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Care Manager Resume Samples
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6-10 years of experience
Grew membership of Long Term Care Diversion Program in Volusia/Flagler Counties by 75% in less than 5 years.
- Increased highly motivated and successful team to accommodate growth from 3 care managers to 14 care managers, nurses and support staff.
- Maintained below allocated costs for program for 4 consecutive years by implementing cost effective utilization management strategies.
- Managed day-to-day activities; generated reports for tracking; hired and trained new staff and implemented disciplinary actions.
0-5 years of experience
Provided intensive and supportive case management to HIV Positive and mental health clients and their families
- Performed intake assessments; developed care service plans; conducted evaluations for public and HASA benefits, legal and other needed services
- Worked with both the criminal and LGBTQ population;
- Made appropriate referrals for services; monitor service provision and followed-up on services provided
- Documented all services and entered them into AWARDS system
- Crisis intervention, domestic, Substance abuse counseling and referral
0-5 years of experience
- Supervised day-to-day operations and staff, 12 direct supports and 14 non direct supports, by assigning and monitoring daily work productivity
- Supervised and guided care management staff in viable, cost-effective and compliant assessment of members’ needs
- Assigned new Medicaid enrollees to care management staff
- Conducted weekly staff meetings to inform and keep staff up to date on performance requirements
- Ensured that staff were trained and evaluated on their knowledge of the adherence to compliance policies and procedures specific to their jobs
- Reviewed and processed claims from the care management standpoint by verifying Medicaid services with providers and submitting necessary care plans to address claims
0-5 years of experience
Coordinated the integration of services and development of acute and long-term care plans with the member and the member’s primary care physician.
- Conducted orientation with all new members and/or their caregivers to fully explain the member handbook, provider directory, review the assessment and design an individualized plan of care.
- Coordinated services with network providers and ensured requested services were provided in a timely manner.
- Coordinated services with out of network providers as the plan of care indicates.
- Maintained documentation of members files keeping them updated and accurate.
- Developed and maintained a positive working relationship with Providers and other AEC departments (i.e. Home Health, Accounting).
- Conducted required field visits on all members in a timely manner and updated care plans and assessments.
- Documented all interventions, interactions and observations in the members file.
- Provided ongoing support to members of the plan and their caregivers.
- Reviewed utilization in order to ensure the plan of care was being implemented by subcontractors.
- Audited member charts to ensure all files are were updated and accurate and met contract obligations according to corporate standards.
0-5 years of experience
- Provided continuum of quality care through field-based outreach, education, crisis intervention and other clinically based activities to plan members as specified in their treatment plans.
- Collaborated and coordinated with member’s medical/health and community based providers, regarding the member’s treatment/discharge needs and plan of care.
- Monitored and evaluated the services and community based resources necessary to respond to the individual member’s health needs.
- Collected clinical data and maintained accurate records of activities in CMAP for tracking and metrics purposes.
- Collaborated with the Care Management Team to review care management process for members to ensure needs of members are met.
0-5 years of experience
- Consulted as part of a team with families and trust management companies to maximize the health,
- Formulated plans and provided assistance to resolve complications with benefits and to provide
- Served as point of contact for clients and other stakeholders.
- Researched benefits and programs for out of state special needs clients.
0-5 years of experience
- Assessed members and developed care plans which helped to meet their short and long term care goals/needs
- Organized and maintained confidential records and files (electronic and hard copy)
- Communicated effectively (e-mail, phone, face to face) and documented interactions with internal and external customers
- Authorized payment for services that members needed
- Established strong and trustworthy relationships with members and providers.
6-10 years of experience
- Maintained records of client care, condition, progress and reported problems to family and management
- Provided companionship, emotional and physical support
- Prepared special meals and assisted with personal care and daily activities
- Accompanied client on trips outside the home, providing transportation and assistance
- Worked with Alzheimer and Dementia clients, helped to improve quality of living and alleviated confusion
0-5 years of experience
- Created and maintained an environment that reflected nursing standards of care and practice, and established regulatory requirements; assisted in facilitating successful completion of the 2015 Joint Commission Survey.
- Ensured efficient daily operations including creating and managing staffing plans and ensuring appropriate equipment and resources for 130 full time equivalents including Registered Nurses, Technical Partners, and Unit Secretaries.
- Developed, implemented, and monitored systems to ensure best practices and quality improvement initiatives for approximately 115,000 patient visits per year.
- Attracted, developed, coached, and mentored Emergency Department staff and talent; influential in decreasing RN turnover rate by approximately 6 percent.
- Implemented and promoted several Lean Management principles and visual management tools.
0-5 years of experience
Employed full-time as a Pediatric Care Manager for Select Health. Responsible for utilization and Care Management for a group of pediatric patients within the Intermountain Healthcare system.
- Trained in CERMe and other computer products to assess adequate lengths of stay, care management duties, and that patients met Interqual Criteria for inpatient hospitalizations.
- Involved with utilization review, discharge planning and coordination, team meetings, telephonic parent education and referrals to ensure that children and families got extraordinary care and the resources that they needed.
- Assisted in managing care and services for pediatric patients in cooperation with parents, hospital staff, physicians and outside referral agencies.
0-5 years of experience
Provide each assigned resident with routine daily nursing care and services.
- Implemented each resident’s Assessment and Service Plan to ensure consistency and integrity of care.
- Changed dressings, assisted with feeding, assisted patients transfer from beds to chairs, and assisted the patient with walking.
- Calmed hostile and emotionally upset residents, family members, and visitors.
- Reviewed patients’ dietary restrictions, food allergies, and preferences to ensure patient receives appropriate diet.
0-5 years of experience
- Assisted over 35 families to improve quality of life and restore peace of mind by collaborating with them to develop an individualized plan that meets their current and future needs, allowing them to face the challenges of aging with renewed hope.
- Provided education, guidance, and support for aging residents and their families at community events and senior centers.
- Demonstrated initiative by identifying a needed service in the community for geriatric care management, conducted extensive
0-5 years of experience
- Skillfully provided care management to high risk/high utilization patients with both behavioral health and chronic health concerns including COPD, Diabetes, Asthma, and Pain.
- Educated patients regarding various health issues and available treatment options.
- Optimized efficiency and patient outcomes by delegating patient care appropriately and effectively to other team members.
- Consulted with primary care physicians and mental health professionals, and linked patients with appropriate health care providers.
0-5 years of experience
- Ensured in-home service delivery for older adult consumers to assist them in staying in their homes and remaining as independent as possible under the PASSPORT program guidelines
- Completed assessments and re-assessments of consumers to determine current and ongoing needs
- Made referrals to providers and outside sources for services and medical equipment needs
- Assisted consumers in maintaining their Medicaid eligibility by assisting them in getting verifications to MCDJFS and communicating with MCDJFS staff on their behalf
- Maintaining a caseload size of approximately 82 consumers
0-5 years of experience
- Monitored mental health and substance abuse treatment for members.
- Phone crisis, on call duties, reviewed and documented treatment plans.
- Coordinated and authorized counseling and medication monitoring for patients with Medicare, Medicaid or private insurance.
0-5 years of experience
Managed a 24 hour residential staff of 6-9 persons
- Cared for adult residents with developmental/mental disabilities in (assisted) independent living environment
- Assisted residents daily with personal goals and daily living skills
- Coordinate weekend activities
- Managed client monetary funds and group home escrow
- Distributed medications and maintained (MAR) Medication Administration Record and daily individual resident case notes
- Transport group home residents various community, work or medical functions
0-5 years of experience
- Diligently supervise and oversee staff of 4 Lawn, 7 Plant Health Care and 15 Tree Crew members delivering exceptional customer service and facilities management.
- Initiate and track proper operational procedures and monitor service quality and customer satisfaction.
- Devise and adopt optimal service route plans effectively and efficiently managing routes and cost per hour.
- Recruit, supervise and retain maintenance staff. Evaluate employee performance and exercise disciplinary and or rewarding actions. Maintain congenial public and employee relations.
- Successfully reduced costs by 10% while simultaneously increasing revenue by $5 per person per hour in a year.
0-5 years of experience
- Completed Biopsychosocial assessments to determine the client and family’s needs for services within the home and community.
- Linked families with in home, residential as well as outpatient services.
- Attended meet and greets for at- risk clients recommended for out of home therapeutic treatment and link them with services.
- Attended monthly visits and treatment meetings for clients, provided feedback to assist with treatment and submitted monthly progress
0-5 years of experience
- Conducted in-home, holistic assessments to identify problems and gaps in care, health, and disease management.
- Developed and implemented a comprehensive care plan from assessment findings and in collaboration with clients, their families, and physician(s).
- Thorough and timely documentation of admission, ongoing, and discharge assessments and outcomes.
- Weekly in-home visits to monitor adherence and coordination of care and services.
0-5 years of experience
Responsible for managing client caseload and field employee team, including recruitment, staffing, scheduling, payroll, compliance, and overall client/caregiver satisfaction.
- Detailed case management of personal care and skilled nursing cases, including staffing, scheduling, and overseeing Medicaid and state accreditation compliance
- Active relationship building with clients based on a foundation of trust, sensitivity and understanding, maintained via regularly scheduled calls and in-home visits
- Maintain HIPPA compliant clinical documentation, working closely with clinical supervisory team
- Responsible for growing office caseload and field employee team through community outreach, including advertising and company representation at job fairs, vocational schools and colleges
- Oversee field employee application and hiring process, lead weekly orientations, assist with employee counseling and evaluations, and oversee payroll
10+ years of experience
- Provided intensive care management following the Wrap-Around model of care for an average of 20 youth with mental health challenges as well as intellectual and developmental disabilities.
- Facilitated Child Family Team meetings in order to create strength based Individualized Service Plans to identify the needs of the family and review progress.
- Maintained regular collaboration with service providers to obtain feedback and guidance in order to update the service plans.
- Attended meetings with involved system partners, including: Court, DCP&P, School Systems, Out of Home Placements, Outpatient providers etc.
- Emphasized and empowered youth and families to utilize informal supports and successfully transition towards independence utilizing sustainable community resources.
- Engaged youth and families in monthly face to face visits in order to promote positive rapport building and to monitor the progress of the family.
- Completed Strengths and Needs Assessments.
- Provided crisis intervention during business hours as well as through a 24/7 on-call rotation.
- Provided training, support and supervision for new Care Managers and Interns.
0-5 years of experience
- Provided continuity of care, with the goal of permanent placement for children through a care management model that includes developing, expanding, accessing and linking resources in the community to the needs of the child throughout the child’s experience within the DCF system, while documenting progress
- Managed home visits, safety and background checks
- Worked closely with circuit court judges and Guardian Ad Litem in managing all legal issues associated with the client
- Ensured children under my custody attended school and reported to medical and dental appointments
- Responsible for ensuring all legal obligations were met in a timely manner
0-5 years of experience
- Provided conservatorship and management of financial, clinical, and quality of life outcomes for clients with special needs.
- Marketed programs and services offered by the organization to attract new clients.
- Developed personal care services and interdisciplinary financial sustainability for clients.
- Managed customer service, clinical staff and care plans ensuring patient financial wellbeing and care matched client’s needs within healthcare services following Medicaid and Medicare requirements.
- Managed and audited vendor and healthcare contracts and maintain quality control.
- Managed contracts, solicits bids to procure services, provided supplier negotiation.
- Preformed accounts payable, accounts receivable, collection and managing of expenses.
0-5 years of experience
- Served as a section leader and healthcare manager in the evacuation department for the 601st Area Support Medical Company in support of XVII Air Borne Corp.
- Conducted short-notice dispersed operations and remote training in support of full spectrum operations and contingency missions worldwide.
- Held accountable for the safety, health, welfare, morale, discipline and training of 25 subordinates.
- Held accountable for the maintenance of two field litter ambulance, two medical equipment sets and two medical aid bags valued in excess of $265,000.
0-5 years of experience
- Lead supervisor for the personal care worker program under the MI Health Link MMP program. Developed and maintained relationships with vendors (AAA’s, Resource Link and the many FI’s). Assisted with the LTSS and waiver programs.
- Lead supervisor for all projects related to the care management platform redesign and training programs.
- Data collection and platform design and implementation for data collection for STARS, HEDIS, and MOC
- Member of the corporate quality management team.
- Performed MMP and DSNP record audits for state and CMS submission. Responsible for writing training materials to address gaps in care following audit results.
- Assisted with the development of a Transitions of Care program to decrease admissions/readmissions.
- Supervisor of workforce that consisted of 5 care coordinators (RN’s) and 2 navigators. Responsible for performance evaluations and participated in interviews for new hires.
- Assisted with development of care management programs that meet health care reform, integrated care and population health management standards.
0-5 years of experience
- Manage a caseload of 15+ children with educational, legal, psychological, and social challenge.
- Provide wraparound services for children and families in the Camden County area.
- Conduct intake, clinical assessment, service planning, court reports, supportive counseling, outreach, referral/linkage, and discharge planning; initiate and facilitate child family team meetings involving formal and informal supports.
- Provide therapeutic and behavioral in-home services to help provide structure in the home.
- Work with and for families to help build a network of care throughout the surrounding community.
- Maintain families’ progress through the (Absolute System).
0-5 years of experience
- Provide direct care coordination services to 65+ chronically ill patients, any collateral persons and their children.
- Work with the medical staff to develop, implement and coordinate Care Plans for patients.
- Coordinate patient services with internal and external service providers through regular Case Conferencing.
- Ensure appropriate record documentation from all members of the Case Management Team.
- Provide crisis intervention and health education services as needed.
0-5 years of experience
- Assist with elderly residents with daily living needs.
- Monitored vital signs, such as blood pressure and pulse.
- Responded appropriately to the physical, emotional and developmental needs of patients.
- Maintained accurate records of patient care, condition, progress and concerns.
- Assisted patients with bathing, grooming and feeding.
- Helped patients move in and out of beds, baths, wheelchairs and automobiles.
- Maintained a clean, healthy and safe environment.
0-5 years of experience
- Provide, coordinate and monitor in- home and out-of-home services for a caseload of youth between ages 5-21 with substance abuse, developmental disabilities and behavioral health challenges
- Conduct initial intakes and home visits
- Create individualized service plans
- Initiate Child & Family Team meetings including informal and formal supports
- Adhere to the Wraparound Model – a strength’s based approach to treatment
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Care Manager
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
