case manager resume example with 5+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
Summary
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Skills
- Stakeholder Collaboration
- Case Management Tracking
- Records Management
- Documentation and Reporting
- Client Advocacy
- Relationship Building
- Case Planning
- Decision Making
- Verbal and Written Communication
- Data Entry and Analysis
- MS Office
- Treatment Planning
- Email and Telephone Etiquette
- Calm Under Pressure
- Problem-Solving
- Patient Assessment
- Call Center Operations
- Customer Service
- Spanish Fluency
Education and Training
Lincoln Technical Institute - Cromwell Cromwell, CT Expected in 03/2021 ā ā Certificate : Medical Assisting - :
Penn Foster Career School Scranton, PA Expected in 01/2019 ā ā High School Diploma : - :
Experience
Willis Towers Watson - Case Manager
Irvine, CA, 01/2022 - Current
Irvine, CA, 01/2022 - Current
- Daily interaction with existing and potential clients, via telephone and in person.
- Order medical records from providers and communicate with clients and providers during the course of treatment.
- Obtain documents necessary to support injury and/or liability positions
- Interact with insurance carriers and healthcare providers to secure records and account balances
- Negotiate case settlements with insurance carriers and negotiate a deduction of outstanding medical balances with providers
- Work directly with multiple coworkers involved in the management and support of case files
- Maintain organized case files.
- Prepare comprehensive demands and assemble support for submission to carriers
- Interact with attorneys and present case synopsis when required
- Manage case files from intake to closing under the direction of an attorney
Nursecore - Staffing Manager
Tampa, FL, 01/2021 - 01/2022
Tampa, FL, 01/2021 - 01/2022
- Developed employee orientation and training programs for new hires.
- Recruited and interviewed individuals for needed job position.
- Organized employee directories and updated individual contact information.
- Reported on workplace health and safety compliance to superiors.
- Handled employee discipline and termination to address policy infractions.
- Managed full-cycle recruiting, including sourcing, interviewing, offering jobs and negotiating contracts.
- Helped with employee transfers and referrals.
- Wrote job descriptions and posted to job boards.
- Assisted in employee recruitment, hiring and interview processes.
- Scheduled random drug testing for employees to diminish regularity risks.
- Attended conferences, workshops and special events to recruit qualified candidates for company.
- Supported hiring manager by reviewing applications and resumes and identifying reputable job candidates.
Kaiser Permanente - Medical Assistant
Alameda, CA, 02/2019 - 01/2021
Alameda, CA, 02/2019 - 01/2021
- Educated patients about medications, procedures and physician's instructions.
- Measured vital signs and took medical histories to prepare patients for examination.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Incorporated outside records into charts and EHR.
- Scheduled appointments for patients via phone and in person.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Administered rapid tests for COVID and strep to help clinical staff assess conditions.
- Labeled and completed lab requisitions using ICD and CPT coding.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Documented notes during patient visits.
- Organized charts, documents and supplies to maintain team productivity.
Physicians Primary Care Of Southwest Florida - Appointment Scheduler
Cape Coral, FL, 06/2017 - 01/2019
Cape Coral, FL, 06/2017 - 01/2019
- Called no shows and cancellations to reschedule.
- Answered telephones and directed calls to appropriate staff members.
- Sorted incoming mail and directed to correct personnel each day.
- Created spreadsheets in Microsoft Excel for record-keeping and reporting.
- Traveled to different clinical sites to review procedures.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Worked with physicians and nurses to find methods to improve quality of patient health documents and records.
- Handled incoming calls and directed callers to appropriate department or employee.
- Set up patient charts and documented information in various company software.
- Processed patient admission and discharge documents.
- Pulled patient records and transferred information to appropriate parties.
- Put new coding and billing procedures into practice, which helped to reduce number of claims that insurance companies denied.
- Entered patient insurance, demographic and health information into software and confirmed records.
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Resume Overview
School Attended
- Lincoln Technical Institute - Cromwell
- Penn Foster Career School
Job Titles Held:
- Case Manager
- Staffing Manager
- Medical Assistant
- Appointment Scheduler
Degrees
- Certificate
- High School Diploma
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