Rn-case Management Resume Sample

15 votes

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Lazaro Powlowski
73061 Shanahan Island,  Detroit, MI
+1 (555) 614 5890

Work Experience

RN Case Management Specialist
11/2017 - PRESENT
Philadelphia, PA
  • Adheres to principles as stipulated by
  • RN Case Managers and LVN Case Managers both gather member data. The RN Case Manager Team leader provides oversight for interpretation and evaluation of the member’s clinical data
  • Light physical effort (lift up to 10lbs). Mostly sedentary work. Regularly needs to be able to bend, stoop and reach to file
  • Deliver customized interactions based on patient’s needs
  • Demonstrated proficiency with Microsoft Office software; basic database navigation
  • Reviews admission, pre-op orders for all components necessary for preadmission, admission process
  • Communicates the benefits and changes in the various benefit plans, both in the terms of health management and financial implications to physicians, , and patients and families as appropriate
  • Assists in management of payor denials; issues hospital-initiated notices of non-coverage (HINN’s)
  • Defines desired clinical outcomes, sets target dates, and establishes a plan for required services and care, addressing all needs (i.e., physical, psycho-social, financial)
Rn-case Management
11/2010 - 05/2017
Boston, MA
  • Conducts utilization review, evaluates clinical information, and communicates findings to physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements
  • Submits clinical information to insurance companies to ensure all days are authorized and notifies director of continued stay denials
  • Completes required documentation for transfer to next level of care. Coordinates with physician for optimal information related throughout the continuum
  • Assesses the health status of assigned patients by collecting and analyzing patient and family data, and expedites and coordinates the delivery of services to facilitate patient’s progression through the healthcare system
  • Evaluates patients’ educational needs concerning continuum of care and available services and provides information and materials regarding community resources, discharge options, and pre and post treatment options and costs to patient and patient families
  • Assesses discharge planning needs and coordinates the delivery of care to meet these needs
  • Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs
  • Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual’s healthcare needs
RN Case Management PRN
05/2004 - 10/2010
New York, NY
  • Clinical experience providing direct patient care
  • Ensures all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs and coordinates the delivery of care to meet these needs
  • Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for medical necessity using ISD criteria. Maintains documentation on discharge planning notes and charts on patient’s record
  • Identifies issues relating to members' physical and mental wellbeing that affects health status and works in collaboration with both the member and provider to determine appropriate care for case management services
  • Identifies issues relating to members' physical and mental well being that affects health status and works in collaboration with both the member and provider to determine appropriate care for case management services
  • Assesses patients according to department standards and anticipates changes in patients’ status
  • Identifies obvious as well as subtle patient problems and/or abnormal assessments and appropriately reports and resolves


Strayer University - White Marsh Campus
1999 - 2004
Bachelor's Degree in Nursing

Professional Skills

  • Prior experience in discharge planning for medical/ surgical patients in an inpatient or outpatient setting
  • Prior experience in an outpatient clinic setting providing primary or specialty care
  • Prior experience in either the inpatient or outpatient setting
  • Prior experience working with Electronic Medical Records, such as EPIC
  • Five years of med/surgical experience. -Three years of experience in
  • Experience in discharge planning for medical and/or surgical patients in an inpatient or outpatient setting
  • Experience in an outpatient clinic setting providing primary or specialty care

How to write Rn-case Management Resume

Rn-case Management role is responsible for travel, database, software, health, acute, basic, planning, collaboration, scheduling, typing.
To write great resume for rn-case management job, your resume must include:

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

Contact Information For Rn-case Management Resume

The section contact information is important in your rn-case 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 Rn-case Management Resume

The section work experience is an essential part of your rn-case 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 rn-case 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 rn-case management position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Rn-case Management resume experience can include:

  • Acts as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care
  • Plan and coordinate activities related to transition planning
  • Develop and implement plan of care designed to meet the patient’s 30-day post-hospitalization needs while ensuring continuity of care
  • Collaborate with medical staff, pPrimary Care Physician, patient’s family, community agencies or facilities involving in patient’s care, and the health care team
  • Assess, facilitate, plan, and advocate for health needs on an individual basis resulting in quality, cost-effective outcomes
  • Three years of experience in one of the following areas: Case

Education on a Rn-case Management Resume

Make sure to make education a priority on your rn-case management resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your rn-case 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 Rn-case Management Resume

When listing skills on your rn-case 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 rn-case management skills:

  • Two (2) years’ experience in an acute hospital setting
  • Two (2) years experience in an acute hospital setting
  • Relevant experience, case
  • Experience with Electronic Medical Records such as EPIC
  • Valid Florida Registered Nurse license
  • Five years of med/surgical experience

List of Typical Skills For a Rn-case Management Resume


Skills For Supervisor of RN Case Management Resume

  • Licensed Registered Nurse credentialed from the Texas Board of Nursing
  • Travel up to 75% in the Phoenix, AZ area
  • Graduation from an accredited college or University with a baccalaureate
  • Current Washington State Registered Nurse licensure
  • Current/Active NC RN license

Skills For RN Case Management PRN Resume

  • Able to communicate clearly with patients, visitors and coworkers
  • Knowledge of pharmacy, pharmaceuticals, life
  • Graduation from an accredited college or University with a
  • Current LVN/RN Nurse

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