Care Consultant Resume Sample
Maximus Kris
43772 Brett Locks,
New York,
NY
+1 (555) 330 6489
Work Experience
Senior Quality Care Consultant
10/2017
-
PRESENT
Los Angeles, CA
- Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums
- Collaborates with Patient Centered Primary Care team including but not limited to: engagement manager, clinical liaison, provider contractors and network relations reps to meet provider and practice service needs
- Actively participates in developing program recommendations and action plans (Internal)
- Supports the efforts of providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved health outcomes for patients
- Promotes practice transformation to team based patient centered care delivery
- Provides education for practices to develop expertise with metrics and data review for quality improvement
- Tracks progress of program and prepares status reports to management or senior management
Care Consultant
05/2012
-
06/2017
Philadelphia, PA
- Maintains up to date knowledge on Patient Centered medical Home, Care Delivery System Redesign and Accountable Care Organizations
- Maintain expert knowledge on Alzheimer’s disease, dementia, health/mental health care, and geriatrics
- Support and participate in Association events, including but not limited to the Walk to End Alzheimer’s, A Reason to Hope, and chapter conferences, as requested
- Excellent interpersonal, verbal/written communication, organizational and time management skills
- Work independently and succeed in dynamic and fluid environment
- High level of integrity, diplomacy, and initiative
- Ability and willingness to travel within local area
- Valid driver’s license, access to reliable vehicle, and proof of current automobile insurance
- Maintains expert knowledge on Alzheimer’s disease, dementia, health/mental health care, and geriatrics
Oral Care Consultant
03/2008
-
02/2012
Chicago, IL
- Apply empathetic listening skills to assess callers’ needs
- Help callers better understand Alzheimer’s disease and behaviors commonly associated with it
- Uphold the Alzheimer’s Association policy on client confidentiality
- Experience in a healthcare setting, preferably in geriatrics or mental health with expertise in dementia
- Previous call center (inbound/outbound calls) experience highly desirable
- Professional experience conducting health screenings/evaluations, diagnostic intakes and/or crisis intervention counseling
- Strong oral and verbal communications
- Successfully write reports, business correspondence, and procedure manuals
Education
Murray State University - Paducah Regional Campus
2003 - 2008
Master's Degree in Social Work
Professional Skills
- O Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis
- Strong analytical skills and experience in the healthcare industry
- Excellent oral and written communications skills required for report documentation and preparation
- Excellent presentation and communication skills, with the ability to assess patients’ needs immediately
- Excellent presentation and communication skills, with the ability to assess patients’ needs
- Counseling, crisis management, and conflict management skills
- Experience in successful operationalizing managed care contracts in the skilled nursing environment
How to write Care Consultant Resume
Care Consultant role is responsible for presentation, health, organizational, training, public, leadership, databases, finance, credit, database.
To write great resume for care consultant job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Care Consultant Resume
The section contact information is important in your care consultant 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 Care Consultant Resume
The section work experience is an essential part of your care consultant 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 care consultant responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular care consultant position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Care Consultant resume experience can include:
- Assess trends and anticipate issues, identify any gaps, establish and analyze facts, diagnose the root cause of the problem, generate potential innovative solutions, develop an action plan, and execute
- Excellent interpersonal and verbal/written communication skills to work effectively with diverse populations
- Related experience with negotiating skills with successful track record negotiating contracts with individuals, groups, complex systems
- Effective public speaking skills and ability to work with media
- Apply empathetic listening skills to assess clients' needs
- Proficiency in skills related to public relations, marketing, and negotiation
Education on a Care Consultant Resume
Make sure to make education a priority on your care consultant resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care consultant 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 Care Consultant Resume
When listing skills on your care consultant 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 care consultant skills:
- Strong written and verbal communication skills, including strong interpersonal and presentation skills required
- Strong organizational skills and proficiency in maintaining systems and procedures
- Experienced with MS Office Suite (Excel, Word, PowerPoint) including advanced Excel skills
- Creative and persistent problem solver with strong analytic skills, attention to detail and accuracy
- Strong understanding and experience in healthcare including Managed Care and Revenue Cycle for Hospitals, Physicians and Ancillary
- Communicate effectively with clients, team members, practice consultants, and shareholders to ensure both the Firm's and client's expectations are met
List of Typical Experience For a Care Consultant Resume
1
Experience For Health Care Consultant Resume
- Promote creating strong relationships with the assigned professionals, oriented to satisfaction and building customer fidelity
- Previous call center experience highly desirable
- Effective comunication and personal relations
- Valid driver's license with proof of insurance and a reliable personal vehicle to meet travel requirements
- Coordinating and assessing dental oriented activities for launching and broadcasting products
- Delivering the information that backs up products’ action
2
Experience For Oral Care Consultant Resume
- Reports on collaborative curriculum and results during internal and client meetings
- Proficient use of applicable software programs, including Microsoft Excel, Access, Word, etc
- Assist referred students in making use of University and/or community services and benefits
- Customer service and attention to the odontology professionals regarding their clients and community education
- Interpret financial and other data in a variety of forms and deal with multiple abstract and concrete variables
- Uses clinical expertise to assess daily contacts and determine need for
3
Experience For Senior Quality Care Consultant Resume
- Tailors informational mailings and phone contacts to clients’ assessed needs
- Self-starter with the ability to analyze information and make timely, appropriate decisions
- Flexibility and adaptability to collaborate with team, volunteers, and students
- Keen sense of integrity and commitment to confidentiality
- Oversee and direct the work of volunteers and students
- Ability and willingness to work occasional evenings and weekends as needed
4
Experience For Care Consultant, Seattle Resume
- Uphold the Alzheimer's Association policy on client confidentiality
- Assist agency’s with any issues such as contract cancellation and denials/appeals
- Â Deliver short-term consultations by phone, email or in person; increase program utilization by 15% in 3 years (with emphasis on increasing participation among populations that typically have low involvement) to assist Alzheimer's families in understanding dementia, planning for future care needs, ability to cope
- Deliver short-term consultations by phone, email or in person; increase program utilization by 15% in 3 years (with emphasis on increasing participation among populations that typically have low involvement) to assist Alzheimer's families in understanding dementia, planning for future care needs, ability to cope
- Independently ensures quarterly onsite and monthly webinar collaboratives are effective and support mentoring and information dissemination
- Prepares pre and post surveys for collaboratives and compiles and analyzes results
- Implements QI principles and ensures collaboratives incorporate principles
- Identifies and engages hospital and industry presenters
5
Experience For Managed Care Consultant Resume
- Reviews progress reports, completes write-backs, and offers technical assistance
- Creates webinar trainings, presents and acts as subject matter expert
- Manage Industry inquiries and communications related to contract engagement activities
- Provide individualized support and follow-up as needed
- Assist students who self-refer in order to access support and assistance
- Provide support to students under the care of off-campus treatment providers
- Maintain the electronic database of student records
- Answers Helpline calls and provides follow up in a timely, professional and compassionate manner; provides callers with in-depth and accurate information, emotional support, and referrals to community and Alzheimer's Association resources
- Coordinates implementation plan for tele-health
6
Experience For Patient Care Consultant Resume
- Coordinates local chapter participation in the Safe Return program (including enrollment, communication between local and national chapter, incident follow-up, scholarships, billing inquiries from insurance providers or others, any other questions)
- Co-manages and assists with training Helpline volunteers who ensure appropriate and timely responses to callers
- Maintains appropriate documentation and records information in database
- Checks national contact center website and online inquiries daily to follow-up on after hours calls/emails
- Triages calls to supervisor, as appropriate, and works collaboratively with other clinical/program staff
7
Experience For Technical Care Consultant Resume
- Participates in administrative and grant-related activities including grant reporting, budget management, outreach, and referral and participates in relevant meetings
- Increases the number of people with early dementia who access Alzheimer's Association products and services, and encourage their participation in program development and advocacy efforts
- Represents the Association at community meetings and educates staff, volunteers, and community members and is able to be available for media interviews, as needed
- Increases the number of people with early dementia who access Alzheimer’s Association products and services, and encourage their participation in program development and advocacy efforts
- Provide leadership to all Chapter staff, including marketing department, to ensure all Chapter publications include promotion of care consultation service
- Co-manages and assists with training Helpline volunteers who ensure appropriate and timely follow-up calls
- Maintains appropriate documentation and records information in CRM database (Personify)
8
Experience For Helpline Coordinator / Care Consultant Resume
- Co-manages the grant funded Respite program
- Represents the Association at community meetings when needed
- Serves as a point person and liaison to the support group facilitators
- Assists in outreach efforts and builds working relationships with physicians, service providers, care facilities and other stakeholders who collaborate on Association initiatives
- Provides mentoring, and assistance in the recruitment and retention of volunteers, with the intention of building out a more vibrant volunteer-driven program in the areas of program education delivery and support groups
9
Experience For Life Care Consultant Resume
- Professional experience conducting health evaluations, and/or crisis intervention counseling
- Oversees and conducts chapter healthcare provider outreach and community initiatives across the eight county region, with particular attention to traditionally underserved areas
- Conducts direct outreach to create and enhance partnerships with healthcare systems, HMO's, community clinics, service providers, physicians, social workers, case managers and ancillary healthcare resulting in increased referrals to Chapter programs and services
- Maintains accurate databases of key healthcare provider outreach targets, stakeholders, and service providers
- Engages community members, stakeholders, and professionals in discussion about the Association's services, importance of early intervention, and Rapid Referral program through speaking events and presentations
- Collects, enters, and tracks data related to program goals, grants and other chapter activities as directed by supervisor
- Assists in various capacities with the delivery of all programs including: Information and Referral, Care Consultation, Education & Training, Support Groups, Early Stage, Respite, TrialMatch, Safety Services, Advocacy, Development, and any other programs throughout the service area
- Able to prioritize and manage multiple job tasks
- Knowledge of community social work, diversity and inclusiveness, community organizations, healthcare systems, and Alzheimer's and related dementias
10
Experience For Agency Care Consultant Resume
- Provide consultation with clients in a professional and compassionate manner via phone, email, in-person or on an approved digital platform (e.g. BlueJeans)
- Help constituents better understand Alzheimer’s disease and behaviors commonly associated with it
- Link clients to emergency, chapter and/or community resources, as needed
- Provide accurate and timely documentation and follow-up of consultation interactions and interventions
- Work closely with Contact Center staff and chapter clinical care team
List of Typical Skills For a Care Consultant Resume
1
Skills For Health Care Consultant Resume
- Ensure good communication is established within and across functional groups. Communicate information related to quality management system effectiveness
- BA/BS; 5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background
- Listen, communicate, and influence effectively
- Strong time management skill required
- Strong interpersonal and communication skill required
- Putting together goodie bags for dental professionals; this involves including different products and graphic material in the bags
2
Skills For Oral Care Consultant Resume
- Proven track record in achieving goals and objectives as it relates to managed care contracting
- Builds effective internal and external relationship networks including supporting others to enthusiastically work towards common objectives
- Expert in Skilled Nursing Managed care plans
- Excellent technical knowledge of claims handling, industry developments, current standards and regulations
- Experience: required at least 1-2 years in comercial areas (Marketing, sells)
- Experience working with clients, families, staff, volunteers and community members
3
Skills For Senior Quality Care Consultant Resume
- Knowledge of data collection and skilled in maintaining databases
- Experience in performing assessments and care plans
- Demonstrate knowledge in area of long term care ecosystem – especially the operations and regulatory requirements related to assisted living communities
- And At least 2-3 years of experience in dental assisting in practice
- Cerner Millennium PowerChart EMR solution experience
- Implementation work experience
- Experience working as part of an interdisciplinary team
- Have a good command of English
4
Skills For Care Consultant, Seattle Resume
- Demonstrated commitment to diversity, social justice, and the development of multicultural competencies
- High-volume sales/collections experience and understanding of KPI’s including (cash collected, conversion rates)
- Experience working in a healthcare delivery system either on the physician or the hospital/managed care environment
- Strong knowledge and proficiency with Microsoft Excel and PowerPoint required
- Implementing brand strategies
- Participating in LTC business development
- Monitoring management of oral hygiene data
5
Skills For Managed Care Consultant Resume
- Willing to travel 80% of the time
- Understanding of Medicare/Medicaid government reimbursement
- Participating in events related to oral health and promoting the brand and products
- Assists with tracking, collecting, and documenting receipt of all required information and documents from new business customers
- Coordinate with clinical management staff in planning in-services and presentations, and in addressing issues with referral sources
- Maintain a working knowledge of all firm services, vision, business strategies and processes to provide outstanding and comprehensive customer service
- Maintain a relationship with all referral sources to make sure we are meeting their needs, as well as those of the patients, families, support staff, etc
- Provide accurate information regarding hospice services in response to inquiries by healthcare providers and the general public
6
Skills For Patient Care Consultant Resume
- Recognize significant problems in LTC client strategies and operations while developing recommendations for solutions
- Perform research to support the development of new service lines and offerings to meet the ongoing needs of LTC clients
- Scholarship: Graduation in Dentistry, Administration, Marketing
- Performs tasks with a focus on delivering professional, high-quality work
- Travel up to 50% of the time occasionally including weekends
- Participates in monthly Care Consultation staffing meetings, and provides technical assistance to Regional staff, as needed
- Acts as a resource to other staff with issues related to dementia and caregiving
- Completes necessary documentation of client calls including detailed case notes, service usage, and demographic information
7
Skills For Technical Care Consultant Resume
- Partners with chapter staff in development and evaluation of programs supporting major chapter care consultation and outreach platform areas
- Provides guidance to students, volunteers, or support staff in conducting activities related to healthcare provider outreach initiatives
- Maintains programming in accordance with National Standards, Common Program Plan and current Strategic Implementation Plan
- Provide accurate and timely documentation and follow- up of consultation interactions and interventions using Association database
- Provide clinical support to the Care Consultant-Helpline as needed, and attend to visitors to the office, including those in a crisis
- Knowledge of data bases and/or comfort in learning new software and technology
- Professional Partnership building
8
Skills For Helpline Coordinator / Care Consultant Resume
- Knowledge of contracts and contractual interpretations for payment and benefit issues
- Present in facilities on a weekly basis
- Reviews all new business applications for completeness and prepares them to be sent to customers as needed
- Requests additional information from customers when necessary
- Assists customers with electronic signature process when applicable to drive application fulfillment
- Schedules and places call-backs to ensure customer signature has been obtained
- Forwards documents as needed to appropriate personnel
9
Skills For Life Care Consultant Resume
- Completes Form letters and memos, templates, and envelopes as necessary
- Documents various internal records and reports as needed
- Advises supervisors of questionable risks
- Represent Compassus positively and professionally within the community
- Prepare and conduct calls and presentations to potential referral sources
- Initiate and coordinate contract negotiations with facilities, insurance companies, and managed care organizations
- Collect, analyze, summarize, and thoroughly evaluate and research information obtained through completion of the internal operations analysis process
10
Skills For Agency Care Consultant Resume
- Collect, analyze, summarize, and thoroughly evaluate and research information obtained through completion of the external market analysis process
- Collect, analyze, summarize, and thoroughly evaluate and research information obtained through completion of the regulatory compliance audit process
- Participate in business development activities to provide added LTC client engagements for the firm
- Develop and maintain accountability for LTC client assignments
- Leverage industry and market knowledge to develop and execute on solutions for LTC clients
- Manage implementation of solution engagements by planning, organizing, and actively participating in multiple responsibilities and resources to achieve objectives
- Intermediate level Excel experience (pivot tables, V-lookup’s, etc.)
List of Typical Responsibilities For a Care Consultant Resume
1
Responsibilities For Health Care Consultant Resume
- Strong public speaking skills, training and teaching skills, and experience in volunteer management
- Strong organization, analytical, and time management abilities
- Partner with Financial Consultant to review customer records prior to admission to determine client’s up-front responsibility
- Cultivate and recruit supporters for chapter fundraising events like Walk to End Alzheimer's and Longest Day. Generate leads for Development team
- Graduate of commercial / business careers (Communication, Marketing) or Dentistry. NOT APM
- Supports and participates in Association events, including but not limited to the Walk to End Alzheimer’s, A Reason to Hope, and chapter conferences, as requested
- Work some evening/weekend hours and travel as required
- Meet with new and existing patient’s to determine realistic goals with an emphasis on our surgical and non-surgical body contouring and facial aesthetics solutions as well as provide education and value within our practice
2
Responsibilities For Oral Care Consultant Resume
- Meet with new and existing patient’s to determine realistic goals with an emphasis on our surgical and non-surgical body contour solutions as well as provide education and value within our practice
- Be responsible for assisting state’s in designing and implementing managed long-term services and supports (MLTSS) and related waiver programs; projects are diverse and can include
- Demonstrated experience in quality program delivery/development/management/quality evaluation
- Attend chapter meetings and events as scheduled; serve on Alzheimer's Association and community workgroups/committees as assigned
- Maintain monthly and quarterly reports, case histories, service statistics and grant-related paperwork
- Proficiency with Microsoft Office applications (especially Word & Excel) and Google; ability to learn donor and service user software
- Negotiate credit extensions and payment plans via Healthcare Finance Direct (HFD) only when necessary based on client’s ability to pay
- Strategic and proactive thinker, ability to problem-solve financial solutions for extended treatment
- Serve as the primary resource for in-depth product knowledge to include Colgate Total to accounts, by articulating the science/clinical efficacy and features/benefits of the complete Colgate Oral Pharmaceuticals product line
3
Responsibilities For Senior Quality Care Consultant Resume
- Build and maintain successful working relationship through effective communication with both internal and external customers to include Call Center, Marketing, and the Dental Professionals
- Effective management of product samples
- Manage additional responsibilities that are distributed between the three Care Consultants including, but not limited to: marketing and outreach, webpage design and management, policy and procedure development, and support to pregnant and parenting students
- Products and information distribution for both oral care professionals and patients
- Anticipate, identify and report new trends in the market and strategies implemented by competitors
4
Responsibilities For Care Consultant, Seattle Resume
- Participating in Dental congresses and engaging with the oral care professionals that assist the event and show interest in Colgate by providing relevant information, product samples and literature
- Preferably with knowledge of technical / medical terminology in care and oral hygiene
- Develop and support the partnership between Colgate and groups of accounts (general and specific dental practices, government accounts, private accounts, dental hospitals, public health centers, pharmacies and distributors / dental depots) in an established territory
- Influence and develop relationship with the target audience to achieve business results in recommendations and sales
- Apply the Triple Win methodology to effectively communicate the products, technologies and science to influence dentists and their staff to actively recommend, buy Colgate products and also be the products for personal use
- Classify, categorize and optimize the number of consulting offices in the specified territory
- Explore and use insights to better understand the needs of professionals / accounts
5
Responsibilities For Managed Care Consultant Resume
- Develop deep knowledge about each dentistry
- Update the CRM database with relevant account information
- Develop and implement specific strategies for contact with accounts that are in line with the PRO2020 recommendations
- Implement sales planning, marketing and promotional activities to ensure the purchase of the Colgate brand product for use in dentists' offices in the assigned territory
- Ensures that efficient and effective claim services are delivered to our Agency partners
- Partner and pro-actively communicate with CRMS regarding billing and payment issues to make admission decision about financial viability of client admission
- Understand the weaknesses of competing products and ethically convince and convert accounts to Colgate technologies for better patient outcomes
- Leverage sales force distribution to maximize face to face contact with visited and unvisited accounts
6
Responsibilities For Patient Care Consultant Resume
- Work closely with distributors / dental and pharmaceutical depots if necessary to ensure product orders are complete, correct and delivered on time to ensure Colgate's reputation for best-in-class customer service
- Act as single point of contact for claim escalations of Agency partners in the assigned region
- Act as primary contact and liaison for communication between our agency partners and the State Auto CARE organization by answering questions on claim status, claim handling or general claim questions to achieve best in class Customer Service objectives. Share trend analysis with CARE organization for training purposes
- Develop and deliver training to agency staff on claim reporting, agency notifications, claim notes. reserves and trends, claim practices, as well as other pertinent items to ensure best overall claim experience for Agency and insured
- Coordinates and facilitates loss reviews for eligible agents with select claim staff at the direction of the Agency partner
7
Responsibilities For Technical Care Consultant Resume
- Acts as a liaison between the CARE organization and our business partners within State Auto by attending product and pricing meetings for the assigned region. Report loss trends of the Agency partners to the business and keep CARE leaders up to date on business decisions which require CARE attention
- Monitors claim performance to ensure proper adherence to company service standards, policies and procedures
- During a CAT event, make initial contacts to Agency partners to advise of CARE response and handling procedures; coordinate assistance reaching policyholders and other assistance necessary for the Agency to service their customers; be on scene to provide assistance and facilitate communication, as needed
- Receives new Agency appointment notifications and ensures CARE Claim Kit is delivered promptly. Ensure proper claim notification recipient information is loaded in GAIN
- Attend company sponsored Agency events within assigned region, as requested
- Keep activity logs updated in Sales Force
8
Responsibilities For Helpline Coordinator / Care Consultant Resume
- Continues to increase and broaden knowledge/expertise of the claims discipline through internal and external training programs. This includes keeping abreast of industry trends, developments, regulatory changes, and state of the art practices to ensure continued cost containment consultation
- Managing key dental accounts, while delivering on budgeted sales and growth targets
- Showcasing the benefits and ensuring optimal distribution of Colgate’s professional products within the industry
- Providing feedback to their Manager on key business matters such as market insights, competitor activity and product feedback
- Developing professional relationships with the dental profession, including Dentists, Therapists, Hygienists, Dental Assistants and with Henry Schein Halas (Distributor)
- Experience: required at least 1 year in similar positions
- Develop a strong professional relationship and rapport with dental professionals and staff
- Responsible for the engagement life cycle and its relationship to project activities while producing client ready deliverables
- Review and analyze data for contract administration – evaluate the profitability of contract renewals/existing contracts
9
Responsibilities For Life Care Consultant Resume
- Responsible for managing client expectations in line with budge and project objectives
- Managed day to day client relationships while managing client expectations in line with budget and project objectives
- Assist Director in managing quality of the team’s work product and interacts directly with mid-level client contacts and above on engagement issues
- Deliver client reports within 30 days of a client meeting
- Under the direction of the Director, participate in marketing events to build this product line
- Explore and use insights to better understand the needs of professionals / accounts. Develop deep knowledge about the odontology
- Update continuously the CRM database with relevant account information
10
Responsibilities For Agency Care Consultant Resume
- Preparation and analysis of monthly, quarterly, and annual financial statements
- Prepare written analysis of client operations
- Perform operation and financial assessments of client’s grants management compliance and finance departments processes, policies, procedures, and internal controls
- Uses technical knowledge experience to provide effective client service
- Work independently but be an effective part of a team
- Experienced in financial analysis – specifically pro forma analytics for hospitals, medical groups, ancillary service providers and/or health plans
- Assist with various financial analysis and consulting projects for our health center clients
- Prepare various reports for clients to include the UDS – Uniform Data System, FFR – Federal Financial Report, grant applications, and others
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