Director Of Case Management resume example with 14+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Versatile business leader bringing 10 years of experience as accomplished Case Management. Strategic problem solver, change manager and visionary executive with success implementing plans to meet current and future needs. Key expertise in Elderly Care.

  • Business administration
  • Responding to emergencies
  • Patient-focused care
  • Documenting behaviors
  • Room Checks
  • Case Management
  • Conducting intakes
Work History
Director of Case Management, 04/2015 - Current
Select Medical Corporation Olney, MD,
  • Increased revenue by 15% by resolving collection issues.
  • Assisted with sales and Marketing tours.
  • Developed and maintained positive relationships with residents, families and employees.
  • Administered COVID Testing to reduce the risk of exposer. DOH weekly tracking.
  • Structured standardized case management processes to comply with Department of Health regulatory agency statutes and standards.
  • Recruited, interviewed and hired staff members offering exceptional talent and brought great skills to team.
  • Oversaw accounts payable and receivable transactions.
  • Managed residence's personal allowance and records for 125 clients and adhered to Social Security and State Supplement guidelines.
  • Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
  • Resolved issues and inquiries from residence regarding health and SSI, SSA, SSD, SSP benefits and Pensions through telephone, email and in-person interactions.
Medicare Benefit Manager, 05/2012 - 04/2015
Elder Plan City, STATE,
  • Generated interest in Medicare and Government Programs identified new markets and educated prospective clients on benefits.
  • Investigated and resolved account and service concerns for multiple parties.
  • Developed network relationships with industry professionals to enhance community awareness and promote services.
  • Liaised with corporate sales and marketing teams to develop and maintain social media promotion, email-based campaigns and other marketing programs.
  • Executed strategies to generate qualified leads through outreach sales calls to professional referral sources.
  • Initiated and coordinated visits by influential persons and community groups for marketing exposure.
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Educated clients on at-home methods to reach and maintain goals, crafting plans for long-term success.
Medicaid Service Coordinator/MSC, 03/2009 - 05/2012
ADI/ Westchester Arc City, STATE,
  • Updated treatment plans on monthly basis with latest intervention strategies and progress notes.
  • Documented case notes daily and coordinated follow-up for seamless case management.
  • Coordinated program referrals for community-based resources.
  • Delivered social work services to Developmentally Disabled in group homes and home settings.
  • Preserved and prepared reports and treatment records.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
  • Determined need for special assessment activities for complex cases, effectively handling care plans.
  • Assisted in resolving facility discrepancies by participating in resident surveys.
  • Monitored and assisted residents through individual service plans.
Senior Marketing Representative /Team Leader Manager, 10/2006 - 03/2009
Healthfirst Health Plan City, STATE,
  • Built strong rapport with clients by understanding needs and clearly explaining products.
  • Brought Customer Satisfaction Index levels from unsatisfactory to levels acceptable to client.
  • Educated senior staff on product usage.
  • Generated and followed up on lead lists resulting from specific marketing campaigns.
  • Resolved member issues that impacted sales and business outcomes.
  • Demonstrated products and specific features at customer locations and special events.
  • Worked to develop network by identifying and pursuing new leads, attending industry events and building rapport with clients.
  • Proactively managed client correspondence and recorded all tracking and communications.
  • Traveled throughout assigned territory to leverage leads and visit existing customers.
BA: Sociology & Criminology , Expected in 2008
The College oF New Rochelle - New Rochelle, NY,

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Resume Overview

School Attended

  • The College oF New Rochelle

Job Titles Held:

  • Director of Case Management
  • Medicare Benefit Manager
  • Medicaid Service Coordinator/MSC
  • Senior Marketing Representative /Team Leader Manager


  • BA

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