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case manager ii resume example with 7+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
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Professional Summary

Licensed Social Worker with strong background in the Medical Social Work field. Background includes 10 years as a Medical Social Worker/Case Manager in an acute care hospital, Inpatient Rehab (IRF) and Skilled Nursing Facility (SNF). Experience in Trauma, Med/Surg, Orthopedics, Gerontology, OB/GYN, Pediatrics, ER and Suicide Team. Compassionate, empathetic professional dedicated to providing exceptional care and implementing effective treatment plans for diverse client populations. Detail oriented with superior interpersonal skills.

Experience
Case Manager II, 11/2015 to Current
Christiana Care Health SystemNewark, DE,
  • Serve as a key member of the interdisciplinary team and actively manage and direct resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience
  • Facilitate timely communication regarding the patient's care, establishes and monitors the discharge plan implementation while identifying and addressing a patient's psychosocial and support systems issues
  • Manages information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions
  • Oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management
  • Performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team
Medical Social Worker, 08/2013 to 11/2015
Allina Health SystemsCoon Rapids, MN,
  • Collaborated with a multi-disciplinary team to interview hospital patients and their families to coordinate and plan for discharge needs Arranged pre-discharge team meetings with multi-disciplinary team, insurance company, and patient/family to insure a smooth recovery and safe discharge plan
  • Assessed and wrote treatment plans and daily progress notes for patients assigned to caseload
  • Conducted crisis counseling sessions
  • Partnered with clinical psychologist to draft treatment and discharge plans for at risk patients
  • Referred patients to outside social service providers to address psychiatric and personal issues
  • Build positive rapport with multi-disciplinary hospital team and outside referral sources including Home Health Care, Long Term Acute Care Facilities (LTAC), Acute Rehab Facilities, Skilled Nursing Facilities & Hospice Agencies
  • Facilitated transfer of acute care patients according to discharge plan. Referred patients to mental health resources in the community for further services
  • Communicated regularly with family members and significant others during the treatment process
  • Collaborated with social work team to expand knowledge of cultural, religious, and ethnic groups
  • Guided family members to outside support options to help them cope during times of increased stress
Medical Social Worker, to
Allina Health SystemsShakopee, MN,
  • Performed comprehensive assessment of the psychosocial needs of assigned patients; involving patient & family with the plan of care in collaboration with the interdisciplinary team
  • Assessed patients discharge needs and facilitated the services necessary to meet identified needs
  • Performed home health referrals, intermediate care and skilled nursing facility referrals, assisted patients with medication acquisition, facilitated follow-up appointments and arranged discharge transportation
  • Worked in collaboration of the interdisciplinary team to develop, implement, evaluate, and revise as needed a discharge plan to insure the safety of the patient upon discharge
  • Facilitated patient throughout care with a focus on quality outcomes and an efficient transition between levels of care
  • Actively sought ways to control costs without compromising patient safety, quality of care or the services delivered
Education
BACHELORS OF SCIENCE: Social Work, Expected in 2000 to Saginaw Valley State University - Saginaw, MI
GPA:
  • Graduated magna cum laude
  • Professional development completed in Gerontology
  • Internship at Acute Care Hospital, volunteered additional 20 hours week to develop further clinical skills.
Certifications

Certified Case Manager ( CCM) 9/1/2017. Certification # 4233820

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Accomplishments
  • Employee of The Year - Encompass Health Hospital of Round Rock 2019
  • 2015 ICARE Hospital Wide Award Recipient for exemplifying value of excellence.
  • 2014 ICARE Hospital Wide Award Recipient for exemplifying value of compassion.
  • Social Work Lead of Interdisciplinary Suicide Assessment Team which incorporated a multi-disciplinary team approach and extensive training of clinical evaluation, support services and discharge planning.
  • Identified among peer group to provide supervision of Social Work Interns
  • Selected by Physician Surgical Team to provide exclusive social work services to bariatric surgery population.
Highlights

Result Driven Key Quality Indicators

  • 2019 - 84.08% Community Discharges/ 5.59% SNF
  • Superior Customer Service
  • Strong Clinical Collaboration with Encompass Home Health
  • Skilled management of length of stay efficiency

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Resume Overview

School Attended

  • Saginaw Valley State University

Job Titles Held:

  • Case Manager II
  • Medical Social Worker
  • Medical Social Worker

Degrees

  • BACHELORS OF SCIENCE

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