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Case Manager Resume Example

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CASE MANAGER
Professional Summary

Coordinated delivery of optimal patient care to diverse patients through effective monitoring and treatment organization. Skillfully conduct assessments, update EMR documentation and complete ongoing case reviews to strengthen support. Knowledgeable Case Manager experienced in coordinating care for Pulmonary, transplant and internal medicine individuals. Proactive and resourceful with strong knowledge of community resources. Effective communicator with passion for helping others.

Experienced Case Manager offering 8 years of planning, assessing and reporting experience with Pulmonary clients. Proficient in documentation and compliance.

Skills
  • EMR / EHR
  • Chronic Disease Management
  • Indirect Patient Care
  • Interdisciplinary collaboration
  • Preventative health
  • Documentation Proficiency
  • Shared Governance
  • Cross-Functional Collaboration
  • Treatment planning
  • Oxygen saturation standards
Work History
Case Manager, 09/2012 to Current
Company Name – City, State
  • Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
  • Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
  • Evaluated treatment plans against individual goals and healthcare standards.
  • 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.
  • Completed initial assessments of patients and family to determine and address individual home care needs. ·
  • Worked with suppliers and vendors on provision of medical equipment, items and services.
  • Educates patients/family on specific chronic diseases (COPD, Pneumonia, CHF) with teach back methodology utilized.
Nurse Administrative Manager, 05/2010 to 09/2012
Company Name – City, State
  • Manager of 31 bed GPU unit. Accountable for leading, managing, developing, supervising and evaluating the delivery of patient care.
  • Focus on staff development, career enrichment and provides educational opportunities.
  • Responsible for ensuring that proper personnel procedures are followed in terms of interviewing, evaluating, orienting and training new staff.
  • Communicates with patients, family members, supervisors, technical personnel in order to resolve problems and ensure the provision of quality care.
  • Plans and organizes orientation and in-service training for personnel. Facilitates professional development and clinical growth through implementation and maintenance of mandatory and special competencies.
  • Maintains records relating to licensure, certifications and attendance of staff.
  • Utilizes evidence based practice to revise policies and procedures.
  • Maintains current knowledge of grievance and disciplinary procedures. Communicates effectively and maintains competent coaching and counseling skills during performance review and employee discipline process.
  • Knows regulatory standards from TJC, OSHA, MIOSHA, MDPH and Nursing Practice standards to ensure appropriate policies, procedures and protocols are being established and/or maintained throughout the department/clinic.
  • Accountable for ongoing evaluation process to assure compliance with accrediting.
Disability Management Coordinator/ Supervisor , 04/2000 to 05/2010
Company Name – City, State
  • Maximized throughput, patient satisfaction and staff efficiency by development and implementing optimized care models.
  • Case management of occupational injuries/claims with TPA. Function as a liaison with system's short/long-term disability carrier for Return to Work.
  • Employee Advocate
  • Lead and coordinate Grand Rounds
  • Lead and coordinate TWP Workgroup w/EE relations and Employment Team
  • OSHA/MIOSHA process improvement and training for recorders
  • Place, orient and supervise all Return to Work candidates S
  • Standardization of Transitional Work Program/Return to Work program throughout Henry Ford Health System
  • Perform data management, analysis and data distribution, payroll processing Initiate cost containment, coordinate utilization rates and premium cost reductions
  • Collaborate with Employee Health, EAP, and Wellness Program initiatives
  • Communicate program components with senior leadership, physicians, managers and employees
  • Prepare and manage department budget
  • Supervise direct reports and each employee entered into Transitional Work Program/Return to Work Program
Registered Nurse, 06/1996 to 11/1999
Company Name – City, State
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
  • Preceptor of new graduates/new hires/student nurses.
  • Functioned as a Unit Governance Representative.
  • Managed customer service initiatives.
  • Served as a Rotating Charge Nurse.
Education
Bachelor of Science: Nursing Administration, 05/2007
Sienna Heights University - City
No Degree: Diploma of Nursing 1996Henry Ford Hospital School of Nursing - City
Associate of Science: 1994
Henry Ford Community College - City
Committee Memberships

Helping Hands Executive Member for 18 yrs

Chair of Practice and Policies Committee in Case Management/Social Work 5 yrs

Secretary of Case Management/Social Work Committee 6.5 yrs

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Resume Overview

School Attended

  • Sienna Heights University
  • Henry Ford Hospital School of Nursing
  • Henry Ford Community College

Job Titles Held:

  • Case Manager
  • Nurse Administrative Manager
  • Disability Management Coordinator/ Supervisor
  • Registered Nurse

Degrees

  • Bachelor of Science : Nursing Administration , 05/2007
    No Degree : Diploma of Nursing 1996
    Associate of Science : 1994

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