
  • Complexity of Work: Requires interpersonal, analytic, and critical thinking skills for problem solving and decision making, broad and intimate knowledge of reimbursement and regulatory requirements, decisive judgment and the ability to work with minimal supervision
  • Five (5) years of related healthcare experience to include two (2) years of experience in Utilization Management, Discharge Planning, Case Management or Care Coordination
  • Ongoing communication and partnership with Network Contracting and Allied Health departments to develop and implement strategies to optimize the critical relationships with our community partners (Home Care agencies Skilled Nursing Facilities, Acute Inpatient Care Facilities vendors, etc.)
  • Care manager related experience required
  • 5 – 8 years of clinical experience
  • Clinical experience is required
2

Responsibilities For MSW Care Manager Care Management Resume

  • Experience in the insurance or related industry
  • Case management/utilization management experience
  • Experience with denials and appeals
  • Past experience in Medicare and/or Medicaid managed care required
  • Experience in the presentation of pertinent clinical data to external stakeholders i.e. Medical Group Leadership
  • Share best practices on clinical performance
  • Plans, directs, and evaluates the overall services and functions of the care coordination resource center (CCRC) (35%)
  • Coordinates quality, service excellence and performance improvement initiatives. (10%)
3

Responsibilities For RN Case Manager Care Management Resume

  • Identifies and resolves issues affecting service delivery of the CCRC and serves as a liaison with internal hospital departments and external facilities/agencies. (25%)
  • Supervises staff, evaluates work and implements approved disciplinary action. Develops staff to expert level of practice. (20%)
  • Ensures departmental compliance with regulatory agency requirements. (5%)
  • Oversees care management functions and ensures compliance with application of criteria from approved standardized guidelines, government mandated regulations, and contractual agreements, to include NCAQ, URAC, and CMS
  • Implements and interprets organizational policies and procedures, and reviews work of staff to ensure that policies and guidelines are appropriately applied
4

Responsibilities For Clinical Case Manager, Care Management .DV Resume

  • Tracks and trends outcomes for potential improvements in the care management process; Creates monitors, evaluates, and disseminates program and productivity reports weekly, monthly, and as needed
  • Monitors and oversees the reporting of all quality issues to medical management leadership for referral and reporting to health plans, as appropriate
  • Evaluates staff performance and recommends merit increases, promotions, and disciplinary actions
  • Attends and assists with the facilitation of local market intra-disciplinary care team meetings
  • Monitors appropriate utilization of resources, overtime, supplies, and mileage
  • Performs comprehensive assessments and documents findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Analyzes data for trends and causative factors that promote or impede progression toward positive care management outcomes
5

Responsibilities For Manager, Care Management for Wellmed Resume

  • Analyzes data for trends related to variation in actual vs. targeted length of stay
  • Assists with management of departmental budget
  • Collaborates with CM Director, Medical Director/Physician Advisor and staff to ensure effective processes and systems are established and maintained to meet department goals
  • Collaborates with other UPMC departments to establish mechanisms to address issues related to care management, tracks, trends avoidable day/delay documentation and reports to Director trends/barriers
  • Collaborates with other departments to generate outcome data as needed to measure and trend performance indicators
  • Collaborates with other staff to develop performance improvement activities as indicated
  • Conducts inter rater reliability audits per established policy
6

Responsibilities For Manager, Care Management Resource Center Resume

  • Coordinates with CM in an effort to meet the established length of stay targets
  • Functions as a resource person for the care management and denial management processes
  • Monitors and mentors Care Management staff
  • Oversees daily operations of the Care Manager (CM) staff under the direction of the Director of Care Management
  • Participates in leadership development
7

Responsibilities For Clinical Case Manager, Care Management DV Resume

  • Conducts and records periodic staff meetings, to inform staff of changes in policies and procedures
  • Develops and provides statistical UM information and reports to appropriate committees and in conjunction with the Director of Care Management identifies utilization issues affecting the quality of patient care
  • Direct and coordinate data gathering and record keeping legally required by Federal and State agencies, the Joint Commission, and hospital policies; participates in the risk mitigation, process of implementing new or revised processes, and projects
  • Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals. Maintains minimal denial rates by Medicare, MediCal, private and contracted payors through appropriate direction of utilization practices; assists physicians and hospital personnel in understanding care management issues
  • Prepares cost analysis reports and other data needed for the preparation of the departmental budget
  • Provides in house educational programs as needed for both staff and physicians
  • Responsible to purchase, educate, and record education to new equipment and/or techniques
  • Supervises technical procedures and performs procedures as needed
  • Responsible for implementation of mission, vision, philosophy, core values, evidence based practice (EBP), and standards of the organization, and nursing service within their defined areas of responsibility
8

Responsibilities For Manager, Care Management Az-tempe Resume

  • Collaborates with physician advisors and partners to share performance metrics and patient care progression goals
  • Leads organization initiatives for daily care progression huddles, prolonged stay forums, and complex care management processes
  • Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal
  • Promotes collaborative practice within unit-based teams of social workers and nurse care managers
  • Promotes and encourages specialty certification
9

Responsibilities For Manager, Care Management RN Rancho Cordova Resume

  • Oversee day to day operations and human capital for Medicaid Long Term Care in Florida
  • Achieve performance metrics for a fast paced comprehensive case management environment
  • Ensures Care Management team meets department and regulatory requirements
  • Develops and monitors Care Management team goals; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; routinely evaluates staff’s clinical skills and technical comprehension; and ensures an atmosphere of open communication, teamwork, and empowerment to make informed decisions
  • Maintains and recommends appropriate staffing levels to guarantee safe and effective care management
  • Oversees continuation, coordination, and delivery of individualized care plans and authorized services
10

Responsibilities For Manager, Care Management Resume

  • Collaborates with other Care Management team members as needed
  • Actively works to consolidate and eliminate redundancies within the 4 hospitals. Looks for ways to streamline efficiencies within the resource center to support care management in all hospitals and coordinates activities of the resource center (both current and planned) with
  • Able to analyze problems and deploy strategies to improve performance in collaboration with the leadership
  • National recognized Care Management certification within 5 years of start date (3 years for currently employed CCs)
  • Establish and maintain effective working relationships with employees, managers, healthcare professionals, physicians, and other members of senior administration, as well as the general public
  • Care management experience in a clinical managed care environment and knowledge of best practices
  • Demonstrated proficiency in intermediate level Word, Excel, Power Point, Email and Internet Explorer, as well as knowledge of electronic medical record systems

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