A Certified Case Manager works in a healthcare setting, and enhances the quality of patient management, maximizes satisfaction, and promotes cost-effectiveness. Typical work activities listed on the Certified Case Manager Resume are – coordinating and providing care that is safe and effective; handling case assignments, drafting service plans, helping clients achieve wellness and autonomy; facilitating multiple care aspects; helping patients make informed decisions, developing effective working relations, arranging abeyances with social services, assessing and addressing motivational and psychosocial issues, and adhering to professional standards as outlined by rules, and protocols.
Apart from proven work experience, the following things are expected from job applicants – excellent knowledge of case management principles, healthcare management and reimbursement, familiarity with professional and technical emerging knowledge, and prior experience with psychological aspects of care. Employers pick resumes that highlight a degree in fields such as healthcare management or a related field.
Summary : Motivated, Educated, and Personable Certified Case Manager Professional with 15 years of experience in the fields of Mental Health, Special Education, Speech Therapy, and Persons with Disabilities. The ability to be Diplomatic with professionals and nonprofessionals on all levels. Accustomed to handling sensitive and confidential records.
Incorporated principles of managed care and utilisation management in providing appropriate, quality, and cost effective care across the continuum.
Insured the needs of client/family is the primary consideration when making resourcing and cost-conscious decisions.
Effectively utilised collaboration, negotiation, and facilitation skills in interactions with all team members involved in the care of the client.
Used automated systems to document and track a variety of data related to clinical case management, to include cost benefit/cost avoidance, patient demographics and outcome variables, and for communication and resource investigation.
Integrated personal data files with other available automated systems to provide graphs, information, etc. as required for briefings, presentations, reports, or in services related to clinical, fiscal, and research initiatives.
Adapted at setting priorities and managing time.
Served as lead for programs or projects which facilitate the attainment of organisational goals, advance experience and training for self or other staff members.
Experience
7-10 Years
Level
Management
Education
MSN In Public Health
Certified Case Manager Resume
Summary : Certified Case Manager Professional with knowledge in case management, mental health and mental retardation, supportive counseling, interviewing, managing and authorizing supportive services, firearms, karate, pressure points, custody, care and control. Proficient in Microsoft Word, Excel, and Power Point as well as 10 key by touch. Utilizing extensive verbal and written communication skills.
Skills : Superior Leadership, Advanced Care Planning Facilitator, Motivational Interviewing, Powerpoint, Windows Xp, Excel, Public Speaking, Word.
Description :
Reviewed the comprehensive assessment to identify the client's needs.
Implemented and submitted a comprehensive written service plan that establishes service goals for each client.
Modified plan as needed.
Monitored the delivery of services and evaluates client outcomes per established policy.
Oriented and educated clients monthly on various issues which may impact their day to day lives.
Served as the liaison between the program and other agencies.
Performed quality improvement audits.
Experience
7-10 Years
Level
Management
Education
BA In Psychology
Certified Case Manager Resume
Summary : Certified Case Manager is responsible for helping individuals who are at risk of becoming homeless. The Certified Case Manager will be responsible for providing case management services to people in crisis and their families, working with mental health professionals, social service providers, government agencies, and community organizations.
Provided a safe, supportive environment that supports the individuals goals and aspirations for self-sufficiency.
Fostered relationships with family and friends, providing emotional and practical support.
Assisted individuals to achieve their goals and aspirations for self-sufficiency.
Provided referrals to appropriate resources as needed.
Built personal relationships with clients, such as from their own social network or referral sources.
Facilitated an individuals transition from homelessness to housing stability.
Experience
7-10 Years
Level
Management
Education
MSN In Public Health
Certified Case Manager Resume
Summary : Passionate, energetic and skilled Medical Social Worker with Certified Case Management, Long Term Care, Home Health Care and Acute Care experience. Offers timely completion of social service assessments, MDS, care plans and documentation. Dedicated advocate, committed to providing the highest level of care to Residents/families.
Skills : Registered Professional Nurse, Certified Professional Coder.
Description :
Ensure delivery of quality and cost-effective care to 30-50 members of all ages, weekly, through ongoing review of healthcare needs, analysis of healthcare use, and recommendations for healthcare options to control medical expenses while providing appropriate services.
Assisted employer groups and individuals by detecting, resolving, and preventing improper use of member benefits.
Assessed, planned, coordinated, and implemented healthcare plans, and monitor and evaluate all options and services to meet health needs.
Reduced costs through patient contact in emergency rooms to assess and remediate care gaps.
Decreased readmissions up to 20% by consulting with recently discharged patients to troubleshoot continuing issues and establish treatment plans.
Handpicked as one of three case managers chosen to write the procedures and documentation guidelines for a successful pilot program focused on readmission avoidance.
Improved patient health outcomes by coordinating care and providing linkages with medical and community services.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science In Nursing
Certified Case Manager Resume
Summary : Certified Case Manager is responsible for ensuring the safety and well-being of individuals and families who are experiencing homelessness. This includes providing case management services, such as case load reduction, supportive housing, and transitional housing, through a variety of community resources.
Skills : Superior Leadership, Advanced Care Planning Facilitator, Motivational Interviewing, Powerpoint, Windows Xp, Excel, Public Speaking, Word.
Description :
Provided support to clients in their reservation process and intake processes.
Identified community resources that may be able to assist the client in finding housing.
Assessed the client needs and determine program eligibility.
Advised clients on housing options.
Identified programs that are available in the community.
Determined appropriate level of support needed for each client.
Coordinated with other departments to ensure clients have access to appropriate resources.
Experience
7-10 Years
Level
Management
Education
BA In Psychology
Certified Case Manager Resume
Summary : Have the ability to grasp new ideas and integrate them into desired results, to coordinate several tasks simultaneously, handle challenges with proven history of increased productivity, and lead others in high-demand situations. I am commended for reliability and trustworthiness. I am confident and articulate with professional speaking abilities and skilled in negotiations and people management.
Skills : Microsoft, MCG Indicia.
Description :
Trained, recruited and developed agents (veteran and new) for all points listed below, for a over one million dollar district; Plan, coordinate, and oversee all aspects of benefit open enrollments to ensure compliance.
Created and presented presentations for benefit open enrollments using Word, Power Point, Excel, and Office.
Managed, reviewed, and disciplined all agents assigned to me during the open enrollment making sure that privacy laws such as HIPPA were met and resolving any breaches immediately.
Reviewed and monitored over 800 payroll accounts to be in compliance with new HCR laws and regulations.
Created action plan to assist accounts in becoming compliant.
Knowledged of HCBS/Medicaid waiver.
Reviewed all medications and discharge orders.
Experience
7-10 Years
Level
Management
Education
Diploma In Education
Certified Case Manager Resume
Headline : Service-focused social worker and program coordinator with a strong commitment to serving the needs of disadvantaged youth and adults, including homeless, emancipated youth and special-needs populations. Skilled in building community support, key coalitions and strategic interagency partnerships. Backed by solid credentials (MSW) and equal strengths in program, personnel and case management.
Skills : WPM 55-70 Words, Fax And Telephone Knowledge, Case Management , Community Resources.
Description :
Served on interdisciplinary team to provide case management for consumers enrolled in the Homeless Adolescents Behavior Shelter ages 16-21, and to advocate for the needs of the client and provide direct supervision and support to the client.
Ensured that the policies and procedure are adhered to at all times.
Assisted clients in conflict resolution and life skills acquisitions Completes chart documentation of each assigned client by the close of each shift, ensuring that the chart documentation is appropriate and thorough.
Provided Life Skill training and direction to the client on the topics such as Problem Solving.
Acted as the support specialist by providing through follow-up, supervision and documentation De-escalates crisis situations and utilizes crisis intervention skills when necessary.
Designed and implemented creative group programs benefiting mentally ill consumers ages 22 to 60 and enhancing their social skills and self-esteem.
Launched an ongoing event agenda that included, holiday celebrations, current events discussion groups, voting trips and numerous community excursions.
Experience
5-7 Years
Level
Executive
Education
MSW In Mental Health
Certified Case Manager Resume
Summary : To obtain a Certified Case Manager position in the healthcare industry which will allow me to utilize my experience, training, and education in case management, utilization review, and nursing to assist people in meeting their health goals.
Skills : Microsoft Office Suite, Case Management, Developing.
Description :
Provided office administrative responsibilities such as copying, faxing, call log, data entry, shredding, and filing.
Collaborated with clients in maintaining a monthly activities calendar, as well as scheduling appointments.
Oversaw the new employee orientation experience, conduct on- job training and evaluation report.
Conveyed with Department of human services agent and Behavioural Analyst to ensure client's development.
Maintained and update client's file according to Department of Human Service's requirement.
Organised clients' weekly and monthly activities or gatherings such as picnics, parties.
Provided payroll information by collecting time and attendance record.
Experience
7-10 Years
Level
Management
Education
MS In Human Resources
Certified Case Manager Resume
Summary : Certified Case Manager (CCM) is responsible for assisting individuals with disabilities to achieve their highest level of independence.
Assisted individuals with disabilities to obtain and maintain benefits, such as Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and Medicaid.
Ensured that each client receives a proper assessment of his or her needs and available services, including transportation, health care, vocational rehabilitation services, and other supports.
Provided ongoing case management to ensure continuity of care.
Supported clients who are seeking new employment by developing resumes, interviewing skills, and preparing job searches.
Supported clients who are seeking new housing by assisting them in finding appropriate housing options.
Coordinated services with agencies that provide support for individuals with disabilities.
Provided case management through the local agency or state agency for Individuals with Disabilities Education Act.
Experience
7-10 Years
Level
Management
Education
MSN In Public Health
Certified Case Manager Resume
Summary : High performing, resourceful Certified Case Manager professional with 28 years of healthcare experience that includes leadership and relationship-building skills. Extensive nursing background that includes but is not limited to long-term care, wound care and healthcare management. Knowledge of CMS regulatory compliance and reimbursement principles. Known for ability to lead, company oversight, cost effective management of resources and quality performance.
Skills : Ms Word, Ms Excel, Ms Access, Patient Care, Stakeholder.
Description :
Managed a caseload of over 400 clients.
Served as department trainer for new staff on operating procedures, program requirements, and program software.
Responsible for preparation, negotiation and compliance enforcement of contracts.
Responsible for verification of program eligibility.
Ensured compliance with HUD regulatory requirements.
Communicated with clients, stakeholders, and general public on program information, procedures, requirements, compliance, and department regulations.
Prepared daily and monthly reports and maintain accurate participant files.
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