Nurse Case Manager Resume Samples

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Nurse Case Managers coordinate patient care in a specified setting in order to provide them with optimal treatment. Sample resumes of Nurse Case Managers show responsibilities like participating in interdepartmental coordination and communication to ensure the delivery of consistent and quality health care services, and providing appropriate resources and assistance to members with regards to managing their health care. Applicants can show either an associate's or bachelor's degree on their resumes, though they must also be able to successfully complete a licensing test.

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1

Nurse Case Manager

  • Improved quality of member care and lowered costs by providing coordination of services through collaboration with health care team.
  • Prevented unnecessary hospital admissions when at-home care or nursing facility would best serve the member's needs through utilization of a broad range of resources.
  • Proactively assessed potential problems and initiated solutions utilizing Best Nursing Practices.
  • Provided a Case Study which was highlighted in the 2010 Annual Report.
Candidate Info
58
years in
workforce
15
years
at this job
BS
Management
MA
Health Care Administration
2

Telephonic Nurse Case Manager

Managed Short Term Disability and FMLA leaves of up to 350 of our client's (corporations and hospitals) employees.

  • Established and maintained communication via telephone with clients and their employees regarding their STD/FMLA cases.
  • Ensured that employees were in compliance with their company's leave policies and procedures.
  • Consulted with physician medical reviewers to determine if medical documentation substantiated the leave requested - initially and throughout the course of the case.
  • Maintained complete and accurate computerized management notes on each case.
  • Clarified and coordinated return to work to ensure employee returned to work in a safe and timely manner.
  • Assisted with quarterly QA.
Candidate Info
30
years in
workforce
5
years
at this job
AAS
Nursing
3

Nurse Case Manager

Provide behavior health related care to military child, adolescent, and adult dependents

  • Manage clinic's referral queues which average approximately 400 referrals per month
  • Provide case/disease management services to high risk families (children/adolescents diagnosed with autism, bipolar D/O, MDD, etc.) and to families enrolled in TRICARE special programs
  • Developed six tracking tools for clinic pertinent data
  • Collaborate with clinic providers to develop appropriate care plans for high risk families
  • Coordinate and facilitate services with internal and external resources
  • Created and managed patient satisfaction program (TJC PI project)
Candidate Info
10
years in
workforce
3
years
at this job
BS
Nursing
MS
Public Health Nursing Administration
4

Delegating Nurse Case Manager

Complete initial and forty-five day ongoing assessment to Assisted Living Facility Residents

  • Instruct board approved Medication Administration Training Program for qualified Assisted Living staff
  • Continually assess the competency of the Medication Technician Participated in the quality improvement pharmacology process
  • Provide onsite staff in-services, initial and ongoing trainings as it relates to the care of the assisted living patient population
  • Train students for Board approved 20 clock hour Medication Administration Training Program; through lectures, role-playing, group activity, and laboratory practice Ensuring program meets federal and state training requirements of Certified Medication Technician in the state of Maryland.
Candidate Info
17
years in
workforce
2
years
at this job
BS
Nursing
MS
Nursing-nurse Administration
5

Nurse Case Manager

Utilization Management - initial review, Concurrent review, Pre determination, Pre-certification.

  • Case management ( managed over 80 members)
  • Disease management
  • Determine appropriate level of care while consulting with Medical Director as needed.
  • Outreached to members and performed pre-admission counseling and post discharge assessment to promote optimal health and prevent re-hospitalization.
  • Ensured compliance to rules, regulations and policies established by the organization.
Candidate Info
6
years in
workforce
2
years
at this job
BS
Nursing
6

Registered Nurse Case Manager/team Manager

Assigned to a hospice/palliative care team as a home care nurse. Play a key role on an interdisciplinary team that includes a Chaplain, social worker, registered nurses, nurse aids and physician. Treat an average of 18 patients weekly. Assists in providing medical and non-medical interventions to patients to ensure the last days of life are as comfortable as possible. Assess patients for hospice appropriateness for admission into the hospice program and recertification. Provide education to patients and families about the differences between curative and palliative care, insurance coverage, and medications for end-of-life care.

  • Chosen over peers for the position as Team Manager.
  • Supervise a staff that includes 1 physician, 4 RN Case Managers, 1 Chaplain, 1 Social Worker and 6 Nurse Aides.
  • Awarded the Vitas Leadership Council award for outstanding service in 2010.
  • Recognized member of the mentor group chosen to train new nursing staff and mentor new and existing team members.
Candidate Info
9
years in
workforce
6
years
at this job
AAS
Associate of Applied Science
BS
Nursing
7

Registered Nurse Case Manager

Assessed need for, ordered, obtained, and interpreted appropriate lab tests

  • Responsible for patient care plans, as well as educating patients and their families on home and overall health care
  • Supervised, scheduled, trained and motivated ancillary staff
  • Educated patients and families in medical diagnosis, treatment, and prognosis
  • Collaborate with physicians and the agency in patient care planning, management, and implementation
  • Medical record input and documentation
  • Evaluates and documents the progress of indivdual therapeutic programs and makes modifications as required
  • Oversaw and managed case load of 40 patients
Candidate Info
5
years in
workforce
7
months
at this job
8

Registered Nurse Case Manager

Managed care of up to 15 patients at end of life with interdisciplinary hospice team

  • Provided individualized symptom management for patients with various diagnoses and end of life symptoms
  • Evaluated patient appropriateness for hospice level of care in accordance with Medicare guidelines
  • Performed on call symptom management and bereavement visits after normal business hours
Candidate Info
6
years in
workforce
2
years
at this job
BA
Nursing
9

Bilingual Telephonic Nurse Case Manager

Provided telephonic case management for high-dollar, chronically ill or end-stage patients, with a high percentage of oncology patients. Evaluated member's health needs to promote safe, quality care and identify medically appropriate and cost-effective care. Utilized nursing method to develop a plan of care to meet patient needs and provide for best possible outcome.

  • Assisted with access to required services via referral to social worker, primary care provider, and other medical personnel as needed. Followed up with member, client, caregiver, and/or PCP.
  • Educated client on disease process and pharmacological changes.
  • Encouraged self-care and empowerment of client as related to condition.
  • Ensured that appropriate care and follow-up was provided by caregiver and providers, while attempting to reduce costs.
Candidate Info
31
years in
workforce
6
years
at this job
BS
Nursing
10

Nurse Case Manager

Provided telephonic case management for clients of Professional Dynamics, including onsite at Athens Administrators, Irvine, CA and remote for BART (Bay Area Rapid Transit).

  • Acted as liaison for injured workers, coordinating treatment, services and providing education. Communicated with claims examiners, physicians and health care providers.
  • Prepared reports documenting file activity, keeping the account closely informed.
  • Conducted embedded Utilization Review and coordinated referrals as indicated to the designated review organization.
Candidate Info
29
years in
workforce
2
years
at this job
BSN
Nursing

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