Bilingual Case Manager Resume Sample
Eloise Corkery
97449 Modesto Knolls,
Philadelphia,
PA
+1 (555) 887 5618
Work Experience
Bilingual Case Manager
10/2015
-
PRESENT
New York, NY
- Work directly with the reimbursement specialist and the physician to secure funding for their patient’s therapies; assist with alternative funding searches when needed
- Adherence to College of Nurses standards of nursing practices
- Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare Special Authorization (SA) petitions for public or private coverage by auditing patient charts, assessing previous therapies and tests in order to complete the SA
- Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards
- Notify patients’ Primary Care Physician of admission, discharge and discharge plan within 24 hours of each event as appropriate
- Utilize the nursing process to establish individual patient goals and measures patients’ response to the plan of care for appropriate outcomes and intervene appropriately
- Experience in hepatology, gastroenterology, immunology, or rare diseases is an asset
Bilingual Nurse Case Manager
05/2013
-
09/2015
Boston, MA
- Experience in hemaology or oncology is an asset
- Reviews and approves program participants’ service plans to ensure compliance with state requirements and contractual obligations
- Conducts home visits to verify ISAP participants’ places of residence in compliance with contractual obligations
- Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to HCPs and patients
- Coordinate/facilitate submission of Special Authorization letters to public and private payers
- Gather pertinent information and coordinate patient’s access to infusion services, as well as conduct follow up activities related to infusion services
- Liaise with physicians’ offices, infusion services providers and other parties to provide comprehensive and coordinated service to patients and physicians
Bilingual Career Case Manager At-risk of Homelessness
04/2006
-
11/2012
Philadelphia, PA
- Conducting intake interviews and orientation sessions with each ISAP Program Participant within contractual time frames
- Develops, implements, coordinates, reviews and updates case management and individual service plans for ISAP participants in conformance with state and federal regulations and program requirements. Meets with participants face-to-face regularly as required by contractual obligations.
- Provides bilingual telephonic case management in a workers’ compensation environment
- Current resident of California
- Active and unencumbered Registered Nurse licensure in California
- Maintain client caseloads. Support clients’ development with respect to resume building job applications interviewing and job searching skills
- Implementing call-center program including the provision of patient and healthcare professional bodies with telephone/web support. Current assistance lines focus on being the first point of contact for patients, their family and loved ones, the extended care team, and other users of the platform
- Provide chronic disease management (including compliance, utilization, educational information on specific products/therapeutic areas/devices/delivery methods/technical support)
- Administer and adhere to case-management protocols, including symptomatic and preventative care interventions to help improve the condition or wellbeing of a patient, within the clinical governance defined in the care plan
Education
West Virginia University
2000 - 2005
Bachelor's Degree in Social Work Psychology Sociology Vocational Rehabilitation Human Services Counseling
Professional Skills
- Excellent oral and written communication skills with a strong customer service orientation
- Excellent problem solving and decision making skills
- Strong organizational/multi-tasking skills are necessary
- Excellent listening skills with the ability to quickly identify relevant issues and stakeholder need
- Proven analytical, organization and decision making skills
- Strong negotiation skills with the ability to influence others
- Demonstrated strength in conflict management skills
How to write Bilingual Case Manager Resume
Bilingual Case Manager role is responsible for bi-lingual, english, french, government, articulate, attitude, software, training, health, organization.
To write great resume for bilingual case manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Bilingual Case Manager Resume
The section contact information is important in your bilingual case 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
- Telephone number
Work Experience in Your Bilingual Case Manager Resume
The section work experience is an essential part of your bilingual case 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 bilingual case 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 bilingual case manager position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Bilingual Case Manager resume experience can include:
- Supporting the patient in-between visits through clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers
- Excellent verbal and written skills on English and French
- Excellent verbal and written skills In English and French
- Strong computer skills in a Windows environment using MS Office (Excel, Word)
- Communicate effectively both verbally and in writing, and in both French and English in bilingual provinces
- Integrate skills training in all aspects of Rehab plan
Education on a Bilingual Case Manager Resume
Make sure to make education a priority on your bilingual case manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your bilingual case 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 Bilingual Case Manager Resume
When listing skills on your bilingual case 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 bilingual case manager skills:
- Excellent organization skills with good attention to detail
- Strong negotiation and mediation skills when facilitating between clients and lines of business in order to provide mutually acceptable resolution
- Good verbal and written communication skills in both English and French
- Excellent interpersonal communication skills, with the ability to communicate to all patients, health care providers and other stakeholders
- Excellent communication skills, verbal and written in English,
- Build relationships with producers through strong communication skills; preferably in English & Mandarin
List of Typical Experience For a Bilingual Case Manager Resume
1
Experience For Bilingual Nurse Case Manager Resume
- One to three years of job related experience in the insurance industry
- Reimbursement or related industry experience an asset
- Post-Secondary or College education or equivalent work related experience is an asset
- Analyze and generate report to gauge New Business operation productivity & effectiveness
- Responds to questions, concerns and escalated issues involving sales, licensing and contracting, underwriting, new business and customer service
- Flexibility in working overlapping shifts (i.e. one or two weekly 12 pm - 8 pm rotating shifts)
- Trade off long and short-term needs and goals, compromise where necessary without abdicating stewardship responsibilities
- Exercise sound judgment when using Client Care’s empowerment to resolve complaints
- Understanding of Pharmaceutical industry and drug coverage in Canada preferable
2
Experience For Bilingual Telephonic Nurse Case Manager Resume
- General office working conditions
- Document each activity as required
- Adherence to the general HealthForward Inc. processes, as well as program specific processes
- The NCM is responsible for patient enrolments and working collaboratively with a Reimbursement Specialist (RS) to manage the patient’s file in the program database
- The NCM is responsible for reviewing physician submissions to ensure mandatory clinical information is provided and following up when additional information is required
- Provide full case management which includes but is not limited to, application review, scanning and submitting while providing status communication to producers and managers
- Key point of contact for producers and managers
3
Experience For Bilingual Career Case Manager At-risk of Homelessness Resume
- Troubleshoot and resolve problems related to case management
- Have proven relationship building skills, capacity to make consistent sound and effective decisions while demonstrating a high energy level, positive attitude through proactive, effective communication
- Be cross-trained for all functions as needed with a strong understanding of Product, Sales Underwriting, New Business, Licensing and Commissions, and Customer Service workflows
- Communicate in English and Korean
- Ensure that calls are answered promptly and efficiently and that callers receive current relevant information and assistance by maintaining expert knowledge and skills through the availability of medical and non-medical education & training
- Provide reimbursement counselling & product information to patients, caregivers, and health care professionals. Liaise with third party payers & provincial governments as necessary to determine patient drug plan eligibility
- Respond to caller inquiries by conferring with them to determine requirements. Offer advocacy based information by discussing and analyzing the caller’s situation, and dispensing expert information. Provide referrals, coordinate on-site or off-site services, research on behalf of the caller and network with others, as necessary
- Act as the primary regional knowledge resource for other ESMs and use this knowledge to raise process and/or procedure improvement opportunities
- Resolve client issues and problems by analyzing the cause of the problem, exploring alternative solutions, discussing the most workable solution and/or discussing with the supervisor or team leader to ensure a satisfactory outcome
4
Experience For Case Manager, Senior Bilingual Resume
- Provide support with core services across Enliven Support Manager teams
- Track and document customer information using the appropriate computer system and by using proper grammar and spelling in both official languages. Ensure that callers receive appropriate fulfillment as required
- Foster and maintain a team environment by maintaining open lines of communication with peers, managers, and other departments within McKesson
- Respond to inquiries quickly and completely and provide status updates
- Recognize and respond to or refer opportunities
- Effective verbal and written communication skills with employees, community contacts, government officials and participants. Ability to interpret and articulate rules, orders, instructions and materials. Ability to compose reports
- Demonstrated sound judgment and even temperament. Ability to maintain self-control in stressful situations, such as interpersonal confrontations or emergencies. Ability to defuse hostile or unstable situations
- Deal with multicultural contacts with sensitivity
5
Experience For Medi-cal RN Case Manager Bilingual Resume
- Registered nurse (RN) or Registered Practical Nurse/Licensed Practical Nurse
- Registered nurse (RN) or Registered Practical Nurse (RPN) or Licensed Practical Nurse (LPN)
- Promote Center resources and services in the community and maintain positive community relations
- Maintain awareness of and report the substance abuse service needs to appropriate Center staff
- Resolve client issues and problems by analyzing the cause of the problem, exploring alternative solutions, discussing the most workable solution and/or discussing with the manager or team leader to ensure a satisfactory outcome
- Support others who maintain relationships with customers
- Produce policy illustration when required
- Work closely with Director of Operations to deliver case management efficiencies and results
- Prepare PowerPoint presentations and reports for various firm meetings
6
Experience For Bilingual Case Manager LPN Resume
- Have proven relationship building skills, capacity to make consistent sound and effective decisions while demonstrating a high energy level, positive attitude and results-oriented through proactive, effective communication
- Highly skilled in both Excel and PowerPoint design and presentations
- Identifies high-risk members who are appropriate for case management intervention
- Initiates contact with members, caregivers, physicians and other health care providers to discuss current and alternative treatment plans
- Registered nurse (RN) or Licensed Practical Nurse (LPN) or Registered Practical Nurse (RPN)
- 1 Month project - Pay Rate $20 p/h
7
Experience For Bilingual Health Case Manager Resume
- Use CIBC’s Client Engagement Model to actively listen and probe clients complete an understanding of client’s concern(s) and their journey leading up to Client Care’s office
- Advanced computer skills; Microsoft Word or Excel software applications
- Present (verbally and in writing) complex complaints and alternatives in a clear and understandable way to both external and internal audiences
- Structure, plan, investigate and resolve several complex complaints in parallel
- Where appropriate, contact and investigate with lines of business partners to obtain supporting documentation and all relevant material as part of the investigation
8
Experience For Bilingual Field Case Manager Resume
- Negotiate with, and resolve problems with, people at all levels within the organization
- Examine and analyze unstructured problems, and organize and solve them in a systematic and organized manner
- Apply extensive knowledge of one’s products, services, policies and procedures to every issue
- Provide or recommend financial and/or goodwill adjustments to accompany a resolution, ensuring equity and stewardship of the bank’s assets are applied to every situation
- Identify business risk elements escalating to the appropriate supervisor or business partner immediately for expedited action
- Mediate and negotiate between Insurance Carriers, Medical Service Providers and Advisors
- Ensure that Policy Issue and Settlement processes are carried out in a compliant and timely basis
- Record case progress in Backoffice System Database
- Can listen to complex situations and logically work through the causes to develop options / recommendations to our LOB partners to solve the situation
9
Experience For RN Case Manager Fully Bilingual San Juan Office Resume
- Ask key questions, understand the client’s journey and develop ways to help clients for unique situations
- Manage multiple time sensitive issues concurrently
- Pass a federal background check and otain a suitability determinaion
- Vaild Driver's License required
- Foster Care and/or Child Welfare background
- Provide education and communicate on community resources and cultural matters
- Interpret both language and cultural concerns for staff and other community service providers, as appropriate
10
Experience For Bilingual Health Services Case Manager Resume
- Active RN license in the state lf Florida
- Expert knowledge of Sunlife suite of individual life and health products
- Registered Nurse License for province of employment
- Proficient in Microsoft Office applications (Word/Excel)
- Registered nurse (RN) or Licensed Practical Nurse (LPN_
- Registered nurse (RN) or Licensed Practical Nurse (LPN
- Knowledge of Medical Terminology, drug reimbursement and claim adjudication process
List of Typical Skills For a Bilingual Case Manager Resume
1
Skills For Bilingual Nurse Case Manager Resume
- Build producer relationships through strong communication skills
- Superior verbal & written communication skills to articulate factual and conceptual information
- Language skills: French mandatory, English would be an asset
- Bi-lingual spanish/english language skills, required
- Bi-lingua Englis/Spanishl language skills, required
- Bi-lingual language skills, required.(Spanish or Creole)
- Bi-lingual language skills, required.(Spanish-English)
- Bi-lingual language skills, required (English and Spanish)
2
Skills For Bilingual Telephonic Nurse Case Manager Resume
- Bi-lingual language skills, required
- Bi-lingual Spanish-English language skills, required
- Bi-lingual language skills required.(Spanish-English)
- Bi-lingual English/Spanish language skills requried
- Prior experience in workers’ compensation case management and/or utilization review process
- Apply critical thinking skills in order to resolve problems
3
Skills For Bilingual Career Case Manager At-risk of Homelessness Resume
- Bilingual skills in Vietnamese or Cambodian
- Analytical and investigation skills, meet quality and turn-around-time objectives
- Case Work experience working with children and families
- Current Clinical Nursing experience within a Home Care, Case Management, or recent Acute Care environment
- Participate in in-service training and skill development activities within The Center
4
Skills For Case Manager, Senior Bilingual Resume
- Case Work, Community Services, and/or Social Planning experience within a Social Services agency
- Experience working with the Homeless population
- Experience dealing with multicultural clients
- Experience dealing with multi-cultural clients
- Calculate figures and amounts such as discounts and percentages Be adaptable to changing priorities as needed
- Complete chores if consumers' skill level wan-ants or when consumer refuses
5
Skills For Medi-cal RN Case Manager Bilingual Resume
- Experience with the use of DHS - CARES database system
- At least two years’ relevant experience in a field related to law, social work, detention, corrections, government, or similar field
- At least two (2) years’ relevant experience in a field related to law, social work, detention, corrections, government, or similar field
- Valid driver's license require
- Excellent grasp of all tools utilized to support sales process (EOS, Euclid, substandard calculators, SVFA, Excel)
- Experience in public or private third party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support is an asset,
- Knowledge and experience in areas of Multiple Sclerosis and Rheumatoid Arthritis required
- Valid driver’s license, current auto insurance policy and access to personal vehicle
6
Skills For Bilingual Case Manager LPN Resume
- Clinical practice experience is required
- Review, analyze and validate information provided by patients and HCPs for accuracy and completeness to ensure
- O Strong patient focus
- Experience in the healthcare, pharmaceutical or insurance industry would be an asset
- Be proficient in all aspects of reimbursement (i.e. benefit investigation, prior authorization, pre-certification)
7
Skills For Bilingual Health Case Manager Resume
- 5-7 years of related Experience
- Experience in Respirology is an asset
- Experience in home care
- Working knowledge of Word, Excel and Access
- Working knowledge of advanced internet technology
- Participate and attend on-going refresher training and specialized training courses as deemed appropriate by the manager
- Perform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax software, general administrative functions including faxing, filing,
8
Skills For Bilingual Field Case Manager Resume
- Identify issues and address obstacles impeding underwriting, policy issue and/or settlement
- Process documents supporting the patient’s care, including infusion reports, lab results, copays
- Clear communication to manager, and program trained colleagues regarding the management of assigned patients during foreseen absences
- Able to work in highly repetitive and challenging working environment
- UAS-Certified or in process of being certified
- Assist consumers with budgeting and money management
9
Skills For RN Case Manager Fully Bilingual San Juan Office Resume
- Help form a nutritional plan and assist consumers with food shopping
- Re-instill confidence and trust in our client’s and their relationship with CIBC using the HEAL method
- Influence LOB partners to grant exceptions to deviate from standard or historical practices without exposing CIBC or our client adverse
- Back up support for sales and product support in terms of providing quotes/illustrations to Advisors in Quebec
- Develop and implement a plan of care with ongoing consumer input
- Type 35 words per minute to develop and maintain case records by performing data entry
- Perform general outreach and provide substance abuse counseling
- Foster and maintain a team environment by maintaining open lines of communication with peers, managers, and other departments within Adjuvantz
10
Skills For Bilingual Health Services Case Manager Resume
- Identify and resolve problems by referring to policies, procedures, standards
- Able to work under pressure, meet deadlines, and multi-tasking
- Assist Managing Director to file expense reports via Concur
- Provide clerical support to Managing Director as needed
- Receive, record and report Adverse Events, as per program working instructions Perform Pharmacovigilance surveillance activities
- Bilingual, English and Spanish or English and Mandarin / Cantonese
List of Typical Responsibilities For a Bilingual Case Manager Resume
1
Responsibilities For Bilingual Nurse Case Manager Resume
- Navigate through the claim denial process
- Understand HCPCS, CPT and ICD-9 coding Express ideas clearly in both written and oral communications, and carry out instructions in written, oral, or diagram form
- Enter data correctly Show attention to detail, handle multiple tasks well, and resolve problems independently
- Post-secondary education or equivalent is an asset
- NOTE: role can be work from home after six months
- Knowledge of Microsoft Office Suite, Internet, Excel, PowerPoint
- Knowledge of project and case management
2
Responsibilities For Bilingual Telephonic Nurse Case Manager Resume
- Ability to manage multiple projects simultaneously
- Work is often performed in emotional situations
- Physical risks are minimal
- Two to five years case management/program management experience and/or previous pharmaceutical brand management experience or equivalent, specific to oncology or specialty drugs is an asset
- Team-oriented, with the ability to work independently
- Complete daily activity logs
3
Responsibilities For Bilingual Career Case Manager At-risk of Homelessness Resume
- Complete progress notes with appropriate format
- Complete a clear, specific, behaviorally oriented treatment plan as required, with consumer
- Continually improve unit
- U.S. Citizenshp required
- Proactive attitude
- NYS assessment tool
- Extensive knowledge of CIBC’s operations, core products such as: Deposit Accounts & Credit products, Investment products and general banking policies & procedures required to handle the majority of inquiries which includes understanding CIBC’s computer applications, including COINS, DRS, TSYS, Mortgage Systems, Class applications and Horizon
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