Rehabilitation Case Manager Resume Samples

Description :

1. Assisted Clients with case management services within a residential treatment environment.
2. Maintained communication and relationships with funders and family members via phone, email and meetings regarding Client program.
3. Accompanied Clients to outpatient appointments and ensures linkage to follow up.
4. Managed Client medications and trained to administer, order, and approve changes to record.
5. Coordinated with team members and providers as to coordination of care, disposition, and discharge planning.
6. Completed weekly, monthly, and quarterly reviews and reports.
7. Met company documentation standards, adheres to HIPPA guidelines, and follows Department of Public Welfare regulations.

Experience

2-5 Years

Level

Executive

Education

MS In Human Resource Management

Description :

1. Multidisciplinary programmed that provides outpatient rehabilitation.
2. Worked with therapists, management, and physicians to secure and maintain medical necessity for over 1,000 active cases.
3. Assisted with referrals to outside agencies.
4. Assisted management with writing of policies and on-going delineation of case management duties.
5. Organized monthly pediatric clinical team meetings.
6. Served as department representative for system-wide safety committee and diversity advisory council.
7. Provided both formal and informal education and training for clinical staff.

Experience

2-5 Years

Level

Executive

Education

Master Of Social Work

Description :

1. Supported consumers on developing, implementing, monitoring, evaluating, and recording their individual mental health recovery plan and provide support to help adhere to their goals; such as coordination of community services and skills training Provide psychosocial rehabilitation in some of the following areas: managing daily responsibilities, stress management, coping skills, positive socialization and communication, and managing symptoms of their diagnosis.
2. Assessed consumers living, work, emotional, mental, and social environments and either recommends or provide services to lower stressors in those environments and build strengths.
3. Educated and refered consumer to community resources when applicable to assist in recovery.
4. Assessed and provided interventions for consumers experiencing acute crises.
5. Liaisoned between the nursing facility consumers and the PASRR clinical staff.
   
6. Provided community integration to build connections with the community to reduce hospitalizations.
7. Facilitated weekly therapy sessions to promote stability and consistent quality of care.

Experience

2-5 Years

Level

Executive

Education

Masters In Social Work

Description :

1. Performed continuous review of services to assure patient progress and maintains communication with families and professionals.
2. Participated in interdisciplinary team meetings to discuss each patient's rehabilitation program with team, patient/family, and insurance case managers.
3. Directed discharge planning through collaboration with treatment team and patient/family.
4. Evaluated effectiveness of the discharge plan and continues to troubleshoot for patient's/families post-discharge.
5. Served as a patient advocate.
6. Coordinated the utilization review function for assigned patients.
7. Performed periodic concurrent review to assess need for stay.

Experience

2-5 Years

Level

Executive

Education

Bachelor Of Science

Description :

1. Responsible for treatment planning for clients with traumatic brain injuries living in a long term supportive apartment program in a suburban setting.
2. Required coordination of care including facilitation with doctor's appointments, completion of medical recommendations and medication management.
3. Responsible for identifying, referring and assisting with completion of needed therapies, including neuropsychiatry, physiatrist, psychology, physical therapy, occupational therapy, speech therapy, recreational therapy, addictions counseling and vocational counseling.
4. Weekly sessions are completed with each client to review issues and concerns, treatment plans, medical issues and recommendations and development of compensatory strategies for cognitive deficits acquired from traumatic brain injury.
5. Conducted client/ team and client/ family meetings to review progress, treatment goals, and issues and concerns.
6. Directed staff of facilitators, lead therapists, assistant case managers, and recreation specialists to goals of treatment plans for a trans-disciplinary approach in order to assist the clients with meeting treatment recommendations.
7. Responsible for corresponding with funding sources for purpose of continuity of care, approval and payment of needed therapies and submitting treatment reports on a monthly basis.

Experience

10+ Years

Level

Senior

Education

Master Of Science

Description :

1. Provided case management services for the chronically mentally ill population.
2. Assessed and diagnosed clients requesting services within the mental health center.
3. Produced and implemented treatment plans with measurable and observable outcomes.
4. Developed crisis plans and provided crises intervention when needed.
5. Coordinated medication management with appropriate medical staff.
6. Networked throughout the community to access services and insure continuity of care.
7. Assessed, planned, implemented, coordinated, monitored, and evaluated options and services to meet the individual health needs of patients/employees.

Experience

2-5 Years

Level

Executive

Education

Masters Of Education

Description :

1. Provided supports and services to individuals with mental illnesses and/or developmental disabilities.
2. Removed barriers to employment.
3. Worked closely with a variety of agencies and people, coordinating and delivering services that ensure a suitable living environment and employment.
4. Provided case management services to those who are in need of various maintenance services.
5. Coordinated mental health services, clinic services, housing, and vocational providers.
6. Served as the liaison that assists the client in navigating daily living skills.
7. Provided case management to include the processes of assessment, planning, implementation, care coordination, advocacy, and evaluation of the needs, options, and services of injured individuals.

Experience

5-7 Years

Level

Junior

Education

Bachelor Of Arts In Sociology

Description :

1. Worked collaboratively with all members of the rehabilitation team.
2. Promoted quality and cost-effective interventions and outcomes.
3. Facilitated transitional work following industrial or medical leaves of absence.
4. Currently certified in First Aid, CPR, Fire Safety, and Crisis Intervention.
5. Supported and promoted all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated.
6. Understood Corporate Compliance, Policies and Procedures and best practices.
   
7. Stayed abreast of ongoing trainings associated with role and business unit objectives

Experience

2-5 Years

Level

Executive

Education

Masters Of Education

Description :

1. Experienced networking with the community to coordinate resources such as treatment programs, housing and employment.
2. Experienced with program delivery and group facilitation in a treatment setting.
3. Proactively managed your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block.
4. Developed and documented Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint.
5. Determined customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented.
6. Leveraged claim dashboard to manage claim inventory to determine which claims to focus efforts on for maximum impact.
7. Discussed with customers and employers regarding return to work opportunities and communicate with an action-oriented approach.

Experience

7-10 Years

Level

Management

Education

BS

Description :

1. Worked directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis.
2. Asked focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies.
3. Networked with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information.
4. Executed on all client performance guarantees.
5. Responded to all communications within customer service protocols in a clear, concise and timely manner.
6. Made fair, accurate, timely, and quality claim decisions.
7. Adhered to standard timeframes for processing mail, tasks and outliers.

Experience

5-7 Years

Level

Executive

Education

Masters Of Business Administration