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Case Manager Resume Example

Resume Score: 90%

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CASE MANAGER
Professional Summary
Extensive and diverse support professional with record of increased responsibility. Proficient in prioritizing and completing task in a timely manner, yet flexible. Patient focused with diverse experience in admissions, LTC, insurance (Medicare, Medicaid, long & short term disability, HMO) and communications. A strong leader trained in team building, professional connections and human services management, recognized for ability to promote professionalism and enhance staff awareness. Key Skills Ability to read, analyzes, collect data, define problems, establish facts, and draw valid conclusions and interpret common scientific journals and legal documents. Fluent in Haitian Creole Excellent written and verbal communication skills with a proven ability to speak effectively before groups. 6 plus years' experience in healthcare environment and hospital settings, which has allowed me the ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the community Advanced knowledge of Microsoft word, excel, PowerPoint and Meditech. Knowledge of Health Insurance Portability Accountability Act regulations, OSHA regulations and insurance reimbursement. Strong leadership problem solving skills, and CPR certified.
Experience
Case Manager
January 2013 to January 2014
Parkwell Nursing and Rehabilitation Center
  • Provide direct service to all residents in the facility as needed and as in accordance with company regulations.
  • Act as Admissions Coordinator upon absence of Admission Director.
  • Coordinate In-Service Training for all members of the nursing staff with respect to the role of social service and understanding the emotional needs of the aged and their response to illness.
  • Provide residents' rights and abuse education, consultation and interventions as needed.
  • Serve as a liaison to the Administrator and Director of Nursing with respect to the emotional and social service needs of the residents.
  • Client data Document pertinent and actions taken to meet social needs for each resident.
  • Arrange for ancillary services for hospital clients, e.g.
  • transportation, clothing, supportive aids.
Patient Enrollment Specialist
January 2012 to January 2013
Healthcare Financial Inc
  • Educated patients and family members on various medical outreach programs and aided in procuring funding as needed.
  • Determined program eligibility by screening patients via phone or in-person at hospitals, clinics, health centers, and/or patient's homes.
  • Identified appropriate programs for patients and facility enrollment and funding when needed.
  • I.e.
  • Health insurance forms, Social Security Benefits, patient assessments, and consent and release forms.
  • Managed referrals in accordance with company guidelines and provided linkage with community and government resources.
  • Demonstrated a receptive, empathic and sensitive attitude by understanding and valuing cultural diversity.
Care Manager
January 2011 to January 2012
Beth Israel Deaconess Medical Center
  • Provided intensive integrated care management for members with mild to severe depression.
  • Acted as a liaison between members, primary care physician, social worker, and depression care team to develop patient centered plans of care.
  • Created relapse prevention plan with members that were in remission by utilizing clinical modalities and participated in ongoing trainings; and Participated in weekly rounds to address treatment protocols for members.
  • Conducted in person assessments of patient referred to the program and the completion of the patient health questionnaire.
  • Determined appropriate resources for patient needs independently and in conjunction with clinical social workers for services such as homemakers, transportation, Meals-on-Wheels, financial assistance and Medicaid.
  • Worked with patients, family, and staff to coordinate needs-based assistance such as short term accommodations and other community services.
  • Used extensive knowledge of local and state resources to develop a multifaceted service plan to meet patients' complex needs and made independent decisions about which services to recommend to a patient/family.
Lead Nursing Asst
January 2011 to January 2014
Spaulding Rehabilitation Hospital
  • Assisted patients with activities of daily living.
  • Performed EKG's, vital signs, weights, and measured input and output.
  • Transported patients to various tests and surgeries.
  • Assisted nursing staff and physicians, and checked daily glucose level.
Skills
Benefits, consultation, Client, clients, financial, forms, government, insurance, Director, Nursing, protocols, phone, transportation
Education
Bachelors : Social Work Biology, Spring 2011Barry University - Miami, FLSocial Work Biology
Associates : Science, Spring 2008Norwalk Community College - Norwalk, CTScience
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Resume Overview

Companies Worked For:

  • Parkwell Nursing and Rehabilitation Center
  • Healthcare Financial Inc
  • Beth Israel Deaconess Medical Center
  • Spaulding Rehabilitation Hospital

School Attended

  • Barry University
  • Norwalk Community College

Job Titles Held:

  • Case Manager
  • Patient Enrollment Specialist
  • Care Manager
  • Lead Nursing Asst

Degrees

  • Bachelors : Social Work Biology , Spring 2011
    Associates : Science , Spring 2008

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