A Nurse Case Manager is tasked with the duty of providing individualized care plans at hospitals. The essential duties listed on the Nurse Case Manager Resume include the following – developing, implementing and evaluating patient care plans; advocating patient welfare; liaising between patients and families; working with new admissions, assessing conditions and needs of the patient, educating patients and their families; and following patient care plans. The job description also entails providing nursing care to patients if needed.
The most sought-after qualifications for the role include – excellent knowledge of case management principles, reimbursements and healthcare management, familiarity with psychological aspects of care, and updated knowledge of technically emerging new concepts. Nurse Case Managers should possess a Nursing degree and pass the National Council Licensure Examination in order to get qualified for this post.
Objective : Compassionate Nurse Case Manager with two years of experience in managing patient care and coordinating services for optimal health outcomes. Skilled in developing individualized care plans, assessing patient needs, and fostering communication among healthcare teams. Committed to delivering high-quality care while ensuring compliance with regulatory standards and promoting patient advocacy.
Skills : Basic Life Support (bls), Electronic Health Records (ehr), Patient Safety And Quality Assurance, Patient Advocacy And Support
Description :
Manage daily operations within a home healthcare setting, ensuring compliance with safety and quality standards.
Oversee care provided to patients, coordinating with interdisciplinary teams for comprehensive service delivery.
Act as a liaison between patients and family members, fostering trust and effective communication.
Complete PRI assessments for skilled nursing facility placements, ensuring appropriate patient transitions.
Assist in growing patient census by leveraging knowledge of Medicare and Medicaid regulations.
Utilize McKesson Homecare software for efficient management of patient data and compliance with OASIS and ICD coding regulations.
Review and enhance documentation practices among nursing staff to ensure quality patient care and compliance.
Experience
0-2 Years
Level
Entry Level
Education
BSN
Nurse Case Manager - Registered Nurse Resume
Objective : Dedicated Nurse Case Manager with 5 years of experience in patient care coordination and case management within diverse healthcare settings. Proficient in developing tailored care plans, facilitating communication among multidisciplinary teams, and ensuring compliance with healthcare regulations. Passionate about improving patient outcomes and advocating for optimal health and wellness.
Coordinate comprehensive care plans for injured workers, ensuring effective return-to-work strategies.
Facilitate interdisciplinary communication among healthcare providers, insurance representatives, and patients.
Conduct preoperative assessments and education for patients undergoing surgical procedures.
Arrange necessary transportation and support services for patients to attend appointments.
Ensure timely approval and scheduling of diagnostic tests and therapies in compliance with guidelines.
Document all patient interactions and care processes accurately and thoroughly.
Utilize critical thinking to identify barriers to recovery and implement strategies to enhance patient outcomes.
Experience
2-5 Years
Level
Junior
Education
BSN
Nurse Case Manager Resume
Headline : Seasoned Nurse Case Manager with 7 years of expertise in patient care coordination and case management across various healthcare environments. Adept at crafting individualized care plans, engaging with multidisciplinary teams, and ensuring seamless communication. Passionate about enhancing patient outcomes and advocating for quality healthcare solutions.
Skills : Healthcare Software Proficiency, Health Insurance Knowledge, Patient Safety, Empathy, Critical Thinking, Case Review
Description :
Coordinated and monitored comprehensive care plans utilizing ICD-9 and ICD-10 coding within electronic health record systems.
Managed periodic health assessments and physical profile evaluations in accordance with military regulations.
Oversaw case management for high-risk behavioral health patients, ensuring compliance with treatment protocols.
Served as a board member for the ILARNG suicide prevention program, promoting mental health awareness.
Developed and implemented individualized case management plans tailored to patient needs.
Evaluated treatment effectiveness to assess health outcomes and adjust care strategies accordingly.
Collaborated with senior military leadership to determine appropriate duty restrictions for Soldiers.
Experience
5-7 Years
Level
Senior
Education
BSN
Nurse Case Manager - Clinical Specialist Resume
Summary : Dynamic Nurse Case Manager with 10 years of experience in optimizing patient care and ensuring effective service coordination. Expertise in developing comprehensive care plans, conducting thorough assessments, and collaborating with interdisciplinary teams. Driven to enhance patient outcomes and advocate for quality healthcare while maintaining compliance with regulatory standards.
Skills : Chronic Disease Management, Care Plan Development, Regulatory Compliance, Healthcare Communication, Patient Advocacy, Patient Assessment
Description :
Managed a caseload of 66 patients, ensuring tailored care plans that addressed individual health needs.
Regularly collaborated with physicians and interdisciplinary teams to evaluate patient progress and adjust care strategies.
Streamlined patient charting processes by creating comprehensive admission checklists.
Awarded Employee of the Month for exceptional nursing performance and patient advocacy.
Educated new hires during orientation, enhancing team integration and performance.
Coordinated holistic care involving social workers and volunteers to support patient and family needs.
Ensured compliance with care standards and documentation protocols, maintaining high-quality patient care.
Experience
7-10 Years
Level
Management
Education
BSN
Nurse Case Manager Resume
Headline : Passionate Nurse Case Manager with 7 years of comprehensive experience in coordinating patient care and managing complex cases. Proficient in creating tailored care plans, collaborating with multidisciplinary teams, and advocating for patients' needs. Committed to fostering communication and improving healthcare outcomes while ensuring adherence to regulatory standards.
Skills : Wound And Ostomy Care Certification, Advanced Cpr Certification, Health Promotion, Utilization Management, Community Resources, Emotional Support
Description :
Directed in-patient authorizations and ensured compliance with operational procedures to enhance patient flow.
Managed a caseload of 98 patients, effectively handling inpatient observations and care coordination.
Tracked and documented inpatient assignments, ensuring accurate reporting of ER patient upgrades.
Oversaw the MedSurg unit, performing IV insertions and managing durable medical equipment (DME) needs.
Executed comprehensive discharge planning, securing ongoing resource support for patients post-discharge.
Facilitated referrals to appropriate third-party support groups, enhancing patient resources.
Supervised two social workers, collaborating with social services to ensure timely and effective patient care.
Experience
5-7 Years
Level
Senior
Education
BSN
Nurse Case Manager - Charge Nurse Resume
Summary : Accomplished Nurse Case Manager with 10 years of experience in leading patient care initiatives and optimizing healthcare delivery. Expertise in developing comprehensive care strategies, ensuring regulatory compliance, and facilitating interdisciplinary collaboration. Committed to enhancing patient health outcomes through advocacy and tailored support.
Skills : Cultural Competence, Stress Management, Networking Skills, Advocacy Skills
Description :
Managed comprehensive care for patients, ensuring timely access to necessary medical services.
Coordinated multidisciplinary teams to enhance communication and patient outcomes.
Developed and monitored individualized care plans tailored to each patient's unique needs.
Facilitated patient education sessions, promoting self-management and health literacy.
Conducted assessments to identify high-risk patients and implement intervention strategies.
Advocated for patient rights and needs, ensuring compliance with healthcare regulations.
Evaluated and improved care delivery processes to enhance overall service quality.
Experience
10+ Years
Level
Management
Education
BSN
Nurse Case Manager Resume
Objective : With two years of dedicated experience as a Nurse Case Manager, I excel in coordinating patient care and facilitating effective communication among healthcare providers. My expertise in assessing individual needs and developing tailored care plans ensures optimal health outcomes. I am passionate about patient advocacy and committed to enhancing care delivery while adhering to regulatory standards.
Skills : Conflict Resolution, Care Coordination, Time Management, Patient Education, Problem Solving, Team Leadership
Description :
Managed a diverse caseload of 130 patients, ensuring compliance with care protocols and corporate guidelines.
Collaborated with healthcare providers to assess medical statuses and develop alternative treatment plans.
Negotiated care levels and treatment durations with providers to optimize patient outcomes.
Identified cost-effective solutions to advance cases in workers' compensation, resulting in improved patient care.
Maintained high quality standards in claims handling, ensuring adherence to regulatory requirements.
Conducted quarterly visits to employers and risk managers to discuss patient-oriented goals for return to work.
Experience
0-2 Years
Level
Entry Level
Education
BSN
Nurse Case Manager - Junior Level Resume
Objective : Enthusiastic Nurse Case Manager with two years of hands-on experience in coordinating patient care and collaborating with healthcare teams. Proficient in creating personalized care plans and evaluating patient needs to enhance health outcomes. Driven by a commitment to patient advocacy and quality care delivery while adhering to regulatory standards.
Screened patients to identify healthcare needs and coordinated pre-admission assessments.
Collaborated with healthcare teams to develop and implement effective care plans.
Assisted patients in achieving optimal health through education and support.
Ensured appropriate utilization of healthcare resources based on medical necessity.
Facilitated timely care transitions and discharge planning, addressing patient needs.
Reduced care variances through proactive case management strategies.
Monitored patient progress and adjusted care plans accordingly.
Experience
0-2 Years
Level
Junior
Education
BSN
Nurse Case Manager Resume
Headline : Results-oriented Nurse Case Manager with 7 years of diverse experience in patient care coordination and case management. Proven ability to develop personalized care plans, assess patient needs, and facilitate effective communication among healthcare providers. Dedicated to improving patient outcomes and ensuring compliance with healthcare regulations while advocating for patient rights.
Skills : Care Management Software, Clinical Documentation, Networking, Training And Mentoring, Clinical Guidelines, Ethical Decision Making
Description :
Conducted comprehensive assessments of patients and families to determine care needs and develop tailored care plans.
Provided ongoing management of patient care, ensuring adherence to treatment protocols and medication regimens.
Collaborated with healthcare teams to evaluate patient progress and adjust care plans as necessary.
Identified and addressed potential barriers to care, ensuring patients received necessary resources and support.
Monitored vital signs and health indicators, documenting changes and communicating with physicians as needed.
Educated patients and families on care plans, promoting self-management and advocacy.
Facilitated discharge planning and follow-up care to enhance patient transitions and outcomes.
Experience
5-7 Years
Level
Management
Education
BSN
Nurse Case Manager - Nurse Coordinator Resume
Summary : Experienced Nurse Case Manager with a decade of expertise in coordinating patient care across diverse healthcare settings. Proficient in developing comprehensive care plans, conducting thorough assessments, and collaborating with multidisciplinary teams to enhance patient outcomes. Dedicated to advocating for patients and ensuring compliance with healthcare regulations while promoting quality care.
Skills : Communication Skills, Risk Assessment, Patient Monitoring, Patient Follow-up
Description :
Provide proactive case management to coordinate healthcare services, ensuring timely patient recovery and minimizing lost time claims.
Conduct comprehensive patient assessments to evaluate care needs and recommend appropriate medical interventions.
Act as an advocate for clients during medical appointments, ensuring they receive optimal care and support.
Monitor client progress in return-to-work initiatives for both occupational and non-occupational health claims.
Apply ergonomic principles and job hazard analysis to recommend workplace accommodations.
Contribute significantly to a multidisciplinary case management team focused on reducing disability claims and enhancing patient outcomes.
Deliver high-quality care by maintaining a patient-centered approach and fostering effective communication with all stakeholders.
Experience
7-10 Years
Level
Senior
Education
BSN
Nurse Case Manager Resume
Headline : Dedicated Nurse Case Manager with 7 years of extensive experience in coordinating comprehensive patient care and optimizing health outcomes. Proficient in developing personalized care strategies, assessing patient needs, and collaborating with multidisciplinary teams. Committed to advocating for patients and ensuring compliance with healthcare regulations while enhancing overall care delivery.
Ensure appropriate utilization of healthcare resources and facilitate seamless transitions of care, including discharge planning.
Communicate effectively with patients, families, and healthcare teams to enhance care delivery.
Gather and analyze patient data to inform care plans and improve outcomes.
Develop individualized care plans in collaboration with patients, families, and interdisciplinary teams.
Assist patients in navigating the healthcare system to optimize their care experience.
Collaborate with providers and agencies to address patient needs and coordinate services.
Conduct comprehensive assessments to identify barriers to care and develop strategies to overcome them.
Experience
5-7 Years
Level
Senior
Education
BSN
Nurse Case Manager Resume
Objective : Motivated Nurse Case Manager with two years of experience in patient care coordination and case management. Adept at creating personalized care plans and facilitating communication among healthcare professionals to ensure optimal patient outcomes. Passionate about patient advocacy and dedicated to enhancing healthcare delivery while adhering to compliance standards.
Skills : Patient-centered Care, Interpersonal Skills, Analytical Thinking, Utilization Review, Home Health Care
Description :
Managed a diverse caseload of patients, ensuring individualized care plans were developed and implemented.
Collaborated with healthcare professionals to ensure clear communication of treatment plans and patient needs.
Documented patient progress and care outcomes accurately in electronic health records.
Monitored treatment regimens for efficacy and made necessary adjustments based on patient feedback.
Maintained strict confidentiality of patient records and ensured compliance with HIPAA regulations.
Provided education and resources to patients and families to promote health literacy and empowerment.
Collaborated with multidisciplinary teams to streamline care processes, resulting in a 15% increase in efficiency.
Experience
0-2 Years
Level
Entry Level
Education
BSN
Case Management Nurse Resume
Objective : Compassionate Nurse Case Manager with over 5 years of experience in coordinating patient care and advocating for optimal health outcomes. Skilled in developing individualized care plans, conducting assessments, and collaborating with multidisciplinary teams. Proven ability to manage complex cases, ensuring compliance with healthcare regulations while enhancing patient satisfaction and quality of life.
Ensured seamless transfer of patient clinical information between healthcare providers.
Evaluated treatment cost-effectiveness to optimize resource allocation.
Facilitated modifications to care plans based on patient feedback and clinical assessments.
Monitored patient satisfaction levels and compliance with treatment regimens.
Educated patients and families on disease management, significantly reducing hospital visits.
Delivered care in alignment with hospital policies, ensuring patient safety and comfort.
Provided emotional support to patients and families during challenging times.
Experience
0-2 Years
Level
Entry Level
Education
BSN
Case Management Nurse Resume
Objective : Dedicated Case Management Nurse with 5 years of experience in coordinating patient care and enhancing outcomes for individuals with complex health needs. Expert in creating individualized care plans, facilitating interdisciplinary communication, and ensuring regulatory compliance. Committed to improving patient well-being through advocacy and tailored support.
Delivered comprehensive nursing care to patients with various medical conditions, ensuring adherence to treatment plans.
Monitored patient vital signs and lab results, adjusting care as necessary based on established protocols.
Conduct comprehensive assessments to develop individualized care plans for patients.
Educated patients and families regarding treatment options and health management strategies.
Collaborated with healthcare teams to ensure seamless patient care and effective communication.
Assessed patient conditions regularly to identify changes and respond proactively.
Documented patient progress and care interventions accurately in compliance with healthcare regulations.
Experience
2-5 Years
Level
Junior
Education
BSN
Case Management Nurse Resume
Objective : Dedicated Case Management Nurse with 5 years of experience in managing complex patient care and advocating for optimal health outcomes. Proficient in developing tailored care plans, monitoring patient progress, and collaborating with multidisciplinary teams to ensure comprehensive support. Committed to enhancing patient well-being and navigating healthcare challenges effectively.
Coordinated comprehensive patient care, including triage, treatment, and discharge planning.
Monitored patient progress and ensured adherence to individualized care plans and medication schedules.
Managed documentation and maintained accurate patient records to ensure compliance with healthcare regulations.
Provided on-call support to address patient needs during work hours.
Collaborated with nursing staff to enhance patient care delivery and improve team communication.
Acted as a liaison between departments to facilitate seamless patient transitions.
Trained and mentored new staff, fostering a culture of continuous learning and quality care.
Experience
2-5 Years
Level
Junior
Education
BSN
Case Management Nurse Resume
Objective : Innovative Case Management Nurse with 5 years of experience in orchestrating patient-centered care and optimizing health services. Expertise in designing personalized care strategies, monitoring patient progress, and collaborating with diverse healthcare teams. Driven to enhance patient outcomes through effective advocacy and seamless coordination of resources.
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