Clinical Care Manager resume example with 9+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Multitasking Clinical Care Manager with a background explaining treatments, procedures and physician instructions to patients. Passionate professional with exemplary conversational skills and in building relationships with prospective hospitals while growing referral patterns and increasing new business . Creative business growth approaches and masterful networking skills.

  • Startup navigation
  • Fostering hospital relationships
  • Bridging communication between teams
  • Critical and strategic thinking
  • Leadership and collaboration across disciplines
  • Mental Health/Neurocognitive disorders
  • Seminars and trainings
  • Direct patient care and customer success
  • Promotion of innovative treatment modalities
  • Crisis management
Work History
Clinical Care Manager, 03/2020 - Current
Advocates Southborough, MA,
  • Provide ongoing complex care management to all patients to implement appropriate treatment plan, adhere to high quality models of care and maximize utilization of services needed to achieve optimal outcomes for both the patient and the hospitals.
  • Triaged crisis situations and enacted appropriate interventions for treatment until end of event. Strong ability to re-prioritize throughout the day.
  • Communicated effectively among cross-functional teams including physicians and patients, insurance companies and community partners by employing evidenced-based practice techniques.
  • Successfully engaged prospective clients with superior interpersonal skills , confidence and a positive attitude .
  • Increased access to care by providing assertive education and healthcare navigation skills with the goal of improve service-delivery outcomes.
Clinical Care Manager, 01/2016 - 03/2020
Advocates Upton, MA,
  • Sourced and built strong relationships with prospective hospitals and patients across the region to support this non-profit business startup.
  • Responsible for leading the team in patient centered care modalities and increasing access to innovative treatments.
  • Developed educational marketing materials, conducted outreach and presented to existing and prospective referral sources to expand clientele growth.
  • Acted as the teams guardianship and conservatorship expert by conducting educational trainings on the topic to collaborative team members, hospital staff, clients and their family members.
  • Utilized exceptional strategic thinking skills by conducting case consultation for trans-disciplinary care teams and attended Colorado state Creative Solutions meetings with Office of Behavioral Health (OBH), Health Care Policy & Financing (HCPF), and Regional Accountability Entity (RAE) members addressing the state’s most challenging behavioral/neuro-cognitive impaired health cases.
  • Assisted in the development and monitoring of policies and procedures as a leading member in startup navigation to improve accountability and reduce time wasted.
  • Ensure staff high fidelity adherence to contractual obligations by reviewing charts, devising new strategies and conducting training with staff.
  • Worked with providers to define quality metrics and outcome reporting process.
  • Provide ongoing case management to all patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
  • Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
Clinical Care Manager, 09/2013 - 12/2016
Advocates Auburndale, MA,
  • Provided comprehensive intensive care management services for adults with chronic disabilities, including various neuro-cognitive impairments often serving as MDPOA/Legal Guardian for patients.
  • Facilitated hospitalization processes, connection to inpatient rehabilitation/recovery programs, and discharge planning for individuals with complex disabilities to optimize outcomes for both the hospitals and patients.
  • Assessing and analyzing long-term care needs and assisting in the planning process throughout life stages; specializing in care planning for older adults.
  • Hired, trained and managed teams of private care providers/nurses for individuals requiring in-home care to ensure successful follow-through of treatment plans for patients.
Clinical Care Manager, 07/2008 - 06/2010
Avera Health Springfield, MN,
  • Redesigned access to care models in a impoverished area following hurricane Katrina rebuilding efforts as a part of this company startup expansion in a new region.
  • Provided innovative & assertive community treatment (ACT) to patients living with a chronic and persistent mental illness who were historically deemed extremely challenging to serve via traditional healthcare service delivery systems.
  • Developed strong relationships with community partners to generate successful rapport, build the business and grown clientele by educating stakeholders and community members on mutual benefits of the treatment modality.
  • Developed, implemented and evaluated customized patient centered and trauma informed treatment plans to guide patient rehabilitation and recovery processes.
  • Created dynamic collaboration between teams of physicians, nurses and social workers by providing intensive clinical care management services to 100 individuals in a leadership position.
Master of Social Work: Older Adults , Expected in 05/2015
Metropolitan State University Of Denver - Denver, CO
  • Graduated summa cum laude
Bachelor of Social Work: , Expected in 04/2008
Western Michigan University - Kalamazoo, MI
  • Graduated magna cum laude
  • Elected President of Social Work Honors Society in 2007-2008
  • LEAD: Leadership, Entrepreneurship And Development participant 2017-2018.
  • Nominated by executive staff to represent our agency at a national level as a leader in the behavioral health field in the Denver metro area.

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Resume Overview

School Attended

  • Metropolitan State University Of Denver
  • Western Michigan University

Job Titles Held:

  • Clinical Care Manager
  • Clinical Care Manager
  • Clinical Care Manager
  • Clinical Care Manager


  • Master of Social Work
  • Bachelor of Social Work

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