Case Manager Resume Sample
Karen Lemke
9822 Douglas Terrace,
New York,
NY
+1 (555) 513 7669
Work Experience
Case Manager
05/2016
-
PRESENT
San Francisco, CA
- Liaise with internal departments including Relationship Teams, Account Documentation Unit, AML Compliance
- Meets with clients in their homes, work-sites, physician’s or hospital to provide management of services
- Escalates utilization and system problems which have not been resolved at the local level to the next level immediately
- Monitors the progression of the plan of care and facilitates discussions with the multidisciplinary teams
- Educates other healthcare team members on utilization and cost containment initiatives
- Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care
- Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care)
- Discharge Planning: Ensures continuity of care through communication in rounds and written documentation, level of care
Case Manager
07/2010
-
03/2016
Phoenix, AZ
- Three years of recent nursing experience in acute care setting, acute care Case Management experience required
- Three years of recent nursing experience in case management within acute care hospital setting
- Three years of recent nursing experience in acute care setting. Case Management experience required
- Three years of recent nursing experience in acute care setting. Hospital based Case Management experience required
- Previous experience in clinical nursing or
- Six months experience in discharge planning and/or utilization management, in an acute care setting
- Assist with the completion and filing of recordkeeping form/charts upon admission, transfer, and/or discharge of the managed care and Medicare resident
- Assist nursing staff in communication to physicians, transcription of orders, and documentation as requires
- Ensure that assigned resident’s care plan accurately reflect appropriate goals, problems, approaches, and revisions based on resident needs
Education
National American University - Sioux Falls
2005 - 2009
Bachelor's Degree in Nursing
Professional Skills
- Manage multiple priorities; effective organizational and time management skills along with strong teamwork skills required
- Computer proficiency, excellent oral and written communication skills, and demonstrated negotiation skills are needed
- SKILLS: Research data collection and analysis skills. Ability to use a computer to collect data and prepare reports. Verbal and written communication skills
- The ability to exercise independent and sound judgment; strong decision-making skills and well-developed interpersonal skills. required
- Strong technical skills (word processing, data entry and retrieval, other computer skills)
- Effective oral and written communication and interpersonal skills; strong organizational skills
- Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and/or teams and across disciplines
How to write Case Manager Resume
Case Manager role is responsible for computer, interpersonal, organizational, health, clinical, customer, case, community, microsoft, medical.
To write great resume for case manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Case Manager Resume
The section contact information is important in your 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 Case Manager Resume
The section work experience is an essential part of your 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 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 case manager position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Case Manager resume experience can include:
- Good organizational skills, computer skills, and excellent Customer Service skills are; Required
- Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals or teams across disciplines
- Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, and across disciplines
- Demonstrated leadership skills. Strong analytical, data management and PC skills
- Organizational and time management skills as evidenced by capacity to prioritize and reprioritize multiple tasks in a rapidly changing environment
- Strong computer skills (including experience working with Word, Excel, Outlook and Access)
Education on a Case Manager Resume
Make sure to make education a priority on your 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 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 Case Manager Resume
When listing skills on your 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 case manager skills:
- Excellent verbal and written communication skills. Good organizational skills
- Interpersonal skills using tact, patience and courtesy; good communication skills and techniques
- Strong organizational skills to effectively monitor and track information
- Strong ethics, interpersonal skills, and the ability to effectively manage stress and engage in continuous learning
- Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and
- Medical Surgical Strong computer and typing skills Experience with patient education Discharge planning
List of Typical Experience For a Case Manager Resume
1
Experience For Case Manager Resume
- Demonstrated organizational and problem solving abilities with strong interpersonal and communication skills
- Basic computer skills specifically e-mail; office equipment, like faxes and copiers; telephone, e-mail etiquette and customer service skills
- Demonstrated experience working effectively in teams and individually in a fast-paced environment
- People Skills…ability to adapt style to variety of people; capable of interacting effectively with general public
- Demonstrated skills in critical thinking, decision-making, problem solving, and identifying measures of procedural performance
- Incorporates professional judgment, problem solving skills and critical thinking when determining medical necessity that promotes quality, cost-effective care
- Experience managing benefits programs, Full scope Project management skills including all elements from needs analysis through implementation and measurement
2
Experience For Case Manager Resume
- Excellent organizational skills; computer training (Excel)
- Excellent teaching skills, detail oriented, and ability to lead meetings required
- Strong decision making skills with the ability to provide innovative solutions
- Excellent computer skills (word, etc) including Microsoft Project Mgmt, Visio, Excel
- Able to demonstrate positive customer service skills
- Good organizational skills; able to coordinate multiple tasks as well
- EXCELLENT communication skills required, written and verbal
- Demonstrates interpersonal skills necessary to advocate for patients in regards to managed care organizations
3
Experience For Case Manager Resume
- Excellent empathic, communications and people skills
- Strong communication, organizational, management and interpersonal skills
- Experience and knowledge in basic to intermediate computer skills
- Demonstrated ability to effectively work with diverse cultural, disability, ethnic, and/or underrepresented college student populations
- Demonstrated skills in the areas of negotiation, communication (verbal and written),
- Acute communication skills and would like to see some leadership experience as well
- Strong organizational/multi-tasking skills are necessary to exceed department’s standards
4
Experience For Case Manager Resume
- Experience acute care nursing experience or 1-3 years experience in utilization review and/or discharge planning
- Collaborative interaction and effective education skills to facilitate discussions with medical staff, coders, and other healthcare team members
- Strong organizational skills, and the ability to proactively follow-up with all parties involved in the claim on a timely basis
- Strong computer skills (Word, Excel, and Access) and computer usage knowledge
- Utilizes advanced critical thinking skills to assess patient/family needs, problem solve, and promote cost effective management of resources
- Strong judgement/decision-making skills…ability to use information available and make decisions
- Demonstrated strength in customer service and conflict management skills
5
Experience For Case Manager Resume
- Highly articulate, with strong written and verbal communication skills
- Nursing experience: 1 or more years of previous experience in clinical nursing, discharge planning, in acute care setting
- Outstanding customer service ethic and ability to relate effectively at different levels
- Proficient skills in filing systems both paper and electronic, to include scanning, copy and organizing medical documents, and maintaining student records
- Resolve issues, applying judgment, critical thinking, and problem solving skills to determine a course of action
- Preform Annual Wellness Visits for Medicare population. Capable of completing a patient assessment, uses critical thinking and problem solving skills
6
Experience For Case Manager Resume
- Skill in establishing priorities of tasks according to their criticality
- Basic Computer Skills regarding the use of email, and WORD; processing fax’s and messages, emailetiquette
- Completion of StubHub Customer Experience Buyer Bought or Seller Sold training and/or Case Management cross training experience required
- Completion of StubHub Customer Experience Buyer or Seller training and/or Case Management cross training experience required
- Demonstrate effective problem solving techniques when interacting with others
- Three years of recent nursing experience in acute care setting. Hospital Case Management experience required
- Refer students with deficiencies in educational preparation or skills to tutoring and college advising services
- Utilizes l interviewing skills to ensure maximum member engagement in disability process and a timely RTW
7
Experience For Case Manager Resume
- Five years of clinical nursing experience with strong telephonic assessment
- Self-directed individual and tea player with critical thinking skills
- Recent acute care nursing experience or case management experience
- Three years of recent acute care nursing experience or case management experience
- Broad based knowledge and skills in various medical/surgical and other nursing and health-related specialties
- Utilizes interviewing skills to ensure maximum member engagement and appropriate documentation in the members care plan
- Proven working experience in case management
- Prioritize multiple tasks with changing priorities
8
Experience For Case Manager Resume
- Work experience applying evidence-based criteria (i.e.: MCG, lnterqual); Health plan medical policy / clinical coverage guidelines required
- Curiosity, investigation, and creative problem-solving skills
- Experience working with primary care practices and/or knowledge of and experience with collaborative care models
- Demonstrated experience to monitor case management and/or work flow using a database
- Demonstrate recent knowledge experience within past 4 years in Discharge Planning and Utilization review
9
Experience For Case Manager Resume
- Acute care nursing experience or case management experience
- Demonstrated skill in case management, counseling, assessment and file/report maintenance
- Effectively communicate, both orally and in writing to a diverse population
- Prior experience with clinical methods and techniques used in supportive counseling as related to mental health and/or substance abuse issues is required
- Clinical experience with Case Management experience in a hospital or payer setting
- Prior experience with clinical methods and techniques used in supportive counseling as related to mental health and/or substance abuse issues
- Previous Acute care experience / Utilization review / Discharge planning / home care experience required
- Interact effectively with both professionals and non-professionals regarding mental health concerns
10
Experience For Case Manager Resume
- The ability to effectively use computer systems, including the Company's quote systems, is required
- Facilitates groups for clients and families and assist in facilitating life skills workshops and seminars
- Considers age specific needs of the patient as appropriate and effectively
- Promote the development of positivesocial skills through modeling appropriate behaviors and intervening wheninappropriate behaviors are observed
- Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth
List of Typical Skills For a Case Manager Resume
1
Skills For Case Manager Resume
- Strong investigation skills and decision making skills
- Demonstrated success working in a team environment including excellent collaborative and conflict resolution skills
- Utilizes critical thinking skills, judgment, independent analysis, time management skills and knowledge of FKC programs
- Clinical practice experience 1-3 years discharge planning/case management Excellent communication skills
- Strong project management experience and consulting skills
- Demonstrates good communication skills including written, verbal, nonverbal (body language), and interpersonal manners
- Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks
- Demonstrates resourcefulness, effective written and oral communication, diplomacy, organizational and analytic skills
- Strong computer skills and strong team work
2
Skills For Case Manager Resume
- Mediating, prioritizing and organizing case management activities, conducting interviews, listening skills, and eliciting information needed
- Strategic Planning and Priority Setting:getting things done effectively and efficiently
- Strong Computer skills including multi-tasking across different applications at the same time
- Excellent communication skills, (written and verbal) judgment, initiative, critical thinking and problem-solving abilities
- Facilitates CBT groups using evidence-based intervention with focus on skill training and skill development
- Strong clinical skills in a practice setting
- Strong interpersonal skills for dealing with a wide variety of internal and external clients
- Excellent communication skills and working knowledge of corporate culture/environments
3
Skills For Case Manager Resume
- Excellent verbal and written communication skills and ability to craft internal and field facing memos, and documentation
- Good planning, negotiation and organisational/time management skills
- Excellent communication skills, including the ability to communicate with large and diverse audiences
- Work productively in a stressful environment and effectively handle multiple projects and changing priorities
- Excellent analytical, investigation, and problem-solving skills
- Good PC skills including MS Word, Excel and Power Point
- Possesses good critical thinking skills
- Good organizational skills and the ability to plan and meet deadlines
4
Skills For Case Manager Resume
- Strong home health skills and knowledge
- Proven computer and organizational skills
- Excellent numeracy skills and the ability to understand complex numeric calculations
- Effective verbal and written communication skills with staff members, patients and their families and other healthcare providers
- Excellent telephonic customer service skills
- Excellent Communication skills in English & Arabic
- Excellent verbal and written communication skills (Required)
5
Skills For Case Manager Resume
- Time management and effective communication skills are imperative to be successful
- Exceptional time management, prioritisation and organisational skills
- Obtains good communication and interpersonal skills as well as being able to take instructions
- Case Management experience; 3+ years of Direct Care experience within an Acute Care and/or Skilled Nursing Facility
- Effective organizational skills, including working on multiple projects simultaneously
6
Skills For Case Manager Resume
- Possesses and exercises good public relations skills
- Excellent record-keeping skills necessary to provide complete information and documentation for relevant and appropriate medical determinations
- Strong computer and typing skills are required
- Demonstrated ability to communicate effectively with medical and hospital staffs
- Strong communication (oral and written) and public relations skills
- Strong computer skills; preferably Microsoft Word or Excel software applications
7
Skills For Case Manager Resume
- Excellent interpersonal skills regarding the hospital staff, patients, visitors, etc
- Excellent computer skills: Microsoft Word, Excel and use of electronic health record software
- Excellent and professional telephone skills
- Excellent communication skills – written and verbal - with ability to communicate to all levels of personnel
- Excellent professional telephone skills
- Detail oriented with excellent customer service, organizational and interpersonal skills
- Good computer skills required with knowledge of Microsoft Office applications- Word, Excel, PowerPoint, and Outlook
- Outstanding communications skills, oral and written, including the ability to convey complex information in accessible terms to a variety of audiences
- Outstanding case management skills required
8
Skills For Case Manager Resume
- Beginning Word and Excel skills
- Performs advanced nursing assessment using critical thinking skills. Performs assessments timely as required
- Effectively setting expectations and educating both workers and employers on obligation, ensuring responsible financial claims management of your portfolio
- Motivated, high-performing individual with proven experience of working at one with other colleagues, to achieve and often beat their objectives
- Critical thinking and problem solving skills in a service environment
- Effectively use computer applications such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments
- Three (3) years of recent acute nursing experience and/or recent acute Case Management or discharge planning experience
- Effectively setting expectations and educating both workers and employers on obligations; and
- Effectively communicating underwriting decisions
9
Skills For Case Manager Resume
- Methods and techniques used for effective case management including time management, priority setting and policy controls
- A working knowledge of the insurance industry, government reimbursement, progression of care management and discharge planning skills are required
- RN critical thinking/problem solving skills required
- Sound judgement and decision-making skills; confidently able to explain reasoning behind decisions and negotiate with customers
- Sound judgement and decision making skills; confidently able to explain reasoning behind decisions and negotiate with customers
- Proven clinical practice experience, e.g.,hospital setting, alternative care setting such as home health or ambulatory care
- Excellent oral and written communication, including experience conducting presentations for varied audiences
- Have customer service skills; including conveying compassion for patients
- Experience working in home health, skilled care, or discharge planning
10
Skills For Case Manager Resume
- Acute Care experience; 1+ year of Case Management, Utilization Review, or Discharge Planning experience
- Current Acute Care experience; 1+ year of Case Management, Utilization Review, or Discharge Planning experience
- Case Management, Utilization Management, or Discharge Planning experience; 3+ years of Clinical experience
- Integrate skills training in all aspects of Rehab. and Recovery Plan
- Direct care experience in and acute care or skilled nursing facility
- Independent analytical & decision-making skills
- A demonstrated work ethic with an ability to multitask and juggle changing priorities
- Proficient computer skills, including CPS IMPACT/SSM
List of Typical Responsibilities For a Case Manager Resume
1
Responsibilities For Case Manager Resume
- Organizational and time management skills as evidenced by capacity to prioritize and re-prioritize multiple tasks in a rapidly changing environment
- Strong problem-solving abilities, excellent organizational and planning skills
- Verbal and written communication skills to communicate effectively with diverse populations including physicians, colleagues, patients and families
- Critical thinking skills, the ability to work with minimal supervision, assertive and persuasive communication skills
- Excellent time management skills, with a strong work ethic and an organised pro-active approach to their work
- Solid numerical skills, with strong focus on accuracy
- Demonstrates good clinical assessment skills and the ability to problem solve
- Organizational skills to efficiently and effectively manage large caseload to achieve productivity metrics
- Passion for providing superior quality of care and excellent organizational and communication skills
2
Responsibilities For Case Manager Resume
- Proven clinical nursing skills
- Knowledge of SMS systems, strong interpersonal, organizational, verbal and written communication skills
- Excellent computer skills: Microsoft Word, Excel and use of electronic consumer record software
- Strong specialized skills in managed care, quality assurance/utilization management and case management
- Strong PC skills - Windows, Word and Excel
- Demonstrated abilities to effectively present information and respond to questions from groups of managers, individuals served, families,and the general public
- Strong interpersonal skills / ability to relate well to diverse groups
- Excellent communication skills in both the written and verbal form
- Demonstrated ability to work effectively within the local workforce system, state and local departments of human services, and community agencies
3
Responsibilities For Case Manager Resume
- Clinical Medical-Surgical experience; 3+ years of Managed Care experience; 3+ years of experience in an Acute Care facility
- Excellent time management skills (esp. as it relates to case assignment, high risk clients, etc.)
- Excellent problem-solving, team-building, analytical and communication skills are required
- Effective writing skills are also required in order to take messages and maintain miscellaneous records, receipts, reports and logs
- Good relationship skills – ability to build relationships with teams and third parties e.g. Solicitors
- Demonstrating collaborative working: sharing practice and skills, promoting a team ethos
- Resolving Conflict…ability to resolve conflict quickly and effectively
- Effectively communicating underwriting decisions; and
- Care coordination experience and/or experience working in an outpatient ambulatory setting
4
Responsibilities For Case Manager Resume
- Exceptional communication, customer service, critical thinking, problem solving and computer skills
- At least two years’ prior court reporting and/or production experience
- Broad-based knowledge and skills in various medical/surgical and other nursing and health related specialties
- Recent Clinical Nursing experience, case management, or insurance experience with a stong, successful track record
- Experience in direct patient care and/or case management. Financial and discharge planning experience is required
- Prepare written reports; to communicate effectively, both orally and in writing; and
- Prior experience working in managed care settings
- Fantastic customer service skills to all injured workers, employers and providers
- Effectively advise and manage admission status’s of Inpatient and Observation
5
Responsibilities For Case Manager Resume
- Communicates effectively, both verbally and in writing to
- Demonstrated experience in clinical case management
- Total case management skills
- Knowledge of and skills with the Microsoft Office Suite
- Ability and skills in data entry and database maintenance
- Positive and proactive communications skills to support interactions with various contacts, students, staff and the general public
- Professional and unbiased interpersonal skills,
- Effectively collaborate with multidisciplinary medical team
6
Responsibilities For Case Manager Resume
- Provides comprehensive Re-Entry Education/Skills Training services as well as other Cognitiv Behavioral Positive Peer Community methods and services
- Communicate detailed and often sensitive information effectively, both orally and in writing
- Conduct assessments for barriers and skills such as education level, work history, substance abuse history, disabilities, etc
- Research Skills…resourceful, able to seek out information independently
- Effectively respond to pharmacy and related formulary questions
- Analytic skills to collect, monitor, and evaluate data
7
Responsibilities For Case Manager Resume
- Substance abuse experience/pain management experience desirable
- At least two years of experience in higher education and previous experience working with individuals with mental health and/or substance abuse needs
- Three (3) years strong clinical experience in assigned clinical practice area required
- Has clear, concise verbal/written communication skills
- Exceptional people skills with an ability to establish rapport quickly with others
- Displays quality patient assessment skills
- Exceptional computer skills with programs such as Microsoft Office Suite: Outlook, Word, Excel and Power Point
- Bi-lingual language skills (Spanish-English), Required
8
Responsibilities For Case Manager Resume
- Advanced personal computer skills with ability to navigate between multiple internal and external Electronic Health Records, Data Bases and programs
- Possesses exceptional organizational skills and the ability to multi-task
- EXPERIENCE: 5 years clinical leadership experience in a related field
- Acute care clinical experience; or any combination of education and experience which would provide an equivalent background
- Effectively communicate and document
- Utilization Management skills desired
9
Responsibilities For Case Manager Resume
- Intermediate knowledge and skills of MS Office Word and Outlook Express
- Customer Service, Presentation and Computer skills
- Organizes and performs work responsibilities effectively and efficiently, and maintains and adjust schedule to enhance client care and team performance
- Proficient computer skills (Microsoft Office Products & Outlook)
- Prior experience working with individuals with chronic long-term conditions, such as HIV/AIDS, mental health, substance abuse and other special populations
10
Responsibilities For Case Manager Resume
- Superior critical thinking and organization skills with the ability to multi-task and work in a fast-paced environment
- Experience in current Case Management experience
- Recent RN clinical experience in medical/surgical or ambulatory clinical, nursing home or similar experience
- Expert with group facilitation skills
- Three or more years strong clinical experience in clinical practice area to which assigned
- Skills required: Hospital Computer Systems, telephone, calculator, fax/copy machine, and pager
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