Manager Registered Nurse Resume Sample

4.8
17 votes

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Jace Lesch
89517 Aufderhar Vista,  New York, NY
+1 (555) 762 8978

Work Experience


Case Manager Registered Nurse
08/2015 - PRESENT
Houston, TX
  • Current driver’s license in state employed with positive driving record and able to meet requirements of insurance coverage required
  • Responsible for comprehensive members of members post acute care discharge
  • Responsible for early identification and assessment of members telephonically, in their home and possibly in provider office or facility
  • Conducts regular discussions and updates with member, physician, and Multi-Disciplinary Team
  • Assesses the patient’s needs, goals, and barriers in relation to the patient’s clinical condition,
  • Reviews Interqual Criteria applied by the central utilization team to screen the patient’s
  • Current Registered Nurse (RN) license in the state of PA
  • Collaborates and consults with physicians on patient’s progress and discharge planning needs
Case Manager, Registered Nurse
09/2011 - 04/2015
Philadelphia, PA
  • Manages the process to review and, as appropriate, appeal denials received from payers
  • Counsels with patients and family members in decision making and in meeting psycho social needs of the patient
  • Supervises Clinical Supervisors for the agency’s services
  • Supervises Service Coordinators/Schedulers and scheduling activities for the agency’s services
  • Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
  • Supervise and direct assigned LPN’s, HHA’s, and PCA’s per Federal, State and Local regulations and Agency Policy
  • Advocate for patient needs and ensure optimal clinical outcomes regardless of payer challenges. Provide the care needed as described in the Agency’s Policies and Procedures
  • Compare assessment data to baseline assessment to monitor patient’s progress. Recognize alterations in function, including life-threatening situations. Intervene and document appropriately
RN Clinical Manager / Registered Nurse
05/2006 - 06/2011
New York, NY
  • Obtain and implement physicians’ orders accurately and promptly
  • Provide patient education and counseling so that the patient and caregiver have the knowledge, skills and abilities to achieve their maximum level of independence. Document all patient teaching and the patient/caregiver’s level of understanding
  • Prioritize the work day assignment based on the patient’s health status and anticipated needs
  • Places needs of the patient first at all times. Care management and service delivery are developed with the goals of the patient’s healing and support in mind. Strives to deliver lasting value to our patients in the comfort of their home
  • Develops and implements short term goals that align with the companys vision and business goals. Cascades goals down to staffs’ annual objectives
  • Completes a comprehensive case management assessment and gathers pertinent information about the M/C’s needs by interviewing the M/C, appropriate family members, physicians, ancillary health professionals and others as necessary
  • Is responsible for the development of the M/C’s interdisciplinary individualized plan of care including short term and long term goals in collaboration with the M/C. Monitors and evaluates the M/C’s progress towards meeting goals and initiates appropriate interventions as necessary
  • Serves as an advocate for the member and acts as a liaison between the M/C and other community based agencies, facilities, providers, and practitioners in coordinating the M/C’s care

Education


University of Phoenix - Omaha Campus
2000 - 2005
Bachelor's Degree in Nursing

Professional Skills


  • Critical thinking, service excellence and good interpersonal communication skills with proactive decision-making and negotiation skills
  • Basic computer skills including Windows, Microsoft Word, internet navigation and an e-mail system
  • Exceptional organizational and communication skills, required
  • Prior experience in Utilization Management, Home Health Care, Nursing Home Management
  • Prior experience in insurance/certification review
  • Knowledge and experience using the Oasis assessment tools in the homecare setting
  • Acute care experience as a registered nurse with the adult population in a medical – surgical setting

How to write Manager Registered Nurse Resume

Manager Registered Nurse role is responsible for government, health, nursing, medical, security, finance, training, integration, purchasing, reporting.
To write great resume for manager registered nurse job, your resume must include:

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

Contact Information For Manager Registered Nurse Resume

The section contact information is important in your manager registered nurse 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 Registered Nurse Resume

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

  • Acute hospital experience, including one year of supervisory experience
  • Computer literate, skilled with Excel, Word and research utilizing the internet; required
  • Work experience in a clinical or health-related field
  • Care Management and/or chronic disease management experience
  • Medicare work experience
  • Three years of recent nursing experience in an acute-care hospital setting required

Education on a Manager Registered Nurse Resume

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

When listing skills on your manager registered nurse 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 registered nurse skills:

  • Demonstrate critical thinking skills when utilizing the nursing process, based on research, evidence-based outcomes and Standards of Practice to meet client's health care needs
  • Establish collaborative partnerships with clients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health
  • Advocate, educate and coach clients, the family and/or caregiver about treatment options, community resources, psycho-social concerns in order to set goals and help the client develop self-care skills and independence appropriate to their age and developmental level
  • Facilitate communication and coordination between members of the health care delivery team, involving the client in the decision-making process in order to minimize fragmentation in services
  • Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care is required
  • Current acute care nursing experience required

List of Typical Experience For a Manager Registered Nurse Resume

1

Experience For Case Manager Registered Nurse Resume

  • Hospital - Utilizes advanced critical thinking skills to assess patient/family needs, problem solve, and promote cost effective management of resources.SCLM - Enhances professional organizations, department activities, and community groups
  • Provides information and education to promote access to available resources and to ensure patient/family have necessary tools to make informed decisions
  • Adheres to departmental goals, objectives, standards of performance, and policies and procedures; and
  • Ensures compliance with quality patient care and regulatory compliance
  • Coordinate the integration of the social service function into patient care. Coordinate the hospital activities concerned with case management and discharge planning
2

Experience For Case Manager, Registered Nurse Resume

  • RN with current state of Florida licensure
  • Certification in Case Management (CCM, ACM) highly desired
  • Case Management certification (ACM, CCM) highly desired
  • Collaborates with the performance improvement program by gathering sentinel events and target diagnosis data. Makes suggestions for improvement of current processes and practice trends based on research
  • Reviews patient’s chart
  • Float as needed in the Area
  • Current BLS certification.
3

Experience For Lead Care Manager, Registered Nurse Resume

  • Reviews patient's chart
  • 1 to 13 patient ratio
  • 1 to 20 patient ratio

List of Typical Skills For a Manager Registered Nurse Resume

1

Skills For Case Manager Registered Nurse Resume

  • Experience in acute care case management required
  • Valid Driver’s License and reliable transportation and agency required liability insurance
  • One to three years of experience in a hospital or health care system
  • Case Management experience
  • Recent clinical or case management experience in area of specialization
  • Reliable transportation, valid Driver’s License and proof of insurance
2

Skills For Case Manager, Registered Nurse Resume

  • Recent clinical experience (required)
  • Clinical experience as staff nurse at an acute care hospital
  • Assumes a leadership role in monitoring appropriate utilization of the M/C’s benefits and in coordinating with other payor sources
  • The RN Case Manager also coordinates the hospital activities concerned with case management and discharge planning
  • Pass a physical examination after being offered employment and a health assessment annually
  • Current Alaska driver’s license with a clean driving record and proof of current vehicle insurance
3

Skills For Lead Care Manager, Registered Nurse Resume

  • Acute care hospital discharge planning/care management
  • Collaborates between multiple care givers and fosters communication between medical teams and nursing staff
  • Documents on-going processes of patients’ hospitalization
  • Monitor and evaluate the member/caregiver’s progress towards meeting goals and initiates appropriate interventions as necessary
  • Occupational Questionnaire (only if unable to apply electronically)
  • They coordinate the integration of the social service function into patient care
  • They adhere to departmental goals, objectives, standards of performance, and policies and procedures
4

Skills For RN Clinical Manager / Registered Nurse Resume

  • Float as needed in the area between 15224 and 15146
  • Licensed as a Registered Nurse in the state of Indiana
  • National Society of Health Coaches Certification or willingness to obtain within first year of employment
  • Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
  • Read/comprehend written instructions; Ability to follow verbal instructions
  • CPR certification required or obtained by completion of orientation
  • Certification in Case Management (CCM, ACM)
  • Specialty Certification in Oncology, Rehab, Pediatrics, Transplant or Wound Care
  • Current, unrestricted RN license is required
5

Skills For Clinical Care Manager Registered Nurse Resume

  • BSN in the State of Indiana
  • Knowledge of Interqual Criteria or Milliman guidelines
  • Knowledge of Meditech and MIDAS systems
  • Active California Registered Nurse license
  • Taff Nurse at an acute care hospital
  • Acute care hospital discharge
  • Reviews health records for appropriateness of application of 2 Midnight Rule for initial review of all Medicare admissions. Performs continued stay reviews of trauma patients for appropriateness based on InterQual® criteria
  • Clinical practice experience; required
6

Skills For Case Manager / Registered Nurse Navigator Resume

  • Case Management experience; required
  • Three years RN experience, required
  • RN with unrestricted, active license ; required
  • ASN from an accredited program, required
  • BSN from an accredited program within 4 years of hire, required
  • Current Colorado RN or compact license, required
  • Knowledge/expertise in Interqual or Millennium Guidelines
  • Current CA RN license for RNs. Healthcare Provider Level BLS
7

Skills For Research Manager, Registered Nurse Code Resume

  • Identifies barriers to discharge and contacts relevant personnel to overcome these
  • Conducts chart review for appropriateness of admission and continued length of stay
  • Ensures managed care reviews are up to date and accurately reflect patient’s clinical progress and acute needs
  • Participates in data collection regarding patient’s length of stay, utilization of clinical resources, IPRO citations including appropriate recommendations and re-admission within 30 days
  • Assesses patient's support system to facilitate appropriate discharge to community
  • Substantiates, with the physician, the need for home care services
  • Coordinates procurement of any supplies, equipment or home lab work needed by patient to evaluate discharge
  • Arranges for post-hospital transportation, when indicated
  • Interacts and coordinates with community agencies, families, vendors facilities and institutions to facilitate patient discharge
8

Skills For RN Case Manager / Registered Nurse Resume

  • Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient
  • Assesses patient’s support system to facilitate appropriate discharge to community
  • Works closely with the assigned Case Management Technician, to manage the M/C’s care needs
  • Completion of comprehensive case management assessments compliant with NCQA and DC Department of Health Care Finance standards
  • Development of an individualized plan of care, in collaboration with each member/caregiver, which includes long and short term goals, interventions, and barriers
  • Conduct telephonic and face-to-face outreach to assigned members/caregivers to maintain engagement consistent with established workflows, tools and timeframes
  • Provide written and verbal patient education consistent with AmeriHealth Caritas DC clinical practice guidelines
  • Serves as an advocate for the member/caregiver and acts as a liaison between the member/caregiver and other community-based agencies, facilities, providers, and practitioners in coordinating the member’s care
9

Skills For Care Manager Registered Nurse Resume

  • Refers member/caregiver, as appropriate, to address social determinants of health and other barriers to achieving health care goals
  • Works closely with the assigned Complex Case Management Care Connector to coordinate non-clinical needs, including, but not limited to, transportation, appointment scheduling and reminders, and coordinating Medicaid and value-added benefits
  • Monitors utilization of Medicaid and Alliance benefits for identification of over – and under-utilization patterns as well as coordinating with other payer sources, as necessary
  • Active participation in interdisciplinary rounds discussions through case presentation and interactive feedback to care management team members, as applicable
  • Understands, supports, and practices within the scope of the Case Management Practice Standards established by the Case Management Society of America (CMSA)
  • Evaluates, and regularly re-evaluates the needs of the patient; initiates, develops, implements and makes necessary revisions to the patient’s plan of care. Assesses the patient’s continual care needs
  • Applies knowledge of Federal/State rules and regulations, ACHC standards, and other regulatory requirements to ensure compliance and quality standards for the patient
  • Assesses the patient’s needs, goals, and barriers in relation to the patient’s clinical condition, psychosocial environment, and socioeconomic resources
10

Skills For Complex Care Case Manager Registered Nurse Resume

  • Reviews Interqual Criteria applied by the central utilization team to screen the patient’s condition within 24-48 hours of arrival. Applies Interqual criteria to the Medicare population for screening, in the absence of 3 days thereafter
  • Two (2) years of nursing experience in an acute care or surgical setting is required
  • Coordinate the hospital activities concerned with case management and discharge planning
  • Collaborates with the multidisciplinary team to plan, implement and evaluate the patient’s plan of care via daily rounds
  • Collaborates with the patient, family or other caregivers and the multidisciplinary team to design a discharge plan respective of the patient’s needs and goals. Re-evaluates and revises discharge plan of care as additional information is obtained or goals change
  • Hospital - Coordinates and integrates effective utilization management through chart review and interdisciplinary team collaboration to ensure appropriate resource utilization. Ensures regulatory compliance with CMS guidelines.SCLM - Applies advanced critical thinking and conflict resolution skills using creative approaches
  • Hospital - Demonstrates professional communication skills to foster an interdisciplinary team approach to patient care, ensure adequate documentation, and effectively respond to diverse cultural needs of patients/families.SCLM - Demonstrates positive and professional written, verbal, and non-verbal communication skills

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