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Medical Case Management Resume Example

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MEDICAL CASE MANAGEMENT
Summary

Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life.

Skills
  • Patient advising
  • Progress evaluations understanding
  • Emotional awareness
  • Treatment plans knowledge
  • Quality assurance controls
  • Patient assessment
  • Cross-functional collaboration
  • Research and facts collecting
  • Community outreach
  • Grant writing
  • Effective customer communication
  • Coordination
  • Team management
Experience
Bradley-Reid Corporation | Charlotte, NCMedical Case Management06/2014 - Current
  • Determined functional status, activity, acuity and self-management levels to make proper care referrals.
  • Cooperated with local service providers, outreach workers, case managers and collaborative agencies to facilitate services for members.
  • Performed audits of objectives and case progression for case management team.
  • Conducted assessments to obtain information for participant-centered plan of care.
  • Advocated for members and families to coordinate care and navigate resources.
  • Constructed case notes and comprehensive reports, including data entry into careware portal.
  • Identified strengths and opportunities for staff improvement based on audit results.
  • Protected patient data in alignment with HIPAA privacy protocols.
  • Developed comprehensive client-driven case plan with short and long-term goals.
  • Facilitated ongoing case management services to support successful outcomes and meet stabilization goals.
  • Assisted patients in receiving high-quality, appropriate care with best possible results.
WCI Living Inc | Charlotte, NCPersonal Care Service Provider10/2019 - Current
  • Prevented patient injuries by providing necessary restraints and appropriate supports.
  • Enhanced patient wellbeing by supporting participation in recreational activities.
  • Helped patients adjust to regular routines and thrive in structured environments.
  • Documented current patient information to update supervising, including vital signs, behaviors and eating habits.
  • Supported and encouraged psychiatric patients to promote health and wellness.
  • Improved patient outlook and daily living through compassionate care.
  • Documented client progress in charts and logbooks.
  • Supervised medication administration, personal hygiene and other activities of daily living.
  • Maintained clean and well-organized environment to promote client happiness and safety.
  • Monitored and reported clients' progress.
A Healthier Youth | Charlotte, NCProgram Director03/2005 - 05/2014
  • Managed program operations and provided strategic leadership for all workers.
  • Created comprehensive progress reports on all programs to show progress.
  • Developed robust marketing plans to increase awareness of programs.
  • Oversaw completion of productivity goals and educated employees on established company processes.
  • Minimized financial risk by establishing and maintaining best financial practices.
  • Increased Youth program effectiveness by implementing strategic operational improvements.
  • Promoted Health and Wellness programs by establishing professional relationships with community members and school programs.
  • Managed student health, counseling, and psychological services.
  • Coordinated planning and program development between news teams and other programming staff.
New Light Ministry | Charlotte, NCAssistant Director of Program09/2000 - 06/2005
  • Helped students master learning concepts through one-on-one and small group tutoring.
  • Assisted teacher in monitoring students' progress using evidence based standard method and by reviewing test scores and classwork.
  • Graded assignments and tests using answer key, documented results and informed lead teacher of students' performance.
  • Assisted teachers with lesson preparation and curriculum implementation.
  • Cleaned and organized classrooms, materials and supplies to support maximum efficiency.
  • Organized and distributed homework, textbooks, classroom supplies and other learning materials.
  • Marked homework assignments, tests and special projects to communicate grading.
  • Kept students safe inside and outside classrooms by proactively monitoring behaviors and tracking student movements, safety hazards and visitors.
  • Took attendance, graded assignments and maintained routine student records.
Education and Training
North Carolina A & T State University | Greensboro, NCBachelor of Science in Business05/1987
Accomplishments
  • Consistently maintained high customer satisfaction ratings.
Certifications
  • Certified Case Manager, Bradley-Reid Corporation
  • Certified Peer Support Specialist, Cardinal Innovations HealthCare
  • NC DHHS HIV/STD Prevention and Care Branch Whetstone Consultations
  • Certificate of Completion "The Look of HIV/AIDS, Pfeiffer University
  • Certificate of Completion "Case Management Training" Ryan White
  • NFCC Leadership Certification
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Resume Overview

Companies Worked For:

  • Bradley-Reid Corporation
  • WCI Living Inc
  • A Healthier Youth
  • New Light Ministry

School Attended

  • North Carolina A & T State University

Job Titles Held:

  • Medical Case Management
  • Personal Care Service Provider
  • Program Director
  • Assistant Director of Program

Degrees

  • Bachelor of Science in Business

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