Case Coordinator Resume Sample
Joseph Reilly
10726 Maeve Forks,
Boston,
MA
+1 (555) 761 2617
Work Experience
Case Coordinator
02/2018
-
PRESENT
Chicago, IL
- Accurately obtains information regarding patients eligibility by
- Patient interview to determine functional abilities, current and prior to onset of
- Establish and maintains excellent rapport and working relationship with all referral
- Provide all required follow-up activities promptly and accurately
- Advise patient and family of acceptance to rehab
- Advise Nursing Unit of patient’s acceptance by writing note in Progress Notes
- Advise Nursing Unit of patient’s denial and reason with a recommendation of
New Business Case Coordinator
11/2014
-
11/2017
Boston, MA
- Meet the department’s production standards for measuring the quality and quantity of work processed
- Meet the department’s production standards for measuring quality and quantity of work processed
- Demonstrate a solid understanding of unit’s workflows and procedures in order to develop and participate in recommending administrative efficiencies
- Coordinate Company’s rate case filing preparation with internal constituents. Prepare, or assist with planning of activities necessary to develop, track and meet all critical delivery milestones
- Manage the internal trackers and KPI’s to assure delivery of required tasks and information
- Contribute to the department’s success by succeeding at departmental production and quality goals
- Works in tandem with MSLA’s schedulers to obtain timely appointments from MSLA in - house doctors
- Managing patient claim life cycle through contact with patient, case managers, adjusters by scheduling claimant appointments, providing updates and following up on next steps
- Responsible for claim documentation management and overall portfolio of claims
Case Coordinator Entry
03/2009
-
09/2014
San Francisco, CA
- Coordinates efforts with the courts, probation department, schools, employers, job training, recovery programs, counseling, family, or other social service agencies and community programs to meet the clients’ individualized needs
- Coordinates and assist with transportation for client’s court obligations, program/facility related meetings and activities as needed
- Provides in-home services for clients when needed by referral
- Facilitates an individual session weekly for assigned clients
- Maintains weekly contact with client’s external team
- Support and promotes the Sanctuary Model and its Commitments
- Responds to referrals: Internal - within 2-hours of request; External - within 24-hours
Education
Norwich University
2003 - 2008
Bachelor's Degree in Accounting
Professional Skills
- Excellent computer skills and organizational skills, time management and ability to meet multiple deadlines
- Communicate effectively both orally and in writing Strong interpersonal skills
- Exhibit quick judgment, excellent organizational skills, and accurate and precise written and verbal communication
- Strong relationship building skills with both internal/external customers and be able to respond to a difficult situation that requires tact and diplomacy
- Quick judgment, excellent organizational skills, and accurate and precise written and verbal communication
- Excellent oral, written communication and organizational skills
- Excellent language skills: fluent in local language(s) in region and English
How to write Case Coordinator Resume
Case Coordinator role is responsible for organizational, software, database, training, customer, reporting, credit, security, compensation, shipping.
To write great resume for case coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Case Coordinator Resume
The section contact information is important in your case coordinator 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 Case Coordinator Resume
The section work experience is an essential part of your case coordinator 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 case coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular case coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Case Coordinator resume experience can include:
- Strong ability to multi-task and exhibit excellent prioritization skills
- Manage change effectively and assist in leading others through the change process
- Use sound judgement and decision making skills to resolve emergent operational issues
- Bilingual English/Spanish skills are highly desirable
- Work effectively with MS Office suite (Word, Excel, PowerPoint), Salesforce.com, and similar technologies
- Effectively follow-up on items to full resolution
Education on a Case Coordinator Resume
Make sure to make education a priority on your case coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your case coordinator 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 Case Coordinator Resume
When listing skills on your case coordinator 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 case coordinator skills:
- Strong customer service and interpersonal skills with capacity to project warmth and empathy
- Make good decisions, maintain confidentiality, and establish effective working relationships
- Previous related experience with customers, providers and conducting prior authorizations and referrals in the insurance or healthcare industry
- Prior experience working with low income individuals and/or families in the community required
- Ability and willingness to give and accept team feedback; ability to communicate effectively orally and in writing
- Organizational skills to perform administrative functions
List of Typical Experience For a Case Coordinator Resume
1
Experience For Utilization Review Case Coordinator Resume
- Fostering good relationships with partners to ensure relevant processes are adhered to and updated as required
- Experience in behavioral health services setting
- Experience working on multiple projects simultaneously under tight deadlines
- Works with various departments to ensure cases are prepared prior to web session
- Lead groups focused on recovery, symptom management, skill development and other curricula
- Working in tandem with our sales offices to install individual disability insurance for businesses
- Working in tandem with our sales offices to install group ancillary benefits for businesses such as life, disability, vision and dental products
2
Experience For New Business Case Coordinator Resume
- Supporting the coordination of launch, evaluation and exit events
- Conducting initial needs assessments and follow up processes
- Closing correctly Work Orders and cases
- Planning field activity
- Educates clients regarding their social, medical and emotional needs and how to navigate resources to meet these needs, including the appeal process
- In control of managing the precert bin and assigning cases to case managers and care coordinators in an expeditious manner
- Assist providers with questions related to provider contracts and program details & claim/payment processing
3
Experience For NAT Case Coordinator Resume
- Communicates with customers via email and phone regarding all case details
- Support the project key workers by ensuring databases are maintained
- Undertake minute taking as needed
- Be actively involved in the evaluation of the project, working collaboratively with Liverpool John Moores University
- Assesses patients/family’s capacity for decision making, and facilitates referrals for resolution when conflicts are identified
- Engages eligible clients in the program according to established protocols and enrollment procedures
4
Experience For Case Coordinator, Manulife Securities Resume
- Prepare statistical reports, often using Excel
- Develop and maintain database of housing search resources
- Basic computer knowledge, including Microsoft Outlook, Word, and Excel required
- Partners throughout the organization understanding functional challenges to transform the implementation process
- Answer all incoming calls from customers
- Responsible for development, coordination, carry-through of and follow-up on discharge planning as directed
- Ensures the appropriate documentation/recordkeeping of designated program participants, per regulations
5
Experience For Altegra Case Coordinator Resume
- Create new cases including the Work Orders
- Complete monthly reporting and stats
- Technical knowledge of automated databases, tracking systems, spreadsheet applications
- Interview members and relatives to obtain social history relevant to medical problems and care planning
- Assists members with environmental difficulties that interfere with obtaining maximum benefits from medical care
6
Experience For Case Coordinator, Fcm Resume
- Secure fast invoicing
- Provide AP and AR support
- Ensure all pertinent information is documented correctly and appropriately in MSLA’s database
- Reaches out to customers and schedules web sessions for cases (when applicable)
- Support the project manager to produce quarterly reports to present to commissioners
- Promote the Cheshire and Greater Manchester CRC, and ensure that service delivery is strengths based, and incorporates the ethos of the Interchange Model
- Performs clinical review of all Medicare and Medicaid patients to assess for severity of illness and intensity of service to meet inpatient or observation criteria. Submits reviews for a second level physician review according to established protocol
- Assigns avoidable days as appropriate
- Coordinates the provision of services required to support the patient at discharge, home health care, equipment, supplies, other social services agencies, and transportation as needed
7
Experience For LTD Case Coordinator Resume
- Participates in multi-disciplinary rounds and coordination of care with physicians, Clinical Nurse Leaders, Coaches, and other health care professionals
- Assists with the completion of the Continuity of Care forms and other documentation required for discharge
- Maintains accurate records and documentation of all patient encounters in the patient medical record and Case Management software
- Assists the LUM and Qualified Mental Health Professional (QMHP) to develop unit guidelines and protocols to inform the living unit on best practice approaches in dealing with trauma based reactions
- Assist the LUM through direct observation and direction of staff's work with the youth, providing clear expectations and feedback on performance regarding their communication, engagement and management of youth
- Facilitate community groups, one on one meetings, primary time, and other activities to allow for youth and staff to have meaningful participation in the program
- Assist the LUM to develop and maintain active volunteering opportunities for youth and a set of activities that allow the youth and staff to make a connection to their communities
- Assign staff all tasks necessary to ensure that the living unit is clean and organized environment free from clutter and contraband
8
Experience For Member Services Rep / Case Coordinator Resume
- Develop communication among living unit staff by providing pertinent information verbally, through written communication in the living unit log, or through email
- Assist the LUM to schedule and facilitate monthly staff meetings to ensure communication, consistency, coaching and mentoring of staff and to foster a unit culture of Positive Human Development
- Serve as acting LUM in the absence of the LUM to perform essential responsibilities or direction and operations of the living unit
- Provide case management for the youth on the assigned living unit
- Responsible for multidisciplinary teams (MDTs) for youth on the assigned living unit
- Complete written reviews and reports on youth progress in treatment, behavior, education, vocation and unit living as necessary for regularly scheduled case plan reviews, movement requests, Administrative Reviews, Agency Case Review, and court hearings
- Coordinate with the JPPO to ensure family visitation and youth contact with family occurs according to policy and is treated as a high priority
- Ensure custody of youth by locking designated lock doors, maintaining security of keys and sharps, being alert to youth behavior, alerting security for assistance when necessary
9
Experience For ISP Case Coordinator Resume
- Experience within the life insurance industry or MGA environment
- Verifies full return to work documentation through telephone and written communications
- Makes referral for case management and/or utilization management when full duty status changes due to functional limitations
- Documents communications in appropriate system(s)
- Responds to BWC inquiries within one (1) business day
- Maintains knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures
- Assists Case Associate colleagues
- Compiles and tracks work progress, individual personnel performance, laboratory test results, and reports case progress to outside entities
10
Experience For Msla-case Coordinator Resume
- Assists in all DNA samples, comparison and FRS requests through coordination and correspondence with the Lead Case Coordinator and the Armed Forces DNA Identification Laboratory (AFDIL)
- Assists in the compilation of quarterly and yearly reports concerning CIL productivity, to include basic laboratory progress data compiled for the Defense Forensic Enterprise
- Serves as the alternate for the Quality Assurance Specialist, for SOP compliance, instrument evaluation, laboratory safety, etc
- Occasionally travel nationally and perhaps internationally (travel anticipated to be approximately 5-10%)
- Performs a comprehensive in person assessment and “home” evaluation, detailing the psychosocial and environmental factors and their effects upon the client’s health and well-being
- Partners with client in crisis to create an individualized care plan which promotes client’s eligibility for community, regional and national services to support their health goals
- Collaborates effectively with multi-disciplinary team in developing care plans consistent with evidence-based care guidelines that sustain longitudinal social, emotion and physical health improvement and stability. Serve as leader of team, as appropriate
- Partners with individuals and families to create a holistic treatment plan which addresses the behavioral health issues that serve as barriers to health
List of Typical Skills For a Case Coordinator Resume
1
Skills For Utilization Review Case Coordinator Resume
- Standard office computer and software skills (Microsoft Word, Excel, Outlook, PowerPoint, database applications)
- Two years social work experience related to child protection or related experience
- Strong decision-making when working on complex casework and making exceptions during new business processing
- Assist in supporting provider credentialing by validating provider address, phone number, specialty, hours of operation, licensure, and education
- Experience working with patients dealing with Behavioral Health, Mental Health, and/or Psychiatric issues
2
Skills For New Business Case Coordinator Resume
- Have a methodical approach and keen eye for detail - any experience in data inputting and reporting would certainly come in handy
- Experience as a Case Coordinator working with youth and families
- Strong relationship building with internal and external customers and be able to respond to a difficult situation that requires tact and diplomacy
- The ability to prioritize work, maintaining service standards in the face of peak times and heavy workloads, and frequent interruptions
- Strong dedication and desire to representing the best interests of children
- Home health nursing experience
- Experience writing case plans
- Marketing, sales or admission experience in healthcare
- Manages active case management files and records, laboratory databases, and evidence tracking
3
Skills For NAT Case Coordinator Resume
- Demonstrates a basic understanding of established and new laboratory procedures
- Reports roadblocks preventing delivery of superior customer experience throughout the case implementation process
- Establish effective communication with appropriate members of the medical
- A positive influence within the organization and an effective team player
- One year of billing and payroll experience
- Three years driving experience
- Three years diversified Case Management, home care, and/or managed care experience
4
Skills For Case Coordinator, Manulife Securities Resume
- Coordinating training including room bookings, producing delegate packs and information
- Maintaining and processing electronic referrals. Ensuring they are dealt with in a timely manner and referrers are responded to
- Managing and supporting the gradual claims process
- Managing and supporting Ear Nose and Throat (ENT) claims
- Maintaining the evaluation toolkit and providing management reports from this
- Producing promotional material including pathway packs for partners
- Keeping updated records and provide these to key stakeholders in a timely manner
5
Skills For Altegra Case Coordinator Resume
- Outreach to subsidized housing providers to establish working relationships between ELAHP and housing providers, and to learn about housing new opportunities
- Develop training manuals and materials, on an on-going basis, to assist the student staff in their training and development as student employees
- Familiarity with clinical lab testing requirements and operations, including quality control, training, and documentation
- Assist clients in contacting potential landlords/management companies and filling out housing applications
- Proactively communicate and resolve delays caused by outstanding/additional underwriting or client requirements (e.g., interview, lab scheduling)
- Assists engineering department in facilitating additional scheduling needs
- Facilitate the living unit behavior management system including any point/level, or grading and tag system, tag or level reviews and appropriate documentation
6
Skills For Case Coordinator, Fcm Resume
- Maintain up to date new business Lifesuite notes summarizing actions taken, inquiries received including emails and phone calls received and sent
- Provide information in daily admission planning meeting
- Oversee the student staffing process within the CASE building
- Writes reports on progress and tracking/elevating issues related to program trends
- Actively participate in weekly team meetings and weekly team calls including preparing reports on new business for team calls
- Maintains high level, continuous professional communication with internal teams regarding case status, incoming issues and customer inquiries
7
Skills For LTD Case Coordinator Resume
- Ensure that Positive Youth Engagement participation and achievement tracking, and Attendance Tracking in JJIS, is current and up to date
- Identify and resolve any case specific bottlenecks or delays to ensure all necessary processing occurs within a specified time
- Quick ability to develop a broad understanding of insurance operations, products and concepts
- The ability to multi-task in a fast paced changing environment with high accuracy and within established turnaround times
- The ability to work professionally and diplomatically with very demanding and diverse distribution channels
- Manages acuity level II and III claim quality assurance initiatives by identifying complains or compliments through online log
- Ensures that laboratory cases that reach completion are closed IAW DPAA CIL standard operating procedures
8
Skills For Member Services Rep / Case Coordinator Resume
- Determine student staffing needs, interview, hire, train and continually develop student staff employees that work at the welcome desks
- Visits care provider sites to conduct weekly staffing meetings
- Receives notification of customer service complaints concerning technical issues and initiates a resolution process
- Conveys technical information regarding laboratory tests in a manner easily understood by non-laboratory medical personnel
- Pursue outstanding requirements within SLA’s upon request
- Assist and train on case submission and processing procedures
- Complete marketing material orders within SLA
9
Skills For ISP Case Coordinator Resume
- Assist and provide training to new team members on job functions
- Provide any reporting on an as needed basis
- Find and apply for appropriate subsidized housing for low income adults. Perform online searches for market rate apartments for clients with vouchers
- Accompany clients to interviews/screenings for potential housing opportunities
- Follow up on submitted housing applications
- Refer clients to non-housing services when appropriate
10
Skills For Msla-case Coordinator Resume
- Adhere to implementation strategy to support all Kemper Benefits lines of business and varying case sizes
- Plan field staff with field staff utilization in mind (Single Point dispatching)
- Prepare the Invoice of field activity (closing WorkOrder)
- Minimize cost of case handling and field activity + minimize workforce field staff
- Take ownership of every case and follow up till closing
- Ensure that applications go through the new business and underwriting process from submission to delivery within SLAs
- Pursue outstanding requirements within SLA’s
List of Typical Responsibilities For a Case Coordinator Resume
1
Responsibilities For Utilization Review Case Coordinator Resume
- Adapts behaviors and goals, in a culturally competent, trauma informed manner, based upon an individual’s background, social situation, experience, and wishes
- Effectively prioritizes clients whose situations require immediate intervention to prevent negative health outcomes
- Extremely detail oriented and proficient organizational skills
- Solve priority conflicts (together with 1st line telephone support and/or TL Case Mgt)
- B.S. or M.A./M.S. in physical or life sciences with a strong understanding of forensic case file coordination
- Strong problem-solving techniques
- Forensic experience
- Manage orderly communication with incoming international students regarding admissions inquiries
- Responsible for tracking California tolling cases
2
Responsibilities For New Business Case Coordinator Resume
- Develops and assures that a participant's program meets his/hers needs optimizing his/her potential to be integrated into community
- Utilize Excel, daily stats and Sharepoint site to create and send out morning report, which details case assignment and caseloads for case managers
- Create new cases including WorkOrders
- Two years of direct or indirect support services to the disabled population in a medical and/or rehabilitation setting required
- Willingness to work in a fast paced working environment and able to learn and adjust to new software systems
- GCSEs including English and Maths (C or above) or equivalent
- Collaborates with other Care Link colleagues to ensure smooth transitions of care across the continuum
3
Responsibilities For NAT Case Coordinator Resume
- Advocates for clients when needed, empowering them to achieve their goals, including individual and/or class inequities, inadequate or non-existent hospital and/or community resources (i.e., insurance benefits, housing, benefit applications, verification documents, etc.)
- Serves as a subject matter expert for other Care Link, Christiana Care Health System or community staff when addressing complex health, social and behavioral health needs; Leads multi-disciplinary case review to optimize outcomes
- Effectively and efficiently prioritizes work; Documents in a timely, accurate and concise manner per Care Link policy. This includes but is not limited to: operations, regulatory needs, research initiatives and quality assurance requirements
- Demonstrates strong and respectful communication skills with patients, community partners and colleagues, appropriately following lines of authority via the CCHS organizational chart
- Supports outreach through active participation in community meetings, client team meetings, and Care Link staff/team meetings
4
Responsibilities For Case Coordinator, Manulife Securities Resume
- Assumes responsibility for professional growth, shares knowledge with co-workers and health care team members
- Certified Case Manager (CCM) required within 18 months of eligibility date
- Manage student staff members and asses their work performance, determining when promotions and/or disciplinary actions need to take place for the student staff members
- Thoroughly reviews, assesses, and completes third party release recommendations related to family reunification options
- Confers weekly with staff and direct care providers to discuss cases employing perspectives from child welfare, juvenile justice, and mental health in adherence with policy
- Assists care providers to recognize potential victims of trafficking
- Able to identify and resolve complex cases, including proper escalation procedures
- Supports other claims management staff with larger or more complex claims as necessary
5
Responsibilities For Altegra Case Coordinator Resume
- Makes referral for case management and/or utilization management when work status changes due to functional limitations/medical instability
- Documents communications and claims management appropriately in system(s)
- Responds to all inquiries within one (1) business day
- Meets and maintains productivity and quality expectations
- Reviews Explanation of Benefits reports; maintains the Pension Explanation of Benefits log
- Handles payroll changes and errors
- Track, monitor, and provide the status of cases upon request
- Understand what’s available, and be able to train on home office systems
6
Responsibilities For Case Coordinator, Fcm Resume
- Answer product questions as needed
- Identify process improvements and escalate to the appropriate parties
- Provide back-up support on an as needed basis
- Consult with BMC physicians, nurses, social workers and others to develop housing search plan and post-housing stabilization plan to address clients’ issues
- Maintain accurate client case files
- Standard Specialist referrals and treatment approvals as directed
- ‘step up’ and cover the case management team from time to time
- Consistently provides high quality customer experience across product lines. Continuously seeks a better way to deliver services to internal and external customers
- Leverages technology to reduce implementation duration, eliminate implementation errors, and reduce the level of effort required to implement new cases
7
Responsibilities For LTD Case Coordinator Resume
- Follow - up on non - closed cases and call back times
- Escalate if service level agreements not kept (time to answer, time to solve)
- Professional and technical description of every case
- Order spare parts and follow - up on parts return
- Communicate with the customer and field staff
- Secure fast return of field reports in order to close the case
- Work close together with Case Coordinators
8
Responsibilities For Member Services Rep / Case Coordinator Resume
- Service - minded and able to respond in a fast and pro-active way to customer requests
- Customer oriented - build relationship with customers and Esko service people
- Maintain high-level, continuous professional correspondence with world-wide surgeons, staff, and distributors for coordination of web sessions, patient case specifics, shipping addresses, and deliverables
- Set up new student records when admissions and invitations are received
- Reconcile Caltech immigration documents reflect accurate admissions and financial data in cooperation with various Student Affairs offices and other Caltech departments
9
Responsibilities For ISP Case Coordinator Resume
- Organize logistics for various ISP programs including International Student Orientation
- Ensures programming details have been addressed, including reserving venues, using department p-card, ordering food and supplies, and program set-up and clean-up
- Manage daily coordination queue
- Files, prepares charts, and performs data entry as assigned
- Fulfills a liaison role for families along with staff and provides them with information and resources as requested
- Reviews with designated program participants and assists him/her as needed to understand overall goals and programs being implemented in the process as requested
- Participates in development and implementation of the Plan of Care
- Answer customer calls, log calls and dispatch calls to technical staff such as 1st. Line Remote Support and 2nd Line Remote Support
10
Responsibilities For Msla-case Coordinator Resume
- Performs all other tasks outside of job descriptions accurately and willingly upon
- Create and process Administrative and Medical Necessity determination denial letters to facilities and members ensuring accuracy with documentation and compliancy with state and federal guidelines for multiple lines of business including QANI using Phoenix 2 System
- Authority to ensure legal, Federal and State Mandates are in compliance and NCQA & URAC accreditation guidelines are met by our internal matrix partners
- Accountable for the TruCare provider add process
- Integrate with other Care Coordinator teams to support and reinforce the day to day needs
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