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Case Manager Resume Example

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CASE MANAGER
Professional Summary

Coordinated delivery of optimal patient care to diverse clients through effective monitoring and treatment organization. Skillfully conduct assessments, update documentation and complete ongoing case reviews to strengthen support and continue to build rapport with clients. Well-versed in enforcing strict controls to quickly identify and resolve concerns. Motivated [Job Title] highly effective at strengthening teams and programs for optimal customer satisfaction. Seasoned administrative and customer service professional with excellent leadership skills and a detail-oriented nature. Strong understanding of operational requirements and best practices in [Type] programs. Dedicated Program Director adept at managing programs. Bringing deep understanding of what it takes to run high-quality program and achieve desired results.

Work History
Serenity Behavioral Health (Healthcare Staffing) - Case ManagerAugusta, Georgia06/2018 - Current
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
  • Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
  • Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • Adhered to established rules, ethical standards and codes of professional conduct conducive to positive learning atmosphere.
  • Developed treatment plan with goals to maintain long-term patient wellness.
  • Managed case load of 50 or more mental well-being of adults, providing comprehensive, community-based care.
  • Evaluated treatment plans against individual goals and healthcare standards.
  • Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
Serenity Behavioral Health System - Administrator to Program DirectorAugusta, GA02/2016 - 06/2018
  • Developed needs program from ground up, laying out framework and defining roles.
  • Oversaw staff needs to fill needs of clients
  • Orchestrated smooth and efficient program development by collaborating cross-functionally across departments.
  • Provided ongoing direction and leadership for program operations.
  • Set and overseen yearly $300,000 budget to cover supplies, equipment and special request or needs for program.
  • Improved success of program by making proactive adjustments to operations.
  • Assisted Program Director with developing budget and schedule.
  • Resolved client issues quickly such as transportation.
  • Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
  • Support building program by nurturing professional relationships with community members.
Dr. Audrey Henderson Office - Medical Billing and Collections SpecialistAugusta, GA02/2015 - 07/2016
  • Performed targeted collections on past due accounts aged over 90 days.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Applied more than 300 accounts per week.
  • Worked with physicians and assisted front desk clerk to properly apply customer remittances.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Identified issues, analyzed information and provided solutions to problems.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Prepared variety of different written communications, reports and documents to ensure smooth operations.
AGY Holding Corp. - Special FabricatorAiken, SC05/2006 - 05/2014
  • Performed required maintenance on machine equipment to enable readiness for project use.
  • Identified equipment and production non-compliance issues and notified foreman to facilitate resolution.
  • Followed Operational Safety and Health Administration (OSHA) regulations to promote safe equipment operation and workplace safety.
  • Lifted or moved materials and finished products using large cranes.
  • Completed minor preventative maintenance and mechanical repairs on equipment.
  • Performed duties in accordance with all applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Eliminated downtime and maximized revenue by providing top project quality control.
  • Received and processed both written and verbal instructions, prints and work orders.
  • Inspected all welded projects to verify alignment with blueprint specifications.
Skills
  • EMR / EHR
  • Quality Assurance Controls
  • Patient Management
  • Indirect Patient Care
  • Medical Records Management
  • Case Management
  • Customer service
  • Data Analysis
  • Interviewing skills
  • Written and verbal communication
  • Cross-Functional Collaboration
  • Chronic Disease Management
  • Documentation Proficiency
  • Good listening skills
  • Route dispatch
  • Staff education and training
  • Credit card processing
  • Complaint resolution
  • Receiving support
  • Creative problem solving
  • Recordkeeping strengths
  • Professional telephone demeanor
  • Key holder experience
  • Report preparation
  • Shipping procedures understanding
  • Account management
Education
05/2015University Of PhoenixTempe, AZBachelor of Science: Health Administration
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Resume Overview

Companies Worked For:

  • Serenity Behavioral Health (Healthcare Staffing)
  • Serenity Behavioral Health System
  • Dr. Audrey Henderson Office
  • AGY Holding Corp.

School Attended

  • University Of Phoenix

Job Titles Held:

  • Case Manager
  • Administrator to Program Director
  • Medical Billing and Collections Specialist
  • Special Fabricator

Degrees

  • Bachelor of Science : Health Administration

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