Care Manager Resume Samples

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Care Managers are employed by healthcare facilities and are responsible for ensuring patient care. Job duties of a Care Manager include communicating to patients, interacting with insurance companies, developing individualized care plans, handling business operations, allocating budgets, creating schedules, and evaluating staff performance. Based on our most successful resumes for Care Managers, essential skills are health management expertise, leadership, communication and interpersonal skills, customer service orientation, budgeting, teamwork, and problem-solving. A well-written resume sample for Care Manager usually highlights a Bachelor’s Degree in health information or health management.

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1

Care Manager Supervisor

Grew membership of Long Term Care Diversion Program in Volusia/Flagler Counties by 75% in less than 5 years.

  • Increased highly motivated and successful team to accommodate growth from 3 care managers to 14 care managers, nurses and support staff.
  • Maintained below allocated costs for program for 4 consecutive years by implementing cost effective utilization management strategies.
  • Managed day-to-day activities; generated reports for tracking; hired and trained new staff and implemented disciplinary actions.
Candidate Info
20
years in
workforce
6
years
at this job
BS
Sociology
2

Access I - Care Manager

Provided intensive and supportive case management to HIV Positive and mental health clients and their families

  • Performed intake assessments; developed care service plans; conducted evaluations for public and HASA benefits, legal and other needed services
  • Worked with both the criminal and LGBTQ population;
  • Made appropriate referrals for services; monitor service provision and followed-up on services provided
  • Documented all services and entered them into AWARDS system
  • Crisis intervention, domestic, Substance abuse counseling and referral
Candidate Info
9
years in
workforce
4
years
at this job
Casac-t
Business
3

Care Manager Supervisor/frontline Leader

  • Supervised day-to-day operations and staff, 12 direct supports and 14 non direct supports, by assigning and monitoring daily work productivity
  • Supervised and guided care management staff in viable, cost-effective and compliant assessment of members' needs
  • Assigned new Medicaid enrollees to care management staff
  • Conducted weekly staff meetings to inform and keep staff up to date on performance requirements
  • Ensured that staff were trained and evaluated on their knowledge of the adherence to compliance policies and procedures specific to their jobs
  • Reviewed and processed claims from the care management standpoint by verifying Medicaid services with providers and submitting necessary care plans to address claims
Candidate Info
15
years in
workforce
1
year
at this job
BA
Psychology
4

Care Manager

Coordinated the integration of services and development of acute and long-term care plans with the member and the member's primary care physician.

  • Conducted orientation with all new members and/or their caregivers to fully explain the member handbook, provider directory, review the assessment and design an individualized plan of care.
  • Coordinated services with network providers and ensured requested services were provided in a timely manner.
  • Coordinated services with out of network providers as the plan of care indicates.
  • Maintained documentation of members files keeping them updated and accurate.
  • Developed and maintained a positive working relationship with Providers and other AEC departments (i.e. Home Health, Accounting).
  • Conducted required field visits on all members in a timely manner and updated care plans and assessments.
  • Documented all interventions, interactions and observations in the members file.
  • Provided ongoing support to members of the plan and their caregivers.
  • Reviewed utilization in order to ensure the plan of care was being implemented by subcontractors.
  • Audited member charts to ensure all files are were updated and accurate and met contract obligations according to corporate standards.
Candidate Info
19
years in
workforce
1
year
at this job
HS
High School Diploma
AS
Associate of Science
BA
Organizational Management
5

Assistant Care Manager/lpn

  • Provided continuum of quality care through field-based outreach, education, crisis intervention and other clinically based activities to plan members as specified in their treatment plans.
  • Collaborated and coordinated with member's medical/health and community based providers, regarding the member's treatment/discharge needs and plan of care.
  • Monitored and evaluated the services and community based resources necessary to respond to the individual member's health needs.
  • Collected clinical data and maintained accurate records of activities in CMAP for tracking and metrics purposes.
  • Collaborated with the Care Management Team to review care management process for members to ensure needs of members are met.
Candidate Info
11
months in
workforce
11
months
at this job
C
Medical Billing
BS
Information Systems Management
Nursing Program
6

Care Manager

  • Consulted as part of a team with families and trust management companies to maximize the health,
  • Formulated plans and provided assistance to resolve complications with benefits and to provide
  • Served as point of contact for clients and other stakeholders.
  • Researched benefits and programs for out of state special needs clients.
Candidate Info
10
years in
workforce
3
years
at this job
BA
Mathematics
7

Care Manager

  • Assessed members and developed care plans which helped to meet their short and long term care goals/needs
  • Organized and maintained confidential records and files (electronic and hard copy)
  • Communicated effectively (e-mail, phone, face to face) and documented interactions with internal and external customers
  • Authorized payment for services that members needed
  • Established strong and trustworthy relationships with members and providers.
Candidate Info
12
years in
workforce
4
years
at this job
BS
Psychology
MS
Human Resources And Labor Relations
Business Management Coursework
8

Care Manager

  • Maintained records of client care, condition, progress and reported problems to family and management
  • Provided companionship, emotional and physical support
  • Prepared special meals and assisted with personal care and daily activities
  • Accompanied client on trips outside the home, providing transportation and assistance
  • Worked with Alzheimer and Dementia clients, helped to improve quality of living and alleviated confusion
Candidate Info
8
years in
workforce
6
years
at this job
9

Patient Care Manager, Emergency Services

  • Created and maintained an environment that reflected nursing standards of care and practice, and established regulatory requirements; assisted in facilitating successful completion of the 2015 Joint Commission Survey.
  • Ensured efficient daily operations including creating and managing staffing plans and ensuring appropriate equipment and resources for 130 full time equivalents including Registered Nurses, Technical Partners, and Unit Secretaries.
  • Developed, implemented, and monitored systems to ensure best practices and quality improvement initiatives for approximately 115,000 patient visits per year.
  • Attracted, developed, coached, and mentored Emergency Department staff and talent; influential in decreasing RN turnover rate by approximately 6 percent.
  • Implemented and promoted several Lean Management principles and visual management tools.
Candidate Info
16
years in
workforce
2
years
at this job
BS
Nursing
10

Care Manager

Employed full-time as a Pediatric Care Manager for Select Health. Responsible for utilization and Care Management for a group of pediatric patients within the Intermountain Healthcare system.

  • Trained in CERMe and other computer products to assess adequate lengths of stay, care management duties, and that patients met Interqual Criteria for inpatient hospitalizations.
  • Involved with utilization review, discharge planning and coordination, team meetings, telephonic parent education and referrals to ensure that children and families got extraordinary care and the resources that they needed.
  • Assisted in managing care and services for pediatric patients in cooperation with parents, hospital staff, physicians and outside referral agencies.
Candidate Info
45
years in
workforce
2
years
at this job
AS
Nursing
BA
Nursing

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