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9 Case Manager Resume Examples - Here's What Works In 2024

If you enjoy helping people and providing care to those who need it most, case management may be the career for you. whether you’re seeking your first job or already in the field, we’ve got you covered with industry-specific tips, essential skills and keywords, and resume examples for you to use as templates..

Hiring Manager for Case Manager Roles

Case managers work directly with patients and healthcare providers to determine the best way to provide necessary care. As a case manager, you’ll need to balance patients’ needs with the resources available to you, which may vary depending on the context of your employer. Case managers often work for hospitals, private healthcare providers, and insurance companies, which means you’ll need to consider cost efficiency alongside patient care — which is to say that case management isn’t an easy job, but it is an extremely rewarding one. Since you’ll be working in the medical field, you’ll need to demonstrate core technical skills as well as transferable skills like communication, crisis management, and conflict resolution. You may need a background in nursing, social work, as well as specific certificates or licencing depending on your field and state. Common prerequisites include the Certified Case Manager (CCM) and Accredited Case Manager (ACM) certifications. Case manager salaries vary according to your field and background, with nurse case managers earning the highest salary at an average of over $70,000 a year. In 2023, case managers will need to be aware of trends like telehealth services and the growing impact of data mining and artificial intelligence.

Case Manager Resume Templates

Jump to a template:

  • Case Manager
  • Mental Health Case Manager
  • Nurse Case Manager
  • RN Case Manager
  • Entry-Level Case Manager

Jump to a resource:

  • Keywords for Case Manager Resumes

Case Manager Resume Tips

  • Action Verbs to Use
  • Related Medical Resumes

Get advice on each section of your resume:

Template 1 of 9: Case Manager Resume Example

As a Case Manager, you'll be responsible for coordinating and overseeing care plans for individuals in various settings, such as healthcare, social work, or legal services. Since this role requires strong interpersonal and problem-solving skills, as well as an understanding of resources and systems, it's crucial to showcase these abilities in your resume. Don't forget to mention your knowledge of any industry-specific regulations and systems. Another key factor is to keep up-to-date with recent trends and interventions that may impact your target job and company, and include relevant examples in your resume. In addition to your experiences and qualifications, it's important to emphasize your ability to build relationships and work with diverse populations. Highlight your adaptability and emotional intelligence, as well as any familiarity with local resources or community programs. Be sure to mention any certifications or trainings related to your role as a Case Manager, such as crisis intervention or trauma-informed care.

A case manager's resume showcasing skills, experience, and certifications.

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Tips to help you write your Case Manager resume in 2024

   emphasize transferable skills.

Highlight the skills you've developed in previous roles that are essential for a Case Manager, such as communication, organization, and time management. Detail how you've utilized these skills to advocate and collaborate effectively on behalf of clients.

Emphasize transferable skills - Case Manager Resume

   Showcase specific case management experience

Provide examples of cases you've managed, detailing your involvement in assessing needs, developing care plans, coordinating services, and monitoring progress. Use quantifiable data, such as caseload sizes or successful outcomes, to demonstrate your effectiveness in these responsibilities.

Showcase specific case management experience - Case Manager Resume

Skills you can include on your Case Manager resume

Template 2 of 9: case manager resume example.

As a case manager, you’ll be handling case assignments, coordinating patient care, and looking out for the needs of your clients. This means you’ll need technical skills in healthcare management, program development, reporting, and cost analysis, as well as soft skills like empathy, problem solving, and communication. Resist the temptation to load your resume with buzzwords or subjective statements and focus on demonstrating your accomplishments in action.

Case manager resume template example featuring strong bullet points and using accomplishments to highlight transferable skills

   Bullet points feature strong action verbs highlighting case managements skills

The best way to demonstrate that you can do the job you’re applying for is by using action-based bullet points. Action verbs like Developed, Managed, and Organized keep the focus on what you’ve accomplished in each role, rather than simply listing your assigned job duties. For even greater impact, follow these up with metrics that demonstrate the impact of your achievements.

Bullet points feature strong action verbs highlighting case managements skills - Case Manager Resume

   Demonstrates soft skills through accomplishments

Case managers need plenty of soft skills. How do you highlight these without listing them as you would hard skills? By demonstrating them in action! Use your accomplishments to show hiring managers what you’re capable of. Saying that you implemented a social and emotional skills program is much more effective than trying to list leadership or empathy as skills on your resume.

Demonstrates soft skills through accomplishments - Case Manager Resume

Template 3 of 9: Mental Health Case Manager Resume Example

In the mental health field, case managers play a crucial role in coordinating care and support for clients with mental health issues. As the industry shifts towards a more person-centered approach, mental health case managers are in high demand. When preparing your resume for this role, it's essential to demonstrate your understanding of mental health disorders and commitment to advocating for clients' well-being. Showcase your ability to work with interdisciplinary teams, as well as your experience in various settings such as hospitals, outpatient clinics, or community-based programs. A strong resume will highlight your skills in assessment, treatment planning, and crisis intervention, as well as your ability to connect clients with community resources.

Mental health case manager resume sample

Tips to help you write your Mental Health Case Manager resume in 2024

   highlight your therapeutic approach.

As a mental health case manager, you'll be working closely with clients to support their recovery. Be sure to emphasize your knowledge of evidence-based therapeutic approaches, such as cognitive-behavioral therapy or dialectical behavior therapy, and how you've used these methods in previous roles.

   Showcase your case management software skills

Mental health case managers rely heavily on software programs to track client progress and manage their caseloads. Highlight your proficiency with programs like Credible, TheraNest, or Procentive, as well as any experience in using electronic health record systems.

Showcase your case management software skills - Mental Health Case Manager Resume

Skills you can include on your Mental Health Case Manager resume

Template 4 of 9: mental health case manager resume example.

Mental health case managers work closely with patients who have additional psychological, behavioural, or substance abuse issues. You’ll need a healthy dose of compassion and people skills in addition to an understanding of mental health support services and the ability to develop individual treatment plans. As a mental health case manager, you could work in a variety of settings including hospitals, treatment centers, rehabilitation facilities, and private homes.

Mental Health case manager resume template example focused on the position and including relevant volunteer work and awards

   Focused on mental health case management

Your resume should always emphasize your most relevant experience, which means focusing on previous experience as a mental health case manager or counselor, social worker, and skills like Microsoft Office and EPIC systems. Using a resume title and summary is another great way to tailor your resume and quickly highlight any particularly impressive accomplishments.

Focused on mental health case management - Mental Health Case Manager Resume

   Additional information that strengthens candidacy

If you have non-work experience that’s relevant to mental health case management — like a master’s degree in psychology, case manager certification, or volunteer work leading city projects — that belongs on your resume just as much as your paid experience. You can include volunteer experience under your work history or in an additional section at the end of your resume.

Additional information that strengthens candidacy - Mental Health Case Manager Resume

Template 5 of 9: Nurse Case Manager Resume Example

Nurse Case Managers are vital in the healthcare industry as they coordinate patient care and improve healthcare outcomes. They manage and monitor patient cases, ensuring the best possible care is provided to address patients' unique needs. To write a resume for a Nurse Case Manager role, it's essential to stay up-to-date on industry trends and showcase the skills that make you an exceptional candidate. Emphasize your ability to work with interdisciplinary teams, manage patient cases, and navigate complex healthcare systems. In recent years, the focus on preventive care and patient advocacy has grown significantly. Therefore, a Nurse Case Manager's resume should demonstrate the ability to assess patients' needs holistically and develop personalized, comprehensive care plans. It's essential to show your understanding of the importance of patient-centered care and the impact of industry trends on your role as a Nurse Case Manager.

Nurse Case Manager resume screenshot

Tips to help you write your Nurse Case Manager resume in 2024

   highlight care coordination skills.

In your resume, emphasize your experience in coordinating care, working with interdisciplinary teams, and managing communication between patients, families, and healthcare providers. Nurse Case Managers need to effectively collaborate with various stakeholders to ensure seamless, efficient care delivery.

Highlight care coordination skills - Nurse Case Manager Resume

   Showcase your expertise in patient advocacy

Nurse Case Managers play a crucial role in advocating for the needs and preferences of their patients. Highlight instances where you've successfully advocated for patients, secured resources, or facilitated access to necessary services. This demonstrates your commitment to patient-centered care and your ability to navigate complex healthcare systems.

Skills you can include on your Nurse Case Manager resume

Template 6 of 9: nurse case manager resume example.

Nurse case managers are registered nurses (RNs) who provide dedicated recovery plans to individual patients, often in a hospital or acute care setting. In addition to licensure as an RN, you’ll need an understanding of patients’ health needs, the ability to monitor patients and work with other care professionals to ensure continued recovery, and the knowledge and background to source cost-effective care solutions.

Nurse case manager resume template example with numbers and metrics and listing appropriate hard skills

   Includes numbers and metrics to emphasize case manager achievements

Including numbers and metrics on your resume isn’t just for show. Quantifying your achievements makes them more objective and reliable, and numbers speak to the exact nature of your achievement and its impact on the company or organization. Plus, they’re also just more impressive — consider “managed clinic referrals” versus “managed an average of 400 clinic referrals per month,” for example.

Includes numbers and metrics to emphasize case manager achievements - Nurse Case Manager Resume

   Focuses on hard skills as a case manager

As a nurse case manager, you’ll need more than just people skills to succeed. Your resume should list any hard skills the job requires, including HCPCS, MEDITECH, and billing software. You should aim to pick 5-10 of the top skills you need and list them at the end of your resume, in a skills or additional information section.

Focuses on hard skills as a case manager - Nurse Case Manager Resume

Template 7 of 9: Nurse Case Manager Resume Example

Unlike most nursing positions, the role of a nurse case manager is more administrative in nature. As a nurse case manager, you’ll be in a supervisory role, with responsibilities including making decisions regarding budgets and scheduling, managing a team of nurses, and developing patient care plans. Your resume should highlight soft skills like leadership, decision making, and communication alongside hard skills in patient care and technology.

Nurse case manager resume template sample using hard numbers and metrics to highlight key skills

   Use hard numbers and metrics relevant to nursing

Using concrete numbers in your bullet points can be the best way to demonstrate your achievements. Instead of “lowered spending costs,” be specific and write “lowered spending costs by 25%.” If you led a team of 30, managed records for 500 patients, or oversaw a 26-bed unit, including those details will help your accomplishments stand out.

Use hard numbers and metrics relevant to nursing - Nurse Case Manager Resume

   Highlight key skills in nursing

In a role like nurse case manager that requires specific hard skills, you can list these in a separate skills section at the bottom of your resume. This includes specific software like HCPCS or MEDITECH systems, which are often keywords that hiring managers or applicant tracking systems (ATS) will be screening for.

Highlight key skills in nursing - Nurse Case Manager Resume

Template 8 of 9: RN Case Manager Resume Example

A RN case manager is a registered nurse who works in a specialized manner to organize patient care and treatment. RN case managers essentially act as a liaison between the patient, doctors, and other healthcare providers to ensure the treatment plan is satisfactory for everyone involved. Aspiring RN case managers will need several relevant experiences to be considered for the role. When recruiting for this position, hiring managers will be looking for a candidate with a BSN in nursing with RN licensing. Hiring managers will typically look for someone with 3+ years of hands-on nursing experience to consider them for a case manager role. They may also look for ancillary training and certification specific to the case manager position

A resume for an RN case manager with a BSN degree and experience as a pediatric RN and clinical research nurse.

Tips to help you write your RN Case Manager resume in 2024

   obtain certifications related to rn case management.

Having an RN license and solid work experience is a great start. However, earning a CCMC (Commission for Case Manager Certification), RN-BC (Nurse Case Manager Certification) or CMCN (Certified Managed Care Nurse) will add authority to your resume and set you apart. These certifications all showcase that you have specialized knowledge about RN case management.

Obtain certifications related to RN case management - RN Case Manager Resume

   Showcase how you’ve taken extra steps to help patients in the past

Landing a job as an RN case manager requires past clinical nursing experience. On your resume, maximize the relevant experiences in nursing that will transfer over to being a case manager. For example, you could highlight experiences you have with patient education, mentoring students, or educating family members about caretaking. These experiences will speak to your ability to fulfill the core competencies of a case manager.

Skills you can include on your RN Case Manager resume

Template 9 of 9: entry-level case manager resume example.

Entry-level case managers are almost always found in the healthcare industry. The position will see you striving to facilitate the best care possible for patients. You will be in charge of assessing a patient’s needs, creating a treatment plan, coordinating services/care, and addressing any problems that may arise. You will be working under the supervision of a more experienced case manager and they will provide you with on-the-job training. Recruiters will expect to see a degree in healthcare or a related field. Any experience in the healthcare field will also be highly valued. Take a look at this strong resume sample.

An entry-level case manager resume sample that highlights the applicant’s certifications and early experience.

Tips to help you write your Entry-Level Case Manager resume in 2024

   include all healthcare-related certifications..

Certifications are a great way to put yourself above the competition. They indicate to recruiters that you are more qualified and that you are driven and passionate about the field. So if you have any healthcare or case management-related certifications, make sure you include them in your resume. This applicant has 3 impressive certifications.

Include all healthcare-related certifications. - Entry-Level Case Manager Resume

   Include all industry-standard tools.

You may not have a lot of direct experience, so your skills section is particularly important in showing recruiters what you can do. You will want to make sure you include all the industry-standard tools you will be expected to use in your tools list. Go the extra step and find out what tools are used in the facility you are applying to and ensure your list includes them. Take a crash course to learn how to use any tool you are not familiar with before adding it to your resume.

Include all industry-standard tools. - Entry-Level Case Manager Resume

Skills you can include on your Entry-Level Case Manager resume

As a hiring manager who has recruited case managers at companies like UnitedHealth Group, Humana, and Anthem, I've seen firsthand what makes a resume stand out. The following tips will help you craft a compelling case manager resume that showcases your skills and experience in the most effective way possible.

   Highlight your case management certifications

Certifications demonstrate your expertise and commitment to the field. Be sure to list any relevant certifications you have earned, such as:

  • Certified Case Manager (CCM)
  • Certified Social Work Case Manager (C-SWCM)
  • Certified Disability Management Specialist (CDMS)
  • Registered Nurse Case Manager (RN-CM)

By highlighting your certifications, you show potential employers that you have the knowledge and skills necessary to excel in a case manager role.

Bullet Point Samples for Case Manager

   Emphasize your experience with specific populations

Case managers often specialize in working with certain populations, such as:

  • Elderly patients in long-term care facilities
  • Individuals with chronic illnesses like diabetes or heart disease
  • Patients with mental health conditions
  • At-risk youth or families

If you have experience working with a specific population, make sure to highlight this on your resume. This shows employers that you have the specialized knowledge and skills needed to effectively serve their clients.

   Quantify your achievements with metrics

When describing your accomplishments, use specific numbers and metrics to illustrate your impact. For example:

  • Managed a caseload of 50+ clients, ensuring timely and effective service delivery
  • Reduced hospital readmission rates by 20% through implementing a comprehensive discharge planning process
  • Secured $50,000 in grant funding to support community outreach programs

Avoid using vague or generic statements that don't provide any real insight into your abilities, like:

  • Managed a large caseload of clients
  • Helped reduce hospital readmissions
  • Secured grant funding for programs

   Showcase your knowledge of relevant software and tools

Case managers often use specialized software and tools to manage their caseloads and track patient progress. Some common examples include:

  • Electronic health record (EHR) systems like Epic or Cerner
  • Case management software such as Casenet or CaseWorthy
  • Care coordination platforms like Allscripts CareDirector or GSI Health
  • Microsoft Office Suite, particularly Excel for data tracking and analysis

By listing your proficiency with these tools on your resume, you demonstrate to employers that you have the technical skills necessary to hit the ground running in a case manager role.

   Tailor your resume to the specific job posting

While it's important to have a strong base resume, be sure to customize it for each job you apply to. Look closely at the job description and emphasize the skills and experiences that align most closely with what the employer is seeking.

For example, if a job posting mentions that they're looking for a case manager with experience in care transitions, you might include something like:

Skilled in facilitating seamless care transitions, collaborating with interdisciplinary teams to develop comprehensive discharge plans and ensure continuity of care for patients moving between settings.

By tailoring your resume to the specific needs of each employer, you increase your chances of catching their attention and landing an interview.

   Highlight your soft skills and personal qualities

In addition to technical skills and experience, case managers need strong interpersonal and communication abilities. Some key qualities to highlight on your resume include:

  • Empathy and compassion
  • Active listening skills
  • Ability to build rapport with clients and families
  • Strong problem-solving and critical thinking abilities
  • Excellent time management and organizational skills

By showcasing these soft skills alongside your technical qualifications, you paint a well-rounded picture of yourself as a candidate and demonstrate your ability to thrive in a case manager role.

Writing Your Case Manager Resume: Section By Section

  header, 1. use a professional email address.

Your email address is one of the primary ways hiring managers will reach out to you. Make sure it's professional and easy to read.

  • [email protected]

Instead, opt for a simple format that incorporates your name:

Keep it straightforward and avoid any unprofessional phrases or nicknames. This will ensure hiring managers take you seriously as a candidate.

2. Include your credentials after your name

As a case manager, your credentials are important to highlight. Including them after your name in your header makes them immediately visible to hiring managers.

John Smith, MSW, LCSW [email protected] | 555-123-4567 | New York, NY

Common credentials for case managers include:

  • MSW (Master of Social Work)
  • LCSW (Licensed Clinical Social Worker)
  • LMSW (Licensed Master Social Worker)
  • CCM (Certified Case Manager)

If you have multiple credentials, list them in the order of relevance to the specific job you're applying for.

3. Decide if you should include your full address

In the past, including your full mailing address was standard practice. However, with the rise of remote work and privacy concerns, this is no longer always necessary.

If you're applying for a local position and want to emphasize that you're a local candidate, including your city and state can be beneficial:

  • John Smith | [email protected] | 555-123-4567 | New York, NY

However, if you're applying for remote positions or want to protect your privacy, you can leave off your location entirely:

  • John Smith | [email protected] | 555-123-4567

Evaluate the specific job and company to determine the best approach for your situation.

  Summary

A summary, also known as a professional summary or career summary, is an optional section at the top of your resume that highlights your most relevant qualifications, skills, and experiences. While not required, a well-written summary can help you stand out to hiring managers and provide context for your career goals and background, especially if you are changing careers or have a diverse work history. However, avoid using an objective statement, as they are outdated and focus on what you want rather than what you can offer the employer.

When crafting your summary for a Case Manager position, focus on your relevant skills, such as client advocacy, care coordination, and knowledge of community resources. Quantify your achievements where possible and tailor your language to the specific job description. Keep it concise, around 3-5 sentences or bullet points, and make sure it adds value beyond what is already included in your work experience section.

How to write a resume summary if you are applying for a Case Manager resume

To learn how to write an effective resume summary for your Case Manager resume, or figure out if you need one, please read Case Manager Resume Summary Examples , or Case Manager Resume Objective Examples .

1. Highlight your case management expertise

Emphasize your experience and skills directly related to case management, such as conducting assessments, developing care plans, and coordinating services. For example:

  • Experienced Case Manager with 5+ years of experience conducting bio-psycho-social assessments, developing individualized care plans, and coordinating community resources for diverse client populations.
  • Skilled in utilizing evidence-based practices and collaborating with interdisciplinary teams to ensure optimal client outcomes and cost-effective service delivery.

Avoid generic statements that could apply to any job, such as:

  • Hardworking professional with a proven track record of success.
  • Excellent communication and organizational skills.

2. Quantify your achievements

Whenever possible, include metrics to illustrate the impact of your work as a Case Manager. This could include the number of clients served, the success rate of your interventions, or the cost savings generated through your efforts. For instance:

Results-driven Case Manager with a track record of serving an average caseload of 50 clients, achieving a 90% client satisfaction rate, and reducing hospital readmissions by 25% through proactive care coordination and patient education.

In contrast, a summary without quantifiable achievements may appear less impactful:

Dedicated Case Manager experienced in working with clients to improve their health outcomes and quality of life. Committed to providing compassionate care and support to help clients achieve their goals.

3. Tailor your summary to the job description

Customize your summary to align with the specific requirements and preferences outlined in the job description. This may involve highlighting certain skills, experiences, or certifications that are particularly relevant to the role. For example, if the job description emphasizes experience with a specific client population, such as veterans or individuals with developmental disabilities, make sure to mention your experience working with that population in your summary.

Here's an example of a tailored summary:

  • Licensed Clinical Social Worker (LCSW) with 7+ years of experience providing case management services to veterans and their families. Skilled in conducting comprehensive assessments, developing treatment plans, and collaborating with VA healthcare providers to ensure seamless care coordination and optimal client outcomes.

Avoid using a generic summary that could be applied to any Case Manager position, such as:

  • Experienced Case Manager with strong communication and problem-solving skills. Adept at working with diverse client populations and collaborating with interdisciplinary teams.

  Experience

The work experience section is the most important part of your case manager resume. It's where you show hiring managers how you've made an impact in previous roles, and how your skills and experience align with the job requirements.

In this section, we'll break down the key steps to writing a compelling work experience section that will grab the attention of recruiters and hiring managers.

1. Focus on relevant case management experience

When writing your work experience section, focus on the experience that's most relevant to the case manager role you're applying for. This could include:

  • Managing a caseload of clients with diverse needs
  • Conducting assessments and developing individualized care plans
  • Collaborating with interdisciplinary teams to coordinate care
  • Maintaining accurate and detailed case records

If you have experience in other areas of social work or human services, only include it if it's directly relevant to the case manager role. For example:

  • Volunteered at a local animal shelter
  • Worked as a cashier at a retail store

Instead, focus on experiences that showcase your case management skills:

  • Managed a caseload of 25+ clients with complex medical and social needs
  • Developed and implemented individualized care plans for clients with chronic illnesses

Not sure if your resume is highlighting your most relevant case management experience? Try using Score My Resume to get instant feedback on how well your resume aligns with the job requirements.

2. Use strong, industry-specific action verbs

When describing your work experience, use strong action verbs that are specific to the case management field. This helps to clearly convey your responsibilities and accomplishments. For example:

  • Assessed client needs and eligibility for services
  • Coordinated care with healthcare providers and community resources
  • Monitored client progress and adjusted care plans as needed
  • Advocated for clients to ensure access to necessary services

Avoid using generic or vague language that doesn't clearly convey your responsibilities:

  • Helped clients
  • Worked with a team
  • Did paperwork

By using industry-specific language, you show that you understand the key responsibilities of a case manager and have the skills to excel in the role.

Tip: Look at job descriptions for case manager roles to identify common action verbs and industry terminology to incorporate into your resume.

3. Quantify your accomplishments with metrics

Whenever possible, use metrics to quantify your accomplishments and show the impact you made in previous roles. This could include:

  • Number of clients served
  • Percentage of clients who achieved their goals
  • Average length of time to resolve cases
  • Dollar amount of resources secured for clients
Managed a caseload of 50+ clients, achieving a 95% success rate in connecting clients to necessary services and resources within 30 days of intake.

If you don't have access to specific metrics, you can still use numbers to give a sense of the scope of your responsibilities:

  • Conducted 10-15 client assessments per week
  • Collaborated with a team of 5 healthcare providers to coordinate care

By quantifying your accomplishments, you give hiring managers a tangible sense of the value you can bring to their organization.

Tip: If you're having trouble identifying metrics to include, think about the key performance indicators (KPIs) that were used to evaluate your performance in previous roles.

4. Highlight promotions and career growth

If you've been promoted or taken on increasing responsibilities within the case management field, be sure to highlight that in your work experience section. This shows hiring managers that you've been recognized for your strong performance and have the potential to grow within their organization.

For example:

Case Manager, XYZ Agency, 2018-2022 - Promoted to Senior Case Manager in 2020, managing a team of 5 case managers and overseeing a caseload of 100+ clients - Developed and implemented a new intake process that reduced average time to service delivery by 20% - Served as a mentor to junior case managers, providing training and guidance on best practices in case management

By highlighting your career growth and achievements, you show that you're a high-performing case manager with the skills and experience to take on leadership roles.

Tip: When highlighting promotions, be sure to clearly state your new title and the date you were promoted. This helps hiring managers quickly see your career progression.

  Education

Your education section is one of the most important parts of your case manager resume. It shows employers that you have the necessary qualifications and training to excel in the role. Here are some tips to help you craft a compelling education section:

How To Write An Education Section - Case Manager Roles

1. List your degrees in reverse chronological order

Start with your most recent degree and work backwards. Include the name of the institution, the degree earned, and the year of graduation. If you have multiple degrees, list them in separate entries.

Here's an example:

Master of Social Work (MSW), University of California, Los Angeles, 2019 Bachelor of Arts in Psychology, University of Southern California, 2017

2. Highlight relevant coursework and specializations

If you're a recent graduate or have taken courses directly related to case management, consider listing them under your degree. This can help showcase your expertise and set you apart from other candidates.

Relevant coursework for a case manager might include:

  • Social Welfare Policy
  • Human Behavior and the Social Environment
  • Case Management and Advocacy
  • Mental Health Assessment and Intervention

3. Include relevant certifications and licenses

In addition to your degrees, certain certifications and licenses can boost your credibility as a case manager. If you have any, list them in your education section or create a separate section titled 'Certifications and Licenses'.

Some examples include:

  • Licensed Clinical Social Worker (LCSW)

4. Keep it concise for senior-level positions

If you're a senior-level case manager with extensive work experience, your education section should be brief. Hiring managers will be more interested in your professional accomplishments and skills.

Here's an example of what not to do:

Master of Social Work, University of Washington, Seattle, WA, 2005-2007 Relevant Coursework: Social Welfare Policy, Human Behavior and the Social Environment, Research Methods, Field Practicum Bachelor of Arts in Sociology, University of Oregon, Eugene, OR, 2001-2005 Relevant Coursework: Introduction to Social Work, Social Problems and Social Services, Diversity and Social Justice

Instead, keep it short and sweet:

MSW, University of Washington BA in Sociology, University of Oregon

Action Verbs For Case Manager Resumes

You know the importance of focusing on your accomplishments, but do you know the best way to do it? By using strong resume action verbs ! Starting each bullet point with an action verb enables you to frame your accomplishments in a positive light and keeps the spotlight on what you actually achieved — not just what you were told to do. Want to convince a hiring manager how well you work with patients? Focus on using action verbs like Cared or Assisted. Need to emphasize your organizational skills? Choose Implemented, Facilitated, or Arranged. And if you’re looking to take the next step and want to highlight your leadership and initiative, verbs like Improved, Oversaw, and Increased may be what you’re looking for.

Action Verbs for Case Manager

  • Facilitated
  • Implemented

For more related action verbs, visit Medical Action Verbs .

For a full list of effective resume action verbs, visit Resume Action Verbs .

Action Verbs for Case Manager Resumes

Skills for case manager resumes.

Including the right skills and keywords on your resume could mean the difference between getting the job and your resume falling through the cracks. An increasing number of recruiters use Applicant Tracking systems (ATS) to automatically scan for keywords and filter out any resumes that don’t list core skills. To avoid this, make sure you’re explicitly listing your hard skills — like software and certifications — in an easily scannable way. How do you figure out which skills hiring managers are looking for? The job description itself is always a good place to look — most job ads will highlight the most essential skills needed for the position. If you’re still not sure, we’ve analyzed over one million job postings to compile a list of top resume skills and keywords , and we also provide a free Targeted Resume tool that will give you personalized feedback and suggestions for improvement.

  • Case Management
  • Mental Health
  • Crisis Intervention
  • Group Therapy
  • Psychotherapy
  • Social Services
  • Mental Health Counseling
  • Behavioral Health
  • Cognitive Behavioral Therapy (CBT)
  • Motivational Interviewing
  • Family Therapy
  • Community Outreach
  • Clinical Research
  • Program Development
  • Nonprofit Organizations
  • Healthcare Management

How To Write Your Skills Section On a Case Manager Resumes

You can include the above skills in a dedicated Skills section on your resume, or weave them in your experience. Here's how you might create your dedicated skills section:

How To Write Your Skills Section - Case Manager Roles

Skills Word Cloud For Case Manager Resumes

This word cloud highlights the important keywords that appear on Case Manager job descriptions and resumes. The bigger the word, the more frequently it appears on job postings, and the more 'important' it is.

Top Case Manager Skills and Keywords to Include On Your Resume

How to use these skills?

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sample resume for rn case manager

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Nurse Case Manager Resume Examples

Writing a resume for a Nurse Case Manager role should highlight your skills in patient care and management. You must have strong communication and organizational skills, as well as the ability to assess and organize medical data. In addition, you should be able to demonstrate your ability to multitask, handle difficult conversations, and provide care in a professional and compassionate manner. This guide provides a complete overview of how to prepare a winning Nurse Case Manager resume and includes helpful examples. With this guide, you will learn the best formatting techniques, how to highlight your experience, and what to include in order to stand out from other applicants.

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Nurse Case Manager

123 Main Street | Anytown, USA 99999 | Phone: (123) 456-7890 | Email: [email protected]

Resourceful and detail- oriented Nurse Case Manager with 10+ years experience in patient care coordination, quality assurance, and medical case management. Highly skilled in developing tailored treatment plans and collaborating with physicians, social workers, and other members of a healthcare team to ensure comprehensive care to each patient. Track record of successfully managing caseloads, identifying issues, and implementing solutions to increase patient satisfaction and improve overall quality of care.

Core Skills :

  • Patient Assessment
  • Treatment Plans
  • Quality Improvement
  • Communication
  • Interdisciplinary Collaboration
  • Clinical Supervision
  • Regulatory Compliance
  • Medical Coding
  • Resource Management

Professional Experience : Nurse Case Manager | ABC Healthcare | 2012 – Present

  • Assigned and managed caseloads of patients with specific medical needs and conditions
  • Conducted comprehensive assessments to determine patient needs, develop customized care plans, and coordinate services with other team members
  • Coordinated with a multidisciplinary team to ensure that all aspects of healthcare needs were met and that clients received the best care possible
  • Developed and implemented quality improvement initiatives to improve patient outcomes and satisfaction
  • Maintained accurate medical records and submitted required documentation for billing and coding

Education : Bachelor of Science in Nursing | ABC University | 2012

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Nurse Case Manager Resume with No Experience

Recent nursing school graduate with a highly dedicated attitude and eagerness to learn. Looking to join a hospital or healthcare facility as a Nurse Case Manager. Possesses a strong understanding of medical terminology and medical practices.

  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Proactive problem solver
  • Proficient with Microsoft Office
  • Knowledge of nursing standards and protocols
  • Knowledge of medical terminology

Responsibilities

  • Provide patients with personalized care and support
  • Manage and coordinate the care of a caseload of patients
  • Educate patients on disease process, treatment options, and lifestyle changes
  • Collaborate with other healthcare team members to ensure effective patient care
  • Provide emotional support to patients and families
  • Ensure patient safety and satisfaction with care

Experience 0 Years

Level Junior

Education Bachelor’s

Nurse Case Manager Resume with 2 Years of Experience

Highly competent and organized Nurse Case Manager with 2 years of experience in providing comprehensive case management services to patients. Adept at creating effective treatment plans and providing quality patient care. Skilled in building effective team dynamics and advocating for patient rights. Possesses excellent communication skills and a commitment to ensuring the delivery of quality care.

Patient advocacy, Health care management, Crisis intervention, Team building, Time management, Communication, Documentation, Problem solving, Organization, Interpersonal skills

Responsibilities :

  • Develop and implement individual treatment plans for assigned patients
  • Collaborate with other healthcare professionals to ensure the delivery of quality patient care
  • Conduct patient assessments to determine patient care needs
  • Provide crisis intervention and support for patients in need
  • Ensure compliance with all laws and regulations pertaining to case management
  • Educate patients and their families on proper healthcare management
  • Document all patient information and progress reports
  • Monitor patient progress and adjust treatment plans as needed
  • Participate in team meetings to discuss patient care plans

Experience 2+ Years

Nurse Case Manager Resume with 5 Years of Experience

A reliable and experienced Nurse Case Manager with 5 years of experience, who specializes in providing comprehensive case management services. Skilled at working with medical professionals and facilities to coordinate medical care for patients, including assessing the medical needs and developing a plan of care. Possesses excellent communication and interpersonal skills, as well as a deep understanding of medical concepts and terminology. Committed to providing quality care to patients in a timely and compassionate manner.

  • Comprehensive Knowledge of Medical Concepts & Terminology
  • Excellent Analytical & Problem- Solving Skills
  • Solid Interpersonal & Communication Skills
  • Ability to Work Collaboratively with Medical Professionals & Facilities
  • Skilled in Assessing Patient’s Medical Needs & Developing a Plan of Care
  • Proficient in Electronic Medical Record Systems
  • Assessed patient’s medical needs and developed an individualized treatment plan.
  • Coordinated with medical professionals, facilities and community resources to ensure the accurate delivery of all patient care services.
  • Monitored patient progress to ensure successful outcomes.
  • Educated patients and families on the benefits of case management.
  • Developed and maintained relationships with community healthcare providers.
  • Served as a liaison between the patient, medical professionals, and insurance companies to resolve billing and other issues.
  • Participated in the development and implementation of case management policies and procedures.

Experience 5+ Years

Level Senior

Nurse Case Manager Resume with 7 Years of Experience

Experienced Nurse Case Manager with 7 years of hands- on experience in assessing, planning, coordinating, implementing, monitoring, and evaluating all case management activities to ensure positive patient outcomes. Proven track record of utilizing proactive measures to ensure care plans are in line with clinical and financial objectives. Skilled communicator who works collaboratively with physicians and other healthcare personnel to ensure the best care for patients.

  • Knowledge of case management principles, healthcare delivery system, and community resources
  • Proficient in Electronic Medical Record (EMR) systems
  • Excellent organizational and communication skills
  • Highly effective problem- solving skills
  • Proven ability to work independently and as part of an interdisciplinary team
  • Excellent ability to build trust and rapport with patients and their families
  • Developed comprehensive treatment plans for patients and their families based on patient assessments and diagnoses.
  • Facilitated referrals to external services such as physical therapy, home health care, and community resources.
  • Monitored patient progress, outcomes, and quality assurance measures.
  • Assessed the needs of individual patients and provided education to families regarding treatment plans and resources.
  • Collaborated with members of the interdisciplinary care teams to ensure patients received optimal quality of care.
  • Acted as a liaison between physicians, insurance companies, and other healthcare personnel to ensure that necessary medical services were approved and provided.
  • Ensured quality medical documentation according to regulatory and legal standards.

Experience 7+ Years

Nurse Case Manager Resume with 10 Years of Experience

Dynamic Nurse Case Manager with 10 years of experience in providing care and support to patients and families. Adept in developing and implementing care plans, conducting assessments, and measuring patient outcomes. Knowledgeable in medical terminology and legal regulations, as well as skilled in operating medical equipment. Committed to providing evidence- based, patient- centered care and ensuring excellent patient experience.

  • Care Planning
  • Patient Advocacy
  • Crisis Intervention
  • Medication Management
  • Medical Terminology
  • Clinical Documentation
  • Legal Regulations
  • System and Process Improvement
  • Conducted patient assessments and developed tailored care plans at the start of their treatment and monitored their progress throughout
  • Communicated with patients and their families to ensure that their care needs were addressed
  • Provided patient advocacy by advocating for the patient’s rights and needs
  • Monitored patient progress and evaluated the effectiveness of care plans, making necessary adjustments
  • Responded to patient crisis situations and provided emotional support to patients and their families
  • Administered medications and monitored patient response to treatment
  • Maintained accurate and detailed clinical documentation in accordance with legal regulations
  • Developed and implemented improvement initiatives to optimize system processes and operations

Experience 10+ Years

Level Senior Manager

Education Master’s

Nurse Case Manager Resume with 15 Years of Experience

An experienced and highly skilled Nurse Case Manager with over 15 years of experience in health care, acute care settings, and home care. Proficient in assessment, diagnosis, and treatment of medical conditions. Adept in developing and implementing plans of care to address medical and psychosocial needs. Skilled at working collaboratively with physicians, patients, and families to ensure continuity of care and meet quality of care standards.

  • Patient assessment and care planning
  • Advanced medical problem- solving
  • Care coordination and discharge planning
  • Collaborative problem- solving
  • Clinical decision- making
  • Interdisciplinary team collaboration
  • Risk management and compliance
  • Understanding of evidence- based practice
  • Proficient with electronic medical records
  • Developed comprehensive plans of care to meet individual patient needs, including treatment plans, discharge planning and coordination of care, and referrals to other members of the health care team.
  • Provided case management services to acutely ill and chronically disabled individuals in both inpatient and outpatient settings.
  • Conducted complex assessments and identified gaps in care, to ensure continuity of care.
  • Intervened to resolve discrepancies in care and applied evidence- based practice to ensure quality of care.
  • Coordinated with physicians and other members of the health care team to develop and implement care plans.
  • Monitored patient progress and adjusted plans of care as needed to meet individual goals.
  • Managed complex cases and worked with families to ensure patient safety and compliance with treatment plans.
  • Facilitated interdisciplinary team meetings to discuss patient progress and collaborate on the best course of action.

Experience 15+ Years

Level Director

In addition to this, be sure to check out our resume templates , resume formats ,  cover letter examples ,  job description , and  career advice  pages for more helpful tips and advice.

What should be included in a Nurse Case Manager resume?

When creating a resume for a nurse case manager role, it is important to ensure that all relevant qualifications, certifications, and experience are included. A nurse case manager resume should include the following sections:

  • Contact Information: Your name, address, phone number, and email address should be included at the top of the resume.
  • Professional Summary: This section should include a brief summary of your professional qualifications, skill set, and experience.
  • Qualifications: In this section, list your certifications and qualifications, such as RN or Bachelor’s degree in nursing.
  • Experience: This section should include a list of past clinical or administrative positions you have held, as well as any relevant experience.
  • Skills: List any skills related to the nurse case manager role such as patient assessment, disease management, and care planning.
  • Education: Include the name and location of your nursing school or program and any relevant degrees obtained.
  • Professional Memberships: List any professional memberships related to the nurse case manager role.
  • Awards & Honors: If you have received awards or honors related to the nurse case manager role, list them here.

By following these guidelines, your resume should effectively showcase your qualifications and experience for the nurse case manager role.

What is a good summary for a Nurse Case Manager resume?

When writing a resume for a Nurse Case Manager, it is important to create a summary that captures the essence of your professional experience and qualifications. A Nurse Case Manager summary should include your experience in healthcare, patient care, and medical case management. It should also highlight any special skills, such as patient advocacy, communication, problem solving, and leadership. Additionally, it is important to emphasize your professional certifications and educational credentials, as well as your ability to work with diverse populations. By highlighting such qualifications, a Nurse Case Manager resume summary can be the perfect way to showcase your credentials and demonstrate why you would be an ideal candidate for the job.

What is a good objective for a Nurse Case Manager resume?

A Nurse Case Manager is responsible for providing specialized care and resources to patients. They often serve as a link between the patient and the health care team, and typically have a background in nursing and experience in case management. When creating a resume for a Nurse Case Manager position, it is important to have a clear and concise objective statement that outlines your experience and qualifications. Here is an example of a good objective for a Nurse Case Manager resume:

  • Experienced and compassionate Nurse Case Manager with 8+ years of experience providing care, support, and resources to patients and their families.
  • Proven record of success in helping patients navigate the health care system and connecting them to necessary resources.
  • Dedicated to providing quality care and ensuring the best possible outcomes for patients.
  • Possess a Bachelor of Science in Nursing and current certification as a Registered Nurse.
  • Seeking to utilize my experience and knowledge to serve as a Nurse Case Manager at ABC Hospital.

How do you list Nurse Case Manager skills on a resume?

bulletWhen you’re listing Nurse Case Manager skills on your resume, you want to show that you have the organization and communication chops to be successful in that role. To do this, you’ll want to draw attention to your experience with case management, health assessments, and patient care.

Here are some Nurse Case Manager skills to include on your resume:

  • Patient assessment: Demonstrated ability to analyze patient information, conduct health assessments, and report findings.
  • Interprofessional collaboration: Proven track record of working with diverse medical personnel to coordinate patient care.
  • Conflict resolution: Skilled at resolving patient and provider disputes to ensure optimal care.
  • Time management: Highly organized and efficient when managing large caseloads.
  • Documentation: Experienced with medical recordkeeping, case management systems, and compliance standards.
  • Communication: Highly effective in communicating with patients and other medical personnel.
  • Education: Skilled in providing patient education about health and wellness topics.
  • Problem solving: Able to think critically to find solutions to complex patient care issues.

What skills should I put on my resume for Nurse Case Manager?

Nurse Case Managers are responsible for providing health care services and coordination of care to clients. To be successful in this role, you need to have a deep understanding of medical care and be able to manage complex cases. Here is a list of skills that should be included on your resume when applying for a Nurse Case Manager position:

  • Knowledge of Medical Terminology: Possessing an understanding of medical terminology is essential for Nurse Case Managers to effectively communicate with other medical professionals and clients.
  • Excellent Communication Skills: Good communication skills are a must-have for Nurse Case Managers to ensure effective coordination of care and successful communication with clients and other medical professionals.
  • Strong Problem-Solving Skills: Nurse Case Managers must be able to identify problems quickly and come up with solutions to ensure the best care for clients.
  • Time Management Skills: Nurse Case Managers must be able to effectively manage their time in order to meet deadlines and ensure efficient coordination of care.
  • Critical Thinking Skills: Being able to think critically is essential for Nurse Case Managers to be able to effectively evaluate and analyze cases and make decisions that are in the best interests of their clients.
  • Organizational Skills: Proper organization is essential for Nurse Case Managers to ensure that all tasks are completed in a timely manner and that client information is kept up-to-date.

By including these skills on your resume, you will be able to create a strong, comprehensive application for a Nurse Case Manager position.

Key takeaways for an Nurse Case Manager resume

When applying for a position as a nurse case manager, you want to make sure that your resume stands out from the rest and helps you get the job you desire. As a nurse case manager, there are some key takeaways that you should include in your resume in order to make it the most effective.

One of the most important aspects of a nurse case manager resume is the experience section. You need to include all of your previous experience in the nursing field, such as any certifications, training programs, and job duties that you may have. You should also highlight any additional skills that you have, such as patient advocacy, professional communication, and organizational skills.

Another key takeaway for a nurse case manager resume is to include any specific cases or projects that you have worked on. This will give potential employers an idea of the types of cases you are able to handle and the success you have had in resolving them.

You should also include any awards or recognitions that you have received, such as awards for your work in the field or any related certifications. This will demonstrate to potential employers that you have the experience and qualifications necessary to excel in the role of a nurse case manager.

Finally, make sure to include any other pertinent information about your time as a nurse case manager, such as any specializations or certifications that you have. This will further demonstrate your ability to handle complex cases and provide quality care.

By including these key takeaways in your resume, you will be sure to make a strong impression on potential employers and help you get the job you desire.

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3+ Registered Nurse Case Manager Resume Examples and Templates

This page provides you with Registered Nurse Case Manager resume samples to use to create your own resume with our easy-to-use resume builder . Below you'll find our how-to section that will guide you through each section of a Registered Nurse Case Manager resume.

Registered Nurse Case Manager Resume Sample and Template

What do Hiring Managers look for in a Registered Nurse Case Manager Resume

  • Providing nursing care to patients with complex medical conditions and coordinating their healthcare.
  • Assessing patient needs, developing care plans, and setting goals for medical treatment and recovery.
  • Collaborating with healthcare providers, specialists, and social workers to ensure comprehensive patient care.
  • Monitoring patient progress and adjusting care plans as needed to achieve optimal outcomes.
  • Advocating for patients' rights and facilitating access to healthcare services and resources.
  • Educating patients and their families on treatment options, self-care, and disease management.
  • Documenting patient information, care plans, and interventions accurately and comprehensively.

How to Write a Registered Nurse Case Manager Resume?

To write a professional Registered Nurse Case Manager resume, follow these steps:

  • Select the right Registered Nurse Case Manager resume template.
  • Write a professional summary at the top explaining your Registered Nurse Case Manager’s experience and achievements.
  • Follow the STAR method while writing your Registered Nurse Case Manager resume’s work experience. Show what you were responsible for and what you achieved as a Registered Nurse Case Manager.
  • List your top Registered Nurse Case Manager skills in a separate skills section.

How to Write Your Registered Nurse Case Manager Resume Header?

Write the perfect Registered Nurse Case Manager resume header by:

  • Adding your full name at the top of the header.
  • Add a photo to your resume if you are applying for jobs outside of the US. For applying to jobs within the US, avoid adding photo to your resume header.
  • Add your current Case Management position to the header to show relevance.
  • Add your current city, your phone number and a professional email address.
  • Finally, add a link to your portfolio to the Registered Nurse Case Manager resume header. If there’s no portfolio link to add, consider adding a link to your LinkedIn profile instead.
  • Bad Registered Nurse Case Manager Resume Example - Header Section

Lisa 9 W. Wakehurst St. Mount Vernon, NY 10550 Marital Status: Married, email: [email protected]

  • Good Registered Nurse Case Manager Resume Example - Header Section

Lisa Stanton, Mount Vernon, NY, Phone number: +1-555-555-5555, Link: linkedin/in/johndoe

Make sure to add a professional looking email address while writing your resume header. Let’s assume your name is John Doe - here is a formula you can use to create email addresses:

For a Registered Nurse Case Manager email, we recommend you either go with a custom domain name ( [email protected] ) or select a very reputed email provider (Gmail or Outlook).

How to Write a Professional Registered Nurse Case Manager Resume Summary?

Use this template to write the best Registered Nurse Case Manager resume summary: Registered Nurse Case Manager with [number of years] experience of [top 2-3 skills]. Achieved [top achievement]. Expert at [X], [Y] and [Z].

How to Write a Registered Nurse Case Manager Resume Experience Section?

Here’s how you can write a job winning Registered Nurse Case Manager resume experience section:

  • Write your Registered Nurse Case Manager work experience in a reverse chronological order.
  • Use bullets instead of paragraphs to explain your Registered Nurse Case Manager work experience.
  • While describing your work experience focus on highlighting what you did and the impact you made (you can use numbers to describe your success as a Registered Nurse Case Manager).
  • Use action verbs in your bullet points.

Registered Nurse Case Manager/Charge Nurse Resume Example

Registered Nurse Case Manager/Charge Nurse

  • Aided in patient examination and assessment for appropriate treatment and services.
  • Offered counseling and emotional support to alleviate patient anxiety.
  • Maintained detailed records of treatment scheduling and patient condition changes.
  • Inspected and ensured proper operation of dialysis equipment, reporting any issues to the relevant personnel.

Registered Nurse Case Manager Resume Example

Registered Nurse Case Manager

  • Oversaw a caseload of 15-20 terminal patients.
  • Offered support, education, and resources to patients and their families.
  • Managed symptoms using both pharmaceutical and non-pharmaceutical methods.
  • Administered nursing care for crisis, urgent, and end-of-life situations.
  • Kept the physician and APRN informed about patients' current status and condition changes.
  • Evaluate members' medical and psychosocial requirements to create a care plan.
  • Coordinate care, recognize needs, make referrals when necessary, assess benefits and resources, and collaborate with the healthcare team.
  • Examine pertinent Standards of Care, action plans, and potential behavior change opportunities.
  • Offered a welcoming introduction to Instacare services for new clients.
  • Conducted clinical admission intake assessments.
  • Conducted routine in-home health assessments and supervised Certified Home Health Aides in compliance with CHAP accreditation standards.
  • Maintained client satisfaction through consistent, proactive communication with clients, their families, and medical team members.
  • Assessed healthcare needs, treatment goals, and available resources for each patient to facilitate optimal care connections.
  • Engaged in patient-centered care planning, offering guidance to patients and caregivers while addressing inquiries and issues.
  • Utilized McKesson and Cerner resources to manage discharge planning data.
  • Ongoing assessment of patients and resources for comprehensive post-acute care management.

Registered Nurse Case Manager (RNCM) Resume Example

Registered Nurse Case Manager (RNCM)

  • Maintained professional licensure and oversaw the competency development of subordinate team members.
  • Documented and communicated vital clinical indicators, laboratory requests, and progress notes between partner providers and attending physicians.
  • Served as the main point of contact for wellness consultations and case management.

Top Registered Nurse Case Manager Resume Skills for 2023

  • Patient Assessment and Care Planning
  • Care Coordination and Case Management
  • Electronic Health Record (EHR) Usage
  • Healthcare Documentation
  • Disease Management
  • Medication Management
  • Pain Management
  • Patient Education and Counseling
  • Interdisciplinary Team Collaboration
  • Palliative Care
  • End-of-Life Care
  • Home Health Care
  • Health Assessment Tools and Guidelines
  • Care Plan Development
  • Quality Assurance and Improvement
  • Health Insurance Navigation
  • Medicare and Medicaid Knowledge
  • Regulatory Compliance (e.g., HIPAA)
  • Patient Advocacy
  • Infection Control Practices
  • Wound Care and Dressing Changes
  • Discharge Planning
  • Geriatric Nursing
  • Pediatric Nursing (if applicable)
  • Maternal and Newborn Nursing (if applicable)
  • Mental Health Assessment (if applicable)
  • Case Management Software (e.g., CaseWare)
  • Community Resources Knowledge
  • Continuous Learning in Nursing Practices
  • Cultural Competence in Healthcare
  • Patient Safety Protocols
  • Rehabilitation Services Coordination (if applicable)
  • Rehabilitation Therapy Knowledge (e.g., PT, OT)
  • Substance Abuse Treatment Coordination (if applicable)
  • Crisis Intervention (if applicable)
  • Medical Equipment Management
  • Telehealth Nursing (if applicable)
  • Healthcare Disparities Awareness
  • Health Education Program Development
  • Risk Assessment and Mitigation
  • Patient Progress Evaluation
  • Continuous Care Planning
  • Interagency Coordination
  • Home Health Software (if applicable)
  • Health Assessment Documentation
  • Public Health Knowledge (if applicable)
  • Health Promotion and Disease Prevention
  • Patient and Family Support
  • Case Management Reporting
  • Healthcare Policy Knowledge

How Long Should my Registered Nurse Case Manager Resume be?

Your Registered Nurse Case Manager resume length should be less than one or two pages maximum. Unless you have more than 25 years of experience, any resume that’s more than two pages would appear to be too long and risk getting rejected.

On an average, for Registered Nurse Case Manager, we see most resumes have a length of 2. And, that’s why we advise you to keep the resume length appropriate to not get rejected.

Frequently Asked Questions (FAQs) for Registered Nurse Case Manager Resume

What does a Registered Nurse Case Manager do?

  • A Registered Nurse Case Manager is responsible for coordinating healthcare services and resources for patients with complex medical needs. They assess patient needs, develop care plans, coordinate with healthcare providers, monitor patient progress, and advocate for optimal outcomes.

What qualifications are important for a Registered Nurse Case Manager position?

  • Qualifications typically include a bachelor's degree in nursing (BSN) and a registered nurse (RN) license. Additional certifications in case management or relevant specialties may be preferred. Strong clinical skills, communication abilities, critical thinking, and knowledge of healthcare regulations are essential.

What kind of experience should a Registered Nurse Case Manager highlight on their resume?

  • Experience in nursing, particularly in care coordination, case management, or a related field, is crucial for a Registered Nurse Case Manager. Highlighting proficiency in assessing patient needs, developing care plans, coordinating interdisciplinary care teams, and documenting patient progress can demonstrate relevant experience.

How important is it for a Registered Nurse Case Manager to demonstrate knowledge of healthcare regulations on their resume?

  • Knowledge of healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and Medicare guidelines, is important for a Registered Nurse Case Manager. Highlighting experience in ensuring compliance with these regulations and advocating for patient rights can demonstrate the Manager's understanding of legal requirements.

Should a Registered Nurse Case Manager include their experience with care coordination software on their resume?

  • Yes, mentioning experience with care coordination software, electronic health records (EHR), or case management systems is important for a Registered Nurse Case Manager. This demonstrates the Manager's ability to effectively document patient information, track care plans, and communicate with healthcare team members.

What soft skills are important for a Registered Nurse Case Manager to highlight on their resume?

  • Soft skills such as communication, empathy, collaboration, problem-solving, and time management are crucial for a Registered Nurse Case Manager. These skills contribute to effectively coordinating patient care, advocating for patient needs, and facilitating interdisciplinary teamwork.

Is it necessary for a Registered Nurse Case Manager to mention their experience with patient education on their resume?

  • Yes, mentioning experience with patient education, including providing health education, teaching self-care techniques, and promoting patient empowerment, is important for a Registered Nurse Case Manager. This demonstrates the Manager's role in supporting patient autonomy and improving health outcomes.

How should a Registered Nurse Case Manager tailor their resume for different healthcare settings (e.g., hospitals, home health agencies, insurance companies)?

  • A Registered Nurse Case Manager should highlight experience and skills relevant to the specific healthcare settings they have worked in, whether it's hospitals, home health agencies, insurance companies, or other settings. Emphasizing familiarity with setting-specific care delivery models, patient populations, and regulatory requirements can be beneficial.

Should a Registered Nurse Case Manager include their educational background on their resume?

  • Yes, including educational background such as degrees, certifications, or relevant coursework related to nursing, case management, or healthcare administration is important for a Registered Nurse Case Manager. This provides credibility and demonstrates the foundational knowledge necessary for the role.

How can a Registered Nurse Case Manager make their resume visually appealing and easy to read?

  • Utilizing clear headings, bullet points to highlight key skills and experiences, and a professional layout are important aspects of resume formatting. Additionally, including specific examples of successful case management outcomes, any relevant certifications or awards, or extracurricular involvement can enhance the overall presentation of the resume.

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Nurse Case Manager resume examples for 2024

A nurse case manager resume should highlight a balance between clinical skills and soft skills like communication, empathy, and self-care. As Dean and Professor Wendy Robb Ph.D. at Cedar Crest College's School of Nursing points out, "Nurses need to protect themselves and their long-term mental health. Investment in self is one way to demonstrate self-care." She recommends including hobbies, extracurricular interests, volunteering, and service activities to demonstrate this balance.

Resume

Nurse Case Manager resume example

How to format your nurse case manager resume:.

  • The job title on your resume should match your application for the role.
  • Ensure your work experience focuses on achievements, rather than responsibilities.
  • Recruiters and hiring managers suggest fitting your resume on one page.

Choose from 10+ customizable nurse case manager resume templates

Choose from a variety of easy-to-use nurse case manager resume templates and get expert advice from Zippia’s AI resume writer along the way. Using pre-approved templates, you can rest assured that the structure and format of your nurse case manager resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

Nurse Case Manager Resume

Nurse Case Manager resume format and sections

1. add contact information to your nurse case manager resume.

Nurse Case Manager Resume Contact Information Example # 1

Dhruv Johnson

[email protected] | 333-111-2222 | www.linkedin.com/in/dhruv-johnson

2. Add relevant education to your nurse case manager resume

Your resume's education section should include:

  • The name of your school
  • The date you graduated ( Month, Year or Year are both appropriate)
  • The name of your degree

If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination.

Optional subsections for your education section include:

  • Academic awards (Dean's List, Latin honors, etc. )
  • GPA (if you're a recent graduate and your GPA was 3.5+)
  • Extra certifications
  • Academic projects (thesis, dissertation, etc. )

Other tips to consider when writing your education section include:

  • If you're a recent graduate, you might opt to place your education section above your experience section
  • The more work experience you get, the shorter your education section should be
  • List your education in reverse chronological order, with your most recent and high-ranking degrees first
  • If you haven't graduated yet, you can include "Expected graduation date" to the entry for that school

Check More About Nurse Case Manager Education

Nurse Case Manager Resume Relevant Education Example # 1

Associate's Degree In Nursing 1984 - 1986

University of Cincinnati Cincinnati, OH

Nurse Case Manager Resume Relevant Education Example # 2

Bachelor's Degree In Nursing 2006 - 2009

Excelsior College Albany, NY

3. Next, create a nurse case manager skills section on your resume

Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills. If you haven't started your job search yet, you can look over resumes to get an idea of what skills are the most important.

Here are some tips to keep in mind when writing your resume's skills section:

  • Include 6-12 skills, in bullet point form
  • List mostly hard skills ; soft skills are hard to test
  • Emphasize the skills that are most important for the job

Hard skills are generally more important to hiring managers because they relate to on-the-job knowledge and specific experience with a certain technology or process.

Soft skills are also valuable, as they're highly transferable and make you a great person to work alongside, but they're impossible to prove on a resume.

Example of skills to include on an nurse case manager resume

Diabetes refers to a disease of uncontrolled sugar levels in the body.

ICU means intensive care units. It also has a name known as the critical care unit or intensive therapy unit. The ICU handles patients experiencing acute diseases or severe injuries that need specialized treatment procedures by specific professionals.

Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.

Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.

Top Skills for a Nurse Case Manager

  • Care Management , 25.2%
  • Discharge Planning , 17.0%
  • Patients , 10.6%
  • Home Health , 7.7%
  • Other Skills , 39.5%

4. List your nurse case manager experience

The most important part of any resume for a nurse case manager is the experience section. Recruiters and hiring managers expect to see your experience listed in reverse chronological order, meaning that you should begin with your most recent experience and then work backwards.

Don't just list your job duties below each job entry. Instead, make sure most of your bullet points discuss impressive achievements from your past positions. Whenever you can, use numbers to contextualize your accomplishments for the hiring manager reading your resume.

It's okay if you can't include exact percentages or dollar figures. There's a big difference even between saying "Managed a team of nurse case managers" and "Managed a team of 6 nurse case managers over a 9-month project. "

Most importantly, make sure that the experience you include is relevant to the job you're applying for. Use the job description to ensure that each bullet point on your resume is appropriate and helpful.

  • Assisted congregation with purchase of AED and provided CPR and AED training.
  • Maintained confidentiality of all information and complied with HIPAA regulations Conducted Wound Care procedures as prescribed.
  • Completed Medicaid/Medicare paper work Provided supervision to CNA's and LPN's
  • Cared for the acutely ill monitoring Vents, drips, and administered medications per order.
  • Obtained certifications in ACLS, PALS, ATLS, MICN, TNS and CEN.
  • Managed key benefits issues by serving as primary liaison between Walgreen Co. and HMO/Insured Plans.
  • Maximized sales/profitability by maintaining proper inventory controls, facilitating inventory transactions and maintaining compliance standards for shrink control.
  • Processed manually and via computer, the data necessary to initiate accurate payroll and billing processes.
  • Maintained communication between team members and families.
  • Maintained and met all DPH, CMS, and Joint Commission standards
  • Provided 1:4 Newborn Care, Postpartum, Breast and Bottle feeding classes in each room.
  • Rendered pre/ post operative care for hysterectomy, myomectomy, GU issues and other GYN procedures.
  • Recovered vaginal and cesarean postpartum patients and newborns.
  • Provided complex wound care therapy to patients with radiation burns.
  • Maintained individualized student health files including disease care processes for asthma, seizures and various food and environmental allergies.
  • Floated between Post Trauma and Hematology/Oncology Units/Palliative Care.
  • Determined patients need and eligibility for hospice services.
  • Delegated care to nursing assistants (NAs) through ongoing communication.
  • Provided medical support through telephone triage to Kaiser's 850,000 Mid-Atlantic patients utilizing an extensive medical protocol computerized database.
  • Delivered pediatric primary care to uninsured and Medicaid patients in a community clinic setting

5. Highlight nurse case manager certifications on your resume

Specific nurse case manager certifications can be a powerful tool to show employers you've developed the appropriate skills.

If you have any of these certifications, make sure to put them on your nurse case manager resume:

  • Certified Case Manager (ACM)
  • Certified Nurse Assistant (CNA)
  • Basic Life Support (BLS)
  • Legal Nurse Consultant Certified (LNCC)
  • Medical Assistant
  • Certified Manager Certification (CM)
  • Certified Hospice and Palliative Nurse (CHPN)
  • Trauma Nursing Core Course (TNCC)
  • Medical-Surgical Nursing (RN-BC)
  • Certified in Executive Nursing Practice (CENP)

6. Finally, add an nurse case manager resume summary or objective statement

A resume summary statement consists of 1-3 sentences at the top of your nurse case manager resume that quickly summarizes who you are and what you have to offer. The summary statement should include your job title, years of experience (if it's 3+), and an impressive accomplishment, if you have space for it.

Remember to emphasize skills and experiences that feature in the job description.

Common nurse case manager resume skills

  • Care Management
  • Discharge Planning
  • Home Health
  • Rehabilitation
  • Medical Care
  • Social Work
  • Excellent Interpersonal
  • Excellent Organizational
  • Utilization Review
  • Community Resources
  • Care Coordination
  • Utilization Management
  • Quality Care
  • Health Care Services
  • Patient Education
  • Mental Health
  • Disease Management
  • Primary Care
  • Foster Care
  • Medical Necessity
  • Disease Process
  • Medical Treatment
  • Patient Care
  • Hospice Care
  • Medication Administration
  • Durable Medical Equipment
  • Medical Services
  • Physical Therapy
  • Health Education
  • Senior Care
  • Symptom Management
  • Proactive Planning
  • Concurrent Review
  • Medication Management
  • Physician Orders
  • Palliative Care
  • Community Agencies
  • Direct Patient Care

Nurse Case Manager Jobs

Links to help optimize your nurse case manager resume.

  • How To Write A Resume
  • List Of Skills For Your Resume
  • How To Write A Resume Summary Statement
  • Action Words For Your Resume
  • How To List References On Your Resume

Nurse Case Manager resume FAQs

How do you list case management on a resume, how would you describe nurse case manager skills on a resume, what are the responsibilities of a nurse case manager, search for nurse case manager jobs.

Updated June 25, 2024

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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sample resume for rn case manager

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5 Case Manager Resume Examples That Worked in 2024

Stephen Greet

Case Management

Case Management

Best for senior and mid-level candidates

There’s plenty of room in our elegant resume template to add your professional experience while impressing recruiters with a sleek design.

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Case Management Resume

  • Case Manager Resume by Experience
  • Case Manager Resumes by Role
  • Write Your Case Management Resume

You are the compass that guides individuals through complex challenges, providing vital support and resources. Your expertise in understanding clients’ needs enables you to create tailored plans, ensuring their well-being and progress.

You deal with diverse situations, from mental health issues to social concerns so your job demands excellent adaptability and empathy skills. Crafting a resume that demonstrates such abstract skills is no easy task, though.

But fear not! Our case manager resume examples are here to assist, just as you assist others. Just select a resume template , follow our resume tips and you’ll have a professional yet personable resume that will get you the jobs you want.

or download as PDF

Case management resume example with 4 years of experience

Why this resume works

  • Be reminded to include soft skills such as communication, time management, and organization in your case management resume.

Entry Level Case Manager Resume

Entry Level case manager resume example with social work experience

  • Don’t sleep on the smallest initiative you’ve been a part of, even if it’s helping local homeless people get shelter or medical aid. Next, use your career objective to highlight how this experience has prepared you to take on this role in your entry level case manager resume.

Mental Health Case Manager  Resume

Mental health case manager resume example with 9 years of experience

  • Mental health is not everyone’s cup of tea, and you can prove that you’re more than certified for the role by adding a Certified Case Manager (CCM) certificate. Also, try pulling out past experiences where you’ve worked to improve the mental health of patients.

Nurse Case Manager Resume

Nurse case manager resume example with 6+ years of experience

  • Ensure your nurse case manager resume underscores the ability to work with interdisciplinary teams, manage time effectively, and support proper communication with patients, family, and other caregivers.

RN Case Manager  Resume

RN case manager resume example with 4 years of experience

  • Mentioning your RN-BC and quantifying your achievements in case management, improving outcomes, and streamlining processes will set your RN case manager resume apart.

Related resume examples

  • Social Worker

Adjust Your Case Manager Resume to Perfection

Job seeker stands with hands in air, questioning how to fill out job materials

Your case manager resume should showcase the skills most relevant to the role while aligning with the specific job requirements. Tailor your skills section to highlight what sets you apart as a capable case manager. Try your best to avoid vague terms and focus on concrete abilities. 

Case management involves a mix of technical and interpersonal aspects, so include both hard and soft skills . Highlight technical proficiencies like client management software, data analysis tools, and relevant industry regulation.  

For soft skills , choose abilities you can later demonstrate in your work experience, such as conflict resolution and crisis intervention. If you’re going for a leadership role, you should also emphasize team management and decision-making skills. 

Want some ideas?

15 best case manager skills

  • Client Assessment
  • Resource Coordination
  • Interdisciplinary Liaison
  • Crisis Intervention
  • Microsoft Office Suite
  • Cultural Competency 
  • Athenahealth
  • eClinicalWorks
  • MCG Health 

sample resume for rn case manager

Your case manager work experience bullet points

As a case manager, your work involves navigating complex challenges, coordinating resources, and providing critical support to individuals and families. Rather than merely listing routine job duties, focus on highlighting significant achievements and outcomes in your work experience section . 

Demonstrate your impact by quantifying your success with metrics whenever possible. Of course, this doesn’t mean you have to treat your clients like numbers. Just mention things like the number of people you’ve helped on average, the percentage of improved outcomes, or reductions in case resolution time. 

As long as you cover all the core bases of your role, the rest is completely up to you. From streamlining case management processes to increasing client satisfaction, you can mention any kind of accomplishment you’re proud of—just don’t forget to back it up with data.

  • Show the depth of your experience by mentioning the number of clients you’ve worked with over a specific period of time.
  • Quantify the percentage or number of clients who experienced positive changes or achieved goals under your care.
  • Highlight your resource skills by mentioning how many clients successfully accessed and utilized essential social services and resources under your guidance. 
  • If you’ve helped train other case managers, mention the number of sessions, number of participants, or positive feedback rates.

See what we mean?

  • Led process improvement on Qlik, increasing workflow rate by 57%
  • Maintained post-discharge assessments via Amwell that reduced re-hospitalization by 43%
  • Updated over 1,000 records on eClinicalWorks, reducing processing time for returning patients by 62%
  • Increased patient outcomes to 96% through interdisciplinary teamwork

9 active verbs to start your case manager work experience bullet points

  • Coordinated
  • Implemented
  • Facilitated
  • Collaborated 

3 Tips for Crafting a Case Manager Resume With Limited Experience

  • While you may have limited experience, don’t overlook the importance of soft skills . Highlight traits like empathy, active listening, communication, and problem-solving abilities to show that you’re suited to this line of work.
  • If you’re transitioning from a related field, make sure to highlight transferable skills . This could include organizational abilities, data management, teamwork, medical knowledge, and many more. 
  • If you’re a recent graduate, include college courses in your resume. Courses in social work, psychology, public health, or other related fields can demonstrate your theoretical knowledge. You can combine this with any internship or fieldwork you’ve participated in as well. 

3 Tips for Writing an Experienced Case Manager Resume

  • When describing your case management experience, use specific metrics and numbers to showcase your impact. Highlight the number of successful cases managed, the percentage of clients with improved outcomes, or the reduction in turnaround time for client assessments. 
  • Include brief case studies or success stories that illustrate your problem-solving abilities and the positive results you achieved for clients. Describe the challenges you faced, the strategies you implemented, and the ultimate positive outcomes. 
  • If you have experience in a leadership capacity within case management, emphasize your ability to lead and mentor others. Mention instances where you supervised and guided junior case managers or led team projects. Strong leadership skills are valuable in case management, as they show your capability to drive positive change and inspire others to excel in their roles.

An AI cover letter is a great tool because it helps you add a human touch to your focused and concise resume. You can expand on a few points from your resume and talk about your interest in the organization you’re applying to, along with what you can bring to the table in your case manager cover letter . 

Always cover your three most recent jobs on your resume to showcase the most relevant skills and recent examples of your achievements. If you don’t have enough experience yet, you can include school work or internships as well. 

Yes, volunteer work is highly relevant to your case manager resume. If you’re low on experience, you can include it in your work experience section, otherwise, you can briefly mention the charity events or organizations you’ve worked with in a separate section.

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Rn-rn Case Manager Resume Samples

The guide to resume tailoring.

Guide the recruiter to the conclusion that you are the best candidate for the rn-rn case manager job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies, tailor your resume & cover letter with wording that best fits for each job you apply.

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  • Providing patient education to assist with self-management
  • Provide patient education to assist with self-management
  • Providing patient education to assist with self - management
  • Provide patient education to assist with self management
  • Provide patient education to assist with self - management
  • Review clinical information and make recommendations for eligible members to receive a Cardiac assist device
  • Encourage members to make healthy lifestyle changes
  • Registering, educating and supporting the Autism population and their families through telephonic assessment and expert clinical interventions
  • Identifies and coordinates care with community resources as indicated
  • Collaborating with the Primary Care Provider, Specialty Care Provider, Therapists, DME provider and other clinical service providers to enhance the quality and efficiency in healthcare delivery to the Autism population
  • Identifies solutions to military unique, non-standard request and problems
  • Solves moderately complex problems and/ or conducts moderately complex analyses
  • Works with minimal guidance, seeks guidance on only the most complex tasks
  • Translates concepts into practice
  • Coordinates various disciplines and services to improve patient and hospital outcomes. Provides clear communication to eliminate duplication of workload
  • Tracks and trends clinical denial issues. Addresses concerns and provides initiatives to improve the overall denial rate
  • Assists the DCM with leading an effective management process
  • Develops and maintains an effective working relationship with hospital directors, administrative staff, medical staff and external agencies
  • Screens cases for risk management, infection control or quality of care issues and reports as per hospital policy
  • Based on PA/UM Committee determination that admission or continued stay is not medically necessary CM will provide written notification to patient via the Observation Letter and provide a copy in the medical record. Active member of the UM Committee
  • The NCM will ensure there is an admission status order in the medical record. The NCM will ensure the admission status order follows CMS guidelines. Communicate all questions and concerns to the attending physician to provide clarification related to the admission status order
  • This is a telecommute, work from home position
  • Making outbound calls to assess members' current health status
  • Identifying gaps or barriers in treatment plans
  • Interacting with Medical Directors on challenging cases
  • Coordinating care for members
  • Making referrals to outside sources
  • Educating members on disease processes
  • Encouraging members to make healthy lifestyle changes
  • Documenting and tracking findings

13 Rn-rn Case Manager resume templates

Rn-rn Case Manager Resume Sample

Read our complete resume writing guides

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  • MD office practice or hospital experience
  • Problem solving skills - ability to address and resolve clinical and social issues with members, members’ family/care giver and healthcare providers
  • Knowledge of the health insurance industry
  • Proficiency with Microsoft programs and a strong computer acumen
  • Certified Case Manager

RN Telephonic Case Manager, Advanced Illness Resume Examples & Samples

  • 3+ years clinical experience in a hospital, acute care, home health/hospice, direct care and/or case management
  • Primary consideration will go to home care and/or hospice experience
  • Must live within a commutable distance of either our Greensboro, NC or Maryland Heights, MO office locations
  • Home care/Hospice case management

RN Telephonic Case Manager, Aarp, Telecommute Resume Examples & Samples

  • *Candidates must be willing to work until 6:00pm Central Time for this position. This is a telecommute, work from home position***
  • Must live within a commutable distance of office Maryland Heights, MO (50 minutes or 50 miles)
  • Ability to perform in a fast paced, high demand environment
  • Experience with chronic diseases / chronically ill patients
  • AARP experience

RN Telephonic Case Manager Resume Examples & Samples

  • Active, unrestricted RN license in your state of residence
  • 2+ years of experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager for an insurance company
  • Experience with discharge planning
  • RN license in a compact RN license state

Tricare RN Disease Case Manager Resume Examples & Samples

  • Current, unrestricted RN license in the state of AZ
  • 2+ years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
  • Telephonic experience, i.e. phone triage, crisis line, disease management, case management
  • United States Citizenship
  • Previous experience with Diabetes, COPD, Asthma, or Heart Failure

Case Manager, Disease Management Program RN Resume Examples & Samples

  • 3-5 years of direct patient care or patient education in an inpatient, outpatient, ambulatory or home health setting
  • Hospital or ambulatory case management or disease management
  • Team leadership in a clinical nursing environment
  • Proficiency and clinical work within the areas of cardiac telemetry, treatment of arrhythmias Previous ICU experience a plus
  • Strong familiarity with the etiology and current therapeutic modalities in the areas of cardiac, pulmonary and diabetic care
  • Experience with electronic health records and computerized patient care systems – Epic experience desirable
  • Previous clinical experience in more than one level of care, i.e.: Intensive Care, Med-Surg, ED, Home Health, etc., strongly preferred
  • Previous case management experience is preferred
  • Experience using InterQual is strongly preferred
  • Broad acute clinical background (experience in more than one population and level of care) strongly preferred
  • General knowledge of illnesses, current treatments and their physical and psychosocial sequelae
  • Specific knowledge in the areas of cardiac diseases, COPD, congestive heart failure, diabetes, asthma, hyperlipidemia and hypertension
  • Applicable laws and regulations regarding government and commercial insurance benefits including basic knowledge of governmental (Medicare, Medi-Cal, etc.) healthcare reimbursement systems is required, as well as advanced knowledge of healthcare reimbursement systems: HMO, PPO, Capitated agreements, PPS, etc., is preferred
  • General knowledge of coding and DRG assignment process is preferred
  • Motivational Interviewing or Shared Decision Making techniques
  • Available health care and community resources appropriate for populations served
  • Individual and family development over the life span and the influence of cultural and spiritual values in health care
  • Data collection techniques and methods of analyzing and reporting data
  • Ability to use clinical knowledge to identify potential quality of care issues, delays in service, and post-acute care needs required
  • Intermediate level computer skills are required
  • Must be able to effectively communicate with, and promote cooperation between, multiple people including: patients and their families; physicians, nurses, social workers, etc
  • Ability to work independently with a minimum of direction, anticipate and organize workflow, prioritize and follow through on responsibilities
  • Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs
  • Interpersonal relationship development, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills
  • Leadership skills to delegate provide direction/guidance to staff and hold others accountable
  • Strong clinical assessment and critical thinking skills necessary to provide care-planning and medication adjustments based on algorithms appropriate to patients with complex medical, emotional and social needs
  • Strong attention to detail and accuracy
  • Must have the ability to work in a high-volume caseload environment and deal effectively with rapidly changing priorities
  • A demonstrated ability to work constructively with a broad spectrum of health care professionals
  • Assertive and creative in problem solving, system planning and management
  • Advanced computer skills are required. Ability to work with databases, Microsoft Suite and EPIC
  • Must have the ability to create and communicate clearly via written and oral communication using SBAR
  • Active RN license in the state of TX with no restrictions
  • Reside in the state of TX
  • Minumum 3 years adult acute care setting
  • Experience in case or disease management, adult discharge planning or transitional care knowledge
  • History of meeting or exceeding productivity metrics

Case Manager Inpatient RN Resume Examples & Samples

  • Identifies potential TPL/COB cases, investigate TPL/COB issues and notify the appropriate internal departments
  • Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines and benefit plans to complete reviews and determinations within required turnaround times and regulatory requirements
  • Must have and maintain active, valid and unrestricted Registered Nurse License for the state in which you practice
  • Demonstrated ability for assessment, evaluation and interpretation of medical information, and care planning
  • Team player who builds effective working relationships

Case Manager Utilization RN Resume Examples & Samples

  • Collaborates with physicians, other members of the multidisciplinary health care team & patient/family in the development, implementation & documentation of appropriate, individualized plans of care to ensure continuity, quality & appropriate resource use
  • Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient & non-KFH facilities
  • Two (2) years clinical experience as an RN in an acute care setting required

Case Manager OHS, RN Resume Examples & Samples

  • Assures that all OHS patients are case managed by: identifying the required level of case management and overseeing the deployment of the appropriate level of staff necessary to deliver service to the required level of management; development and implementation of an individualized case management plan and documentation of clinical resolution of care
  • Manages all patients who have complex or catastrophic injuries by: monitoring and evaluating the treatment plan and identifying variances to the treating physician; assuring that the patient has access to care and moves through the OHS in an efficacious manner; monitoring, evaluating the achievement of patients' progress through comparison, guidelines and treatment plan and performing work site assessments when necessary
  • Participates in the OHS Quality Management program by: data collection and analysis of clinical outcomes of care and customer satisfaction standards; participation on the OHS Practice Team in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service
  • Acts as a medical liaison between employers, carriers and third party administrators and injured workers by: communicating frequently (as indicated by the customers' standards) with employers, carriers, TPA's concerning work restrictions, treatment plans and progress, issues and problems and focusing on continually improving service and relationship
  • Acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her injury and the patient is educated/empowered to be responsible for participating in the plan of care
  • Participates as an OHS Management team member in decision making and execution of strategies to achieve the predetermined cost, quality, and service outcomes
  • Minimum two (2) years of experience as a case manager in Occupational Medicine or related area including knowledge of workers' compensation and laws
  • Bachelor's degree in nursing or healthcare related field (preferred) OR current equivalent related work experience (4) four years
  • Certified Occupational Health Nurse, preferred

Case Manager Spec RN PD Resume Examples & Samples

  • Participates in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service
  • Cancer Program:Two (2) years clinical experience in Oncology
  • Cancer Program: Two (2) years experience in Ambulatory Oncology preferred

Case Manager Outside Utilization Rn-pd Resume Examples & Samples

  • Minimum two (2) years of clinical experience as an RN in Acute Care or case management required
  • Recent inpatient nursing experience
  • Specifically daily management of caseload
  • Fluent in negotiating electronic health record (i.e., Health Connect), Access and Excel databases, and email skills
  • Ability to function independently and as a member of an interdisciplinary team
  • Recent SNP and PD call experience strongly preferred
  • BSN or higher preferred
  • Two plus (2+) years of leadership experience preferred (Charge Nurse, Clinical Supervisor, etc.)
  • Case Management certification highly preferred
  • Superior communication skills required

Case Manager Lead-must be an RN Resume Examples & Samples

  • Assists the Director of Case Management (DCM) with daily operational needs within the CM department
  • Provides UM activity on complex cases as requested, complex insurance needs
  • Works in collaboration with the Revenue Cycle Team to decrease clinical denials
  • Addresses issues and concerns and if needed will respond as intermediary to third party payors and the case managers
  • Coordinates the integration of CM services required for patient care throughout each level of care required (ICU, Telemetry, GMF) using screening criteria to promote optimal use of healthcare resources through discharge
  • The NCM using screening admission and concurrent criteria (InterQual) will
  • Document the admission status order and contacts the attending physician with any questions or concerns
  • Document the patient’s plan of care in Midas as per department policy
  • Identify the patient’s insurance coverage or other source of payment for services
  • Identify and addresses as appropriate the patient’s risk factors or obstacles to care
  • Provides insurace updates as per department policy to the insurace companies
  • Follows payor authorization process for admission and continued stay review established by the payor
  • Screens for discharge planning needs and coordinates the transition of care with Social Services in collaboration with the attending physician and other members of the multidisciplinary team
  • Performs admission, concurrent and discharge reviews, using approved UM criteria and secondary physician advisors as needed to screen admission and continued stay reviews for medical necessity. The reviews will be completed in accordance of department policy
  • Contacts the attending physician to discuss any plans of care, questions and/or barriers
  • Will refer all questionable cases to the internal physician advisor for guidance related to medical necessity and communicates results to the attending physician as needed
  • Communicates and provides updated clinical to insurance companies and other third party payors as per department policy
  • Documents the authorization/certification in Midas/MS4 as per department policy
  • Will facilitate physician to physician communication regarding adverse insurance determinations or to external utilization review organizations
  • Facilitates communication and coordination among stakeholders involving the patient in the decision-making process on order to minimize fragmentation of care
  • Enhances professional growth and development through participation in educational programs, reading current literature and attending inservice meetings and workshops that are related to assigned areas of responsibility
  • Integrates Westlake Hospital service standards and values into daily work decisions and actions. Exhibits behavior supportive of the service standards and Culture of Excellence
  • Performs job functions considering the age-specific needs of the patient population served
  • Participates in departmental and unit-based meetings, problem solving, goal setting, development of productivity standards, performance improvement projects, writing policies and procedures, managing resources cost-effectively, educating, evaluating and record keeping
  • Holds self and others accountable for meeting patient service standards by anticipating service needs and proactively resolving issues
  • Performs all activities in a safe manner, according to WSMC guidelines and policy
  • Participates in quality improvement initiatives as assigned
  • Participates on hospital committees relative to areas of practice as assigned
  • Educates patient and all stakeholders on treatment options, community resources, insurance so timey decisions can be made
  • Encourages appropriate use of healthcare services while striving to improve quality of care through patient throughput and maintaining cost effectiveness of cases
  • Assists patients in safe transitions of care to the next most appropriate level
  • Organizes and attends the weekly outlier meeting, TEMPO, Patient Care Conferences, as well as other meetings as appropriate to advocate for the patient regarding transitions of care, post-acute options and community resources
  • Oversees compilation of data, data entry of information into computer database, computation of statistics and analysis of data for institutional and physician pattern/variation
  • Utilizes data to identify patterns with trends that will positively impact WSMC excess days through quality initiatives to improve overall patient throughput

Case Manager Utilization RN, Palomar, PD Resume Examples & Samples

  • Recommends alternative levels of care and ensures compliance with federal, state and local requirements
  • Reviews, monitors, evaluates and coordinates the patient's hospital stay to assure that all appropriate and essential services are delivered timely and efficiently
  • Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness
  • Visit with Medicare members on the phone
  • Provide a complete continuum of quality care through close communication with members via on-phone interaction
  • Willingness to obtain CCM designation within two years of being hired, if not a credential already held
  • Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Access to high speed internet from home (broadband cable or DSL)
  • Dedicated workspace from home
  • Home care or Hospice case management
  • Bilingual skills

Tricare RN Autism Case Manager Resume Examples & Samples

  • Evaluating health care needs that qualify for the Autism benefit and arranging for services and supplies to support the beneficiary’s condition
  • Document all clinical information in accordance with United Healthcare Military & Veterans policies and procedures in the member's electronic medical record
  • Assess and interprets the Autism population’s health care needs, gaps and requirements and provides referral to other Military and Veteran Case Management programs as indicated
  • Provides assessment, coaching, teaching and referral to the Autism population’s family members and caregivers as required
  • Develops benefit focused care plan in collaboration with family, other Case Managers, Primary Care Provider, Specialty Providers, other service providers as needed to assure Autism benefit managed according to DoD guidance
  • Collaborates with specialists, physicians and medical directors to provide the necessary care and cost efficient care for the beneficiary and family
  • Assesses the effectiveness and quality of services provided related to clinical, functional and outcomes
  • Coordinates authorizations of services as needed
  • Unrestricted RN license
  • 2+ years of experience in a clinical setting
  • Intermediate level of skills with Microsoft Word & Excel and has computer / technical aptitude
  • Approved Case Management certification
  • Interact with Medical Directors on challenging cases
  • Coordinate care for members
  • Educate members on transplant processes
  • Ability to speak, read and write Spanish fluently
  • Proven proficiency utilizing Microsoft Word, with the ability to navigate a Windows environment, Excel (trainable) and Outlook
  • Previous organ and/or bone marrow transplant experience
  • Residence in Pacific or Mountain Time Zones

RN, Depression Case Manager Resume Examples & Samples

  • Minimum three (3) years of mental health experience
  • Minimum two (2) years of experience in case management, care coordination, or population care
  • Experience with managing medications per protocol, especially SSRIs
  • Background in Disease Management and/or Case Management

RN, Regional Case Manager Resume Examples & Samples

  • Minimum three (3) years of experience in the behavioral health field, working with populations impacted by mental illness, inpatient/intensive outpatient psychiatric treatment, dual diagnosis and/or addiction medicine
  • Minimum five (5) years of experience working with dual diagnosis populations; members who have chronic medical conditions AND mental illness, including Axis II disorders
  • Minimum one (1) year of experience providing Case Management or Care Coordination, focusing on appropriate Emergency Department utilization
  • Microsoft Word, Excel, and Health Connect experience

RN Continuum Case Manager Resume Examples & Samples

  • Recent Continuum care experience is required, two of the last five years preferred Substantial
  • Recent experience in utilization review and/or Ambulatory in an acute care setting is strongly preferred Broad clinical background strongly preferred
  • Must have the abilities to work independently with a minimum of direction, anticipate and organize workflow, prioritize and follow through on responsibilities
  • Leadership skills to delegate provide direction/guidance to staff and hold others accountable are required
  • Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/ Continuum services appropriate to patients with complex medical, emotional and social needs
  • Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities
  • Must have the ability to complete thorough, accurate and timely cost/benefits analyses and draft processes/policies
  • Must be effective both as a team member and leader

RN Telephonic Case Manager Kidney Resource Services Resume Examples & Samples

  • *The schedule for this position includes some evening hours where you will be expected to work until approximately 8pm, based on member availability. For example: 11am-8pm OR a split shift 8am-2pm and then 5pm-8pm***
  • Coordinating care for members and services as needed (home health, DME, etc.)
  • Making "welcome home" calls to ensure that discharged member receive the necessary services and resources
  • Computer proficiency utilizing MS Office (Word, Excel, PowerPoint and Outlook), including the ability to type and talk at the same time while navigating a Windows environment
  • Attention to detail, organizational skills and multitasking abilities
  • Chronic Kidney disease experience

Case Manager Utilization Rn-pd Resume Examples & Samples

  • Critical Care experience strongly preferred (ED, ICU, etc.)
  • Nursing Leadership experience strongly preferred (i.e. Charge RN and/or supervisory experience)
  • Masters degree preferred

RN Telephonic Case Manager Kidney Resource Service Resume Examples & Samples

  • Diabetic educator experience
  • Renal or Dialysis Care experience
  • Telephonic case management experience
  • Bilingual Skills (fluency in Spanish, Mandarin, Chinese, etc.)

RN Audits & Denials Case Manager Resume Examples & Samples

  • Serves as liaison and point of contact for audits, clinical denials, and appeal inquiries
  • Continually stretches oneself and expands comfort zone, not only for personal development but also for the betterment of the department in cross-training of employees
  • Enters required canned text in MEDITECH from the: (a) point of assignment for clinical review by PFS, (b) appeal process, and (c) clinical review completion resulting with final appeal outcome
  • Proactively shares knowledge, processes, and procedures within the team in the cross-training effort
  • Maintains current knowledge base for regulations and appeal timeframes: state, federal, and commercial payors
  • Communicates with multiple levels, in and out, of the organization (e.g. managers, physicians, clinical and support staff, and payors) to positively affect clinical and financial outcomes, in a courteous manner
  • Identifies and resolves difficulties in a timely manner or brings them to the attention of management, gathers and analyzes information skillfully and efficiently, develops alternative solutions, and uses reason even when dealing with emotional topics
  • Demonstrates accuracy and thoroughness, is highly detail-oriented, looks for ways to improve and promote quality, applies feedback to improve performance, and monitors own work to ensure excellence
  • Conveys issues and barriers to manager for resolution
  • Informs release of information vendor about missing or insufficient medical record documentation
  • Performs clinical quality check on medical records for completion prior to submission to audit contractor/payor
  • Will perform and maintain the standard essential functions of the RN Case Manager related to taking call and working holidays, as needed
  • Proficient in all clinical software systems used to gather, report, and analyze data, as well as all other software applications necessary to carry out job functions
  • Excellent assessment, cognitive, and critical thinking skills a must
  • Ability to make complex decisions, with decisive judgment, and act in situations that are moderately to extremely difficult
  • Familiarity with hospital billing and reimbursement, including but not limited to Claim Adjustment Reason Codes, Remittance Advice Remark Codes, Revenue Codes, Medicare Code 44-inpatient to outpatient, billable outpatient in a bed services; Medicare traditional IPPS 2 Midnight Rule as it relates to case review requirements and hospital reimbursement for services rendered
  • Excellent verbal and written communication skills, strong listening skills, problem- solving skills, organizational skills, effective time management, ability to set priorities, and the willingness to adapt quickly to changing priorities, if necessary
  • Ability to read, understand and abstract information from handwritten patient medical records
  • Ability to maintain confidentiality according to HIPAA regulations is required
  • BS in Nursing and licensed as Registered Nurse in the State of Texas required
  • Certification as an Accredited Case Manager (ACM) or Certified Case Manager (CCM) or willingness to obtain within two years
  • Significant experience in the healthcare field, including a minimum of three to five years of Utilization Review/Case Management experience in an acute care or managed care setting
  • Two to three years of experience in the denial management process preferred
  • Experience in the application of medical necessity screening criteria tools (MCG and/or InterQual)
  • Monitors/evaluates patient progress and modifies treatment plan as appropriate in collaboration with the Multidisciplinary team
  • Recommended to be present at the inpatient UM staff meetings
  • Minimum two (2) years of clinical experience as an RN in an acute care setting required
  • Caseload will include patients placed at the SNF for skilled and custodial care, and will also include case management and care coordination for patients placed out of area on LOAs
  • Recent inpatient case management or skilled nursing experience preferred
  • Knowledge of Inpt. Quality Management and Continuing Care Quality Management preferred
  • Demonstrated experience in coordinating care for patients across the continuum is preferred. of care is preferred
  • Position will work closely with a paired physician on a daily basis
  • Candidates who are outcome orientated, performance driven, self-motivated with great time management skills who can multi-task is ideal
  • A minimum of 2-3 years inpatient Case Management experience
  • 12-hour variable shifts, primarily in the Emergency Department and Short-Stay Observation Unit
  • House Supervisor experience highly desired
  • Shifts may rotate (evening/night)
  • Evaluating health care needs that qualify for the Autism benefit, and arranging for services and supplies to support the beneficiary’s condition
  • Collaborating with the Primary Care Provider, Specialty Care Provider, Therapists, DME provider, and other clinical service providers to enhance the quality and efficiency in healthcare delivery to the Autism population
  • Assess and interprets the Autism population’s health care needs, gaps, and requirements and provides referral to other Military and Veteran Case Management programs as indicated
  • Assesses the effectiveness and quality of services provided related to clinical, functional, and outcomes
  • Intermediate / proficient level of experience with MS Office applications Word, Outlook, and Excel
  • Must be willing / able to obtain CCM within 2 years of employment
  • Must live within a commutable distance of our Greensboro, NC office location
  • Experience in managed care, case management and / or disease management
  • Triage experience
  • *This employee is required to work the hours of 10:00am to 7:00pm CST***
  • *This is a telecommute, work from home position***
  • Managing the members holistically
  • Active, unrestricted RN licensure in state of Missouri
  • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required (Application fees and filing costs paid for by UHG)
  • Must live within a commutable distance of our Maryland Heights, MO office location (50 minutes or 50 miles)
  • Must be able to work 10:00am to 7:00pm CST
  • Adapts well to frequent change in process
  • Home health/hospice experience
  • Experience working with the Medicare patient population
  • Active, unrestricted RN licensure in state of North Carolina
  • 1+ years of experience working with diabetes patients
  • Must live within a commutable distance of Greensboro, NC office (50 min or 50 miles)
  • 3+ years experience in a hospital, acute care, or direct care setting
  • 1+ years of recent oncology experience in an acute or outpatient setting (infusion, oncology office, etc.)
  • Ability to work until 7:00 p.m. CST 1-2 times/week as needed
  • Ability to obtain multiple state licensure (all fees paid by UHG)
  • Previous Case Management or other managed care experience (utilization review, discharge planning, etc.)
  • OCN (Oncology Certified Nurse)
  • Residence within a commutable distance of one of our office locations
  • 3+ years clinical experience (any setting)
  • Intermediate / proficient level of experience with MS Office applications: Word, Outlook, and Excel
  • Must be willing / able to obtain CCM within 2 years of employment (fees paid for by UHG)
  • Experience in case management, disease management or other managed care setting

RN / Lmsw Case Manager Resume Examples & Samples

  • Completes face-to-face comprehensive assessments of members per regulated timelines
  • Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration
  • 1 year experience working with population who receive waiver services

Case Manager, Ltss-rn / LSW / Lisw Resume Examples & Samples

  • Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members
  • Identifies critical incidents and develops prevention plans to assure member's health and welfare
  • Note for RN's: May have additional duties, such as providing consultation, recommendations and education as appropriate to non-RN case managers; working cases with members who have complex medical conditions and medication regimens; and/or conducting medication reconciliation when needed
  • At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports
  • Active, unrestricted State Nursing license (RN/LVN/LPN) OR Clinical Social Worker license in good standing
  • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation

Case Manager LVN / RN Resume Examples & Samples

  • Collaborates with RN case managers/supervisors as needed or required
  • Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
  • 3-5 years in case management, disease management, managed care or medical or behavioral health settings
  • Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
  • Teamwork skills
  • Detail oriented and highly organized
  • Previous experience with Diabetes, COPD, Asthma or Heart Failure

Case Manager OS Utilis RN Resume Examples & Samples

  • For positions in KP Reconnect & Transitional Care Case Management Program only (substitute first sentence above): Minimum two years clinical experience as an RN in Acute Care or case management required
  • Has excellent service skills consistent with professional Customer Service regarding providing information and services to members, providers, ancillary support, vendors, etc
  • Able to perform appropriate problem resolution, customer follow-up, and escalation to administration as required; while multi-tasking with various responsibilities such as phone activity and data entry

RN Advantage Case Manager Resume Examples & Samples

  • Assessment: Assess all referred “HMO/Advantage” members to determine case management needs by trigger diagnoses, disease management needs, high dollar cost, complex medical conditions or excessive length of stay. Conduct a comprehensive health care plan review that includes member contact and PCP contact. Assess the member's functional status, decision-making ability, and psycho-social needs. Enter identified “Advantage” members into Advantage Case Management with PCP and member consultation
  • Planning: Plan a flexible care plan developed in conjunction with the member, PCP, health care team and other persons involved in the member's management. The plan should address the member’s health care needs identified in the assessment process. Community resources, psycho-social needs and end of life care are included in the plan of care
  • Implementation and Coordination: Coordinate current treatment plans with the PCP and maximize benefits through in-Plan provider utilization. Utilize cost benefit analysis. Ensure communication of goals with all health care team members. Coordinate psychological care with in-Plan providers and with Behavioral Health Case Management Coordinators
  • Documentation: Documentation follows current Paramount procedures. Has good knowledge of HMO/Advantage coverage, exclusions and Medicaid guidelines for appropriate system documentation. Demonstrates good skills in the required paper and electronic systems
  • General: Act as a member advocate, maintain and ensure member privacy and confidentiality, adhere to ethical, legal and accreditation/regulatory standards for all Case Management activities/interventions. While most case management interaction is telephonic throughout the case management process as defined above, multidisciplinary face to face meetings with members and providers may be beneficial and necessary to effectively coordinate the member’s treatment plan of care

RN Inpatient Case Manager Resume Examples & Samples

  • Provide on-site and/or telephonic inpatient case management and concurrent review for identified hospitalized medical / surgical HealthPartners members
  • Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed
  • Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff
  • Consistently apply HealthPartners organizational and department values (Mission / Vision / Initiatives) and continuous quality improvement in their daily work
  • Be knowledgeable of patient’s available benefits / coverage / payor information
  • Be knowledgeable of community programs and resources available to patients within their benefit plan
  • Prioritize daily workload to ensure efficiency in completing daily work (patient discharge needs are met, guidelines are followed with proactive discussion of delays / barriers to efficient care, data entry is completed)
  • Facilitate communication between patient, family, physician, social services, and vendors to maintain continuity of care and appropriate use of resources
  • Serve as a resource to patients, providers, and internal departments. Facilitate and comply with application of benefits processes as needed in close coordination with medical director and care team. Perform utilization management for HealthPartners members admitted to Out of Network Facilities, acute rehabilitation facilities, facilitating the approval/denial of services provided
  • Coordinating transfer of patient to in network facilities when appropriate
  • Assist in monitoring of annual financial goals for inpatient case management LOS, readmission’s, and denial rates, cost savings, patient/provider satisfaction and achievement of outcomes
  • Remain current with knowledge and skills of case management and utilization management practices, application of guidelines, policies and procedures related to case management
  • Remain current with knowledge to ensure compliance with government programs such as Medicare / Medicaid requirements and regulations
  • Maintain confidentiality of information obtained in performance of duties as well as HealthPartners policies & procedures
  • Discuss cases not meeting medical criteria and cases with utilization issues with physician, social worker, other care team members and medical director as needed
  • Assist in monitoring of annual goals for case management LOS, referrals, readmissions, denial rates, cost savings, patient/provider satisfaction and achievement of outcomes
  • Serve as a liaison to other agencies, departments, or community resources as needed to coordinate care in transition planning
  • Participate in required educational programs and actively demonstrate self-directed learning and continuing education to enhance professional development in the area of case management
  • Participate in staff development activities and staff meetings
  • Identify and refer to manager and supervisor all cases involving potential high cost, sensitive or complex medical issues for review
  • Record, monitor and report data such as clinical outcomes achieved, potentially avoidable and medically necessary variances, denials, length of stay, reviews completed and outcomes (savings and referrals), and discharge dispositions on a daily basis
  • Work with the attending physician, hospitalists/rounders, specialists, hospital and social work staff to create an actionable plan of care and transition / discharge plan for each patient followed, as needed
  • Demonstrate knowledge regarding transition criteria and level of care and use of appropriate community-based resources
  • Review and assesses inpatient cases for eligibility, benefits and limits, medical necessity and ongoing appropriate level of care
  • Function independently and as part of a team, working effectively with various departments, internal and external staff, facilities, patients, patients’ family, and physicians to facilitate quality and efficient patient care
  • Provide services at sites throughout the metro area on an as needed basis, based on assignment / census
  • Minimum 3 years’ experience as a Registered Nurse in a clinical setting, performing utilization review, case management or discharge planning
  • Excellent problem identification and problem solving skills and follow through skills
  • Excellent organizational skills and ability to prioritize workload
  • Function independently and as part of a team, working effectively with various facilities, internal and external staff, patients, patients’ family, and physicians to facilitate patient care
  • Able to work with individuals of diverse back grounds
  • Ability to deal with change and ambiguous situations

Case Manager, Chronic Conditions RN Resume Examples & Samples

  • Registered Nurse with current license in the State of Minnesota, BSN preferred
  • Health behavior change coaching experience
  • Experience in effectively collaborating and problem solving with patients and health care team members
  • Experience in use and management of automated medical management systems
  • Ability to engage patients with various dispositions into programs
  • Active, unrestricted RN license in the state of Florida
  • Bilingual skills (fluency in Spanish/English); speak, read and write
  • Must live within a commutable distance of our Miami, FL office location
  • Experience working with heart failure patients
  • KP experience, recent telephonic case management experience, recent IP experience, recent experience with transitions in care, as well as recent experience with tele-monitoring preferred
  • Experience in working with young adults, adults and older adults is critical given panel caseload
  • Excellent verbal and written communication skills are essential, as are computer skills and the ability to navigate multiple computer programs, including the electronic health record
  • Ability to prioritize deadlines, regional and local medical center initiatives while providing exceptional patient care is necessary
  • Candidate must be proficient in using language assistance services
  • Bilingual (English/Spanish)preferred

Case Manager Outside Utilization RN Resume Examples & Samples

  • Must have excellent prioritization skills, juggle multiple pt care issues requiring follow-up while addressing pt transition events (ED, IP, planned surgeries, SNF to home)
  • Written/verbal communication skills; collaboration
  • Recent experience in acute clinical, SNP and telephonic case mgmt. preferred
  • Communicate with staff at the transplant facility
  • Verify eligibility information and conduct research in order to educate members on their benefits
  • Conduct clinical case review and assist with discharge planning
  • Work with members to conduct a post-surgical assessment and make referrals to a partner program as appropriate
  • Maintain the confidentiality of sensitive and protected health information
  • Computer proficiency, must be able to type and navigate around a Windows environment
  • Excellent communication skills, written and verbal
  • Bachelor’s in Nursing or higher level of education
  • Compact State Licensure
  • Previous experience working with VAD patients
  • Previous transplant experience
  • VAD Coordinator work experience
  • Previous case management or managed care experience

Case Manager Utiliz Rn-pd Resume Examples & Samples

  • Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families
  • Refers patients to community resources to meet post hospital needs
  • Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL

Case Manager / Service Coordinator, RN Resume Examples & Samples

  • Requires a Nursing Diploma or Associates Degree in Nursing. Bachelor of Science in Nursing preferred
  • Three years of clinical experience. Two (2) years of experience working with vulnerable populations and people with chronic or complex conditions
  • Experience working for a managed care organization preferred
  • Bilingual English and Spanish a plus
  • Bilingual abilities desirable
  • Master’s degree desirable
  • Clinical expertise in Critical Care/Emergency Medicine, Neurology, Cardiology/Telemetry, or Pediatrics a plus
  • Current Registered Nurse (RN) license in the state of practice required
  • Continuing education credits maintained as required by state of practice required
  • Minimum of five (5) years’ experience in clinical nursing required
  • Minimum of three (3) years’ experience in renal nursing preferred
  • Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes
  • Demonstrated experience and effectiveness in change agent role
  • Demonstrated knowledge and understanding of CQI techniques
  • Previous experience in healthcare performance coaching required
  • Certified Nephrology Nurse (CNN) or Certified Case Manager (CCM) preferred
  • Ability to modify personal practice patterns to adapt to new / electronic processes and increased productivity expectations as it pertains to Capella implementation
  • Current driver’s license in state employed with positive driving record and able to meet requirements of insurance coverage required
  • Functional proficiency with DaVita specific clinical software programs, including Capella, required within 90 days of employment
  • Home office with internet connectivity at minimum of 1MB upload and 1MB download speed required
  • Develop a comprehensive treatment/management plan to return the GE employee to health, work, and wellness in a timely and appropriate manner
  • Support to provide telephonic health services to designated sites that include reviewing and assisting them with new injury/illness WC claims, case management of all work and personal disability claims, proper return to work and transitional work programs, return to work exams, surveillance exams, and collecting job profiles for all work areas
  • Determine specific goals and objectives to meet the employee’s and GE needs using appropriate resources and benefits available to them
  • Is the employee’s advocate and advisor to help facilitate quality and cost-effective care
  • Communication is timely and ongoing with employees, providers, Disability Center/Sedgwick, and the business
  • Knowledgeable of all GE Disability Programs, Pension Programs, and Social Security Benefits and appropriate phone numbers to refer the employee to
  • Be familiar with the employee’s job by acquiring a Detailed Job Profile in order to determine with the business to see if there is work availability
  • Document all employee phone calls in a timely and accurate manner
  • Knowledgeable of GE medical computer programs and use regularly for all disability claims
  • Collaborates with EHS and Operations at each site on what compliance exams/testing is required and assist with outside vendor to provide GE forms and policies in accordance to OSHA, State, and GE regulations
  • Maintains and safeguards confidentiality of GE employee health information and records
  • Provides health-related counseling for GE employees within scope of nursing knowledge and practice
  • Works with onsite EHS and Operations at each site to collect statistical information pertaining to that site that are required for the GE HealthAhead Scorecard
  • Minimum of 3-5 years of Case Management, Occupational Nursing, or Emergency Nursing experience
  • RN with current Pennsylvania license
  • Working knowledge of OSHA regulations
  • Strong proficiency in computer skills
  • Excellent oral and written communications skills; strong interpersonal skills
  • Ability to effectively communicate with employees at all levels of the organization
  • Experience communicating with medical professionals in the community
  • Preferred Experience in ED and Inpatient UM/Case Management
  • Able to work in a team environment
  • Strong and thorough interview and documentation skills preferred
  • Have a strong understanding of the disease process and understand clinical pathways
  • Comfortable at talking about end of life topics with patients and families

Related Job Titles

sample resume for rn case manager

Rn-rn Case Manager Resume Sample

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Work Experience

  • Plans, develops, assesses & evaluates care provided to members
  • Assesses high risk patients in need of post-hospital care planning
  • Develops & coordinates the implementation of a discharge plan to meet patient's identified needs
  • Acts as a liaison between in-patient facility & referral facilities/agencies & provides case management to patients referred
  • Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use
  • Develops and coordinates the implementation of a discharge plan to meet patient's identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies
  • Participates in the Bed Huddles and carries out recommendations congruent with the patient's needs
  • Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred
  • Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources
  • Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities
  • Evaluates and identifies members' needs
  • Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs
  • Develops individualized patient/family education plan focused on self-management, delivers patient/family education specific to a disease state
  • Ensures that accurate records are maintained of the care associated with each patient
  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, and contract providers and outside agencies
  • Facilitation of precertification and payor authorization processes
  • Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement
  • Support and coaching of clinical documentation efforts and serving as a clinical resource for coders ensuring that documentation accurately reflects severity of illness and intensity of service
  • Coordinating communication with physicians
  • Adapt to new electronic processes
  • Individual case/disease management/advocacy services, precertification of selected services or procedures, concurrent review, discharge planning and retrospective review
  • Assists in the development of policies, procedures and new programs relating to care management and quality improvement activities
  • Acts as patient/family advocate in coordinating and gaining access to needed health care services and interacts on a regular basis with claims administrator personnel to exchange required certification information

Professional Skills

  • Utilize critical thinking skills, nursing judgment, and decision making skills
  • Utilize critical thinking skills, nursing judgement and decision making skills
  • Strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization
  • Demonstrated PC skills, experience with electronic health record documentation
  • Strong computer skills including windows, keyboarding, MS Office and toggling
  • Prior clinical experience in an acute care, skilled or rehabilitation clinical setting 3-5 years
  • Strong skills in medical assessment/medical record review and/or behavioral health assessment

How to write Rn-rn Case Manager Resume

Rn-rn Case Manager role is responsible for health, software, record, computer, medical, word, documentation, typing, clinical, training. To write great resume for rn-rn case manager job, your resume must include:

  • Your contact information
  • Work experience
  • Skill listing

Contact Information For Rn-rn Case Manager Resume

The section contact information is important in your rn-rn case manager resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Telephone number

Work Experience in Your Rn-rn Case Manager Resume

The section work experience is an essential part of your rn-rn case manager resume. It’s the one thing the recruiter really cares about and pays the most attention to. This section, however, is not just a list of your previous rn-rn case manager responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular rn-rn case manager position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Rn-rn Case Manager resume experience can include:

  • Analytic skills necessary to clinically assess patients’ needs, and to develop, coordinate and prioritize complex treatment and discharge plans
  • Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members
  • Demonstrates exemplary knowledge of utilization management and care coordination processes as a foundation for transition planning activities
  • Experience in a hospital, acute care, home health / hospice, direct care setting or in case management
  • Knowledge of availability and criteria for admission to Crisis House, Residential, and Skilled Nursing Facility Programs
  • Two (2) years of experience working with vulnerable populations and people with chronic or complex conditions

Education on a Rn-rn Case Manager Resume

Make sure to make education a priority on your rn-rn case manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your rn-rn case manager experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Rn-rn Case Manager Resume

When listing skills on your rn-rn case manager resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical rn-rn case manager skills:

  • Problem solving skills - ability to address and resolve clinical and social issues with members, members’ family/care giver and healthcare providers
  • Experience with case management and discharge planning and patient education for adult acute and skilled care
  • RN experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager for an insurance company
  • Competent computer skills in word processing and spreadsheet utilization. Able to use computerized medical record to retrieve and record patient information
  • This Per Diem position is in the field, and is primarily housed at a Skilled Nursing Facility/Facilities (SNF) with daily huddling with department team
  • Demonstrated working knowledge of quality improvement and understanding of health care

List of Typical Experience For a Rn-rn Case Manager Resume

Experience for case manager utilization rn resume.

  • Be familiar with the employee’s job by acquiring a Detailed Job Profile in order to determine with the business to see if there is work availability
  • Assist members to remain in their homes safely receiving the care they deserve and need
  • Maintain current licensure to work in State of employment and maintain hospital credentialing as indicated
  • Decision-making is based on regulatory requirements, policy and procedures and current clinical guidelines
  • Refers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity criteria or for complex case situations
  • Monitors for any quality concerns regarding member care and reports as per policy and procedure

Experience For RN Inpatient Case Manager Resume

  • Document the patient’s plan of care in Midas as per department policy
  • Identify the patient’s insurance coverage or other source of payment for services
  • Identify and addresses as appropriate the patient’s risk factors or obstacles to care
  • Communication: Provide members and families with ongoing, current information and support to enhance satisfaction throughout the continuum of care. Facilitate communication among members of the health care team
  • Current Ohio and Michigan Registered Nurse or LSW license required

Experience For Case Manager Utilization Rn-pd Resume

  • Documentation: Documentation follows current Paramount procedures. Has good knowledge of Advantage coverage, exclusions and Medicaid guidelines for appropriate system documentation. Demonstrates good skills in the required paper and electronic systems
  • Determine specific goals and objectives to meet the employee’s and GE needs using appropriate resources and benefits available to them
  • Support members with condition education, medication reviews and connections to resources such as providers, and community services
  • Consistently demonstrates the knowledge, skills, abilites, and behaviors necessary to provide professional, superior, and culturally sensitive service and information to each other, to our members, and to customers, contracted providers, and vendors
  • Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation system
  • Performs expedited, standard, concurrent, and retrospective onsite or telephonic clinical reviews at in network and/or out of network facilities. The Case Manager documents medical necessity and appropriate level of care utilizing national recognized clinical guidelines for all authorizations
  • Interacts and effectively communicates with facility staff, members and their families and/or designated representative to assess discharge needs, formulate discharge plan and provide health plan benefit information
  • Identifies member’s level of risk by utilizing the Population Stratification tools and communicates during transition process the member’s transition discharge plan with the ICT
  • Valid State of Michigan RN license

Experience For RN Telephonic Case Manager Resume

  • Recent experience in an inpatient bedside role
  • Conducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of care
  • Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in department huddles
  • Enters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 90% or better on a monthly basis
  • Manage transplant patients from evaluation to one year post transplant
  • Coordinates/facilitates patient care progression throughout the continuum
  • As a Case Manager, the work location is primarily in the Emergency Department

Experience For RN Advantage Case Manager Resume

  • Maybe asked to travel to Kaiser Kraemer Medical center for coverage (voluntary basis)
  • Provides seamless backfill to the team, and provide support as needed, such as when daily caseload is managed
  • ED Case Management Position for nights and weekends
  • Clinical expertise in Critical Care/Emergency Medicine, Neurology, Cardiology/Telemetry, or Pediatrics
  • Rotation to weekends (approximately 2x per month)
  • Rotation to weekends (approximately 2x per month) required.
  • Shift times are also variable as the needs arise

Experience For Case Manager, Ltss-rn / LSW / Lisw Resume

  • Work days include weekends and holidays
  • Travel to both hospitals in Lancaster and Palmdale
  • The position is located at Downey Medical Center 9333 E. Imperial Hwy. Downey, CA 90242
  • To cover vacancies in ED Case management and Bed Placement
  • Position is in the Physician Callback / RN program
  • Typical shifts vary between Emergency Dept. (2 x 12 hour shifts per pay period) and Inpatient (2 x 8 hours shifts per pay period)
  • Bilingual Spanish; ability to read, write and speak fluently

Experience For Case Manager Spec RN PD Resume

  • Clinical direct care, home based case management or hospice/palliative care
  • Work locations could include other KP Facilities
  • Primary work location is Emergency Department at Palomar.
  • This is a 10 hour shift, the 8 hour back-up shift is 7:00pm to 3:30pm.
  • Work schedule includes every other weekend.
  • Position is primarily for Bed Coordinator
  • Experience in working directly with patients who exhibit symptoms and behaviors related to the presence of severe mental illness and/or chemical dependency related issues
  • This is a ten (10) hour shift position, 3 days a week, 30 hours a week
  • Current, unrestricted RN license required in the state of TX

Experience For Case Manager, Chronic Conditions RN Resume

  • Case Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment
  • Read, analyze and interpret information in medical records and health plan documents
  • Problem solve and identify community resources
  • Current, unrestricted RN license in the state of employment
  • Read, analyze and interpret information in medical records, and health plan documents
  • Variable work hours - 8hrs or/and 12 hours

Experience For RN Telephonic Case Manager, Advanced Illness Resume

  • Bilingual (English/Spanish) desirable
  • Primary department is Emergency
  • ED position: 8 hours back up
  • Bilingual (English/Spanish) abilities desirable
  • Availability to cover both ER and Inpatient

Experience For Case Manager / Service Coordinator, RN Resume

  • 40 hours per pay period. Total of 5- 8 hour shifts
  • Work schedule could include travel to other Kaiser facilities as needed. Floats between Zion and SDMC
  • Work schedule could include travel to other Kaiser facilities as needed
  • Floats between Zion and SDMC
  • Registered Nurse – current, unrestricted Texas license
  • Knowledge of Kaiser and community based programs related to the treatment of psychiatric and chemical dependency issues
  • At least two (2) years of experience in working directly with patients who exhibit symptoms and behaviors related to the presence of severe mental illness and/or chemical dependency related issues
  • Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses

List of Typical Skills For a Rn-rn Case Manager Resume

Skills for case manager utilization rn resume.

  • Minumum 3 years acute care experience with discharge planning/ transitional care knowledge
  • Diverse clinical experience in caring for the acutely ill patients with multiple disease conditions
  • Experience in a hospital, acute care or direct care setting
  • Experience as an RN working with Chronic Kidney Disease, Renal, Dialysis care or as a Telephonic Case Manager for an insurance company
  • Experience with case management, discharge planning and patient education for adult acute care
  • Move between company work stations and departments; ability to communicate on telephones and operate general office equipment, including computers
  • Clinical experience in field of Pediatrics and/or Obstetrics
  • Clinical expertise in Critical Care/Emergency Medicine, Neurology, Cardiology/Telemetry, or Pediatrics experience
  • Clinical practice experience with current clinical knowledge as it relates to chronic disease management

Skills For RN Inpatient Case Manager Resume

  • Managed care and/or case management experience
  • Managed care and/ or case management experience
  • Clinical acute care experience
  • Renal, Chronic Kidney Disease or Dialysis Care experience
  • Experience with utilization review criteria
  • Public health or home care experience

Skills For Case Manager Utilization Rn-pd Resume

  • Is the employee’s advocate and advisor to help facilitate quality and cost-effective care
  • Evaluating health care needs that qualify for the Autism benefit and arranging for services and supplies to support the beneficiary’s condition
  • Evaluating health care needs that qualify for the Autism benefit, and arranging for services and supplies to support the beneficiary’s condition
  • Understanding of managed care and case management concepts
  • Identify gap in care and address accordingly. Ex calling PCP office, referring to other disciplines, etc
  • Coordinates and certifies services based upon information received from attending physician and/or other providers using established medical criteria
  • Monitors the case to its conclusion, while maintaining contact with all involved parties during all episodes of care

Skills For RN Telephonic Case Manager Resume

  • Provides assessment, coaching, teaching and referral to the Autism population’s family members and caregivers as required
  • Educates members of the healthcare team concerning their roles & responsibilities in the discharge
  • Ensures all activities are patient-focused and individualized, resulting in personalized attention to each individual’s unique needs
  • Identifies interventions and resources to assist patient in reaching personal health-related goals
  • The closest Kaiser building in Palm Springs MOB 1100 N. Palm Canyon Drive, Suite 208 Palm Springs, CA 92262
  • Work schedule includes rotating weekends and possible work at other KP locations
  • Coverage throughout the hospital including ED
  • Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel

Skills For RN Advantage Case Manager Resume

  • Push or pull heavy objects using up to 10 pounds of force
  • Work locations include floating between Zion Medical Center and SDMC. Other locations as needed
  • Knowledge of the availability and criteria for admission to IOP, PHP, Eating Disorder and Chemical Dependency Programs
  • Willingness to obtain CCM or CHPN designation within 24 months of being hired, if not a credential already held
  • Primary work location is going to be Emergency Department at Zion Medical Center
  • Primary work location is going to be Emergency Department
  • Primary work location is going to be Emergency Department at SDMC

Skills For Case Manager, Ltss-rn / LSW / Lisw Resume

  • Knowledge of utilization management, quality improvement and discharge planning
  • Knowledgeable in Microsoft Office applications including Outlook, Word and Excel
  • Knowledge of utilization management, quality improvement, and discharge planning
  • There is a possibility of increasing to every 3rd weekend
  • Cross training to ED required
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Skills For Case Manager Spec RN PD Resume

  • Basic understanding of healthcare economics and consumerism within healthcare
  • Completion of an accredited RN training program that allows graduates to take RN license exam
  • Bachelors of Science in Nursing is required
  • Identifies patterns and improvement strategies to help patients improve their health and achieve optimal care goals
  • Work location could include other Kaiser Facilities
  • Rotation to weekends required approximately twice per month

Skills For Case Manager, Chronic Conditions RN Resume

  • Rotation to work weekends required approximately twice per month
  • Bilingual Spanish (speak, read and write fluently)
  • On site case management for inpatient and emergency room Kaiser members at Non Kaiser hospitals
  • The primary work address is on site at Desert Regional Medical Center: 1150 N. Indian Canyon Dr., Palm Springs
  • 12 hour shifts with backup of 1500-2330
  • Per Diem for the Emergency Department
  • Work locations include the Fontana and Ontario Medical Centers

Skills For RN Telephonic Case Manager, Advanced Illness Resume

  • Current, unrestricted RN license in the state of Colorado
  • Certification in Case Management highly desired
  • In patient Case Management Position for Days and weekends
  • Mayl be cross trained to Inpatient and Emergency Department case manager functions
  • Rotation to work weekends required approximately twice per month required
  • Works every other weekend

Skills For Case Manager / Service Coordinator, RN Resume

  • Maybe requested to travel to OC Anaheim to cover per operational needs
  • Six (6) 12-hour shifts per pay period, three (3) shifts each week
  • Work locations can include Kaiser Permanente contracted facilities
  • Travel could vary from 50-60%
  • Rotation to weekends (approximately 2x per month) required
  • Per Diem West Ventura
  • Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide professional, superior, and culturally sensitive service and information to each other, to our members, and to customers, contracted providers, and vendors
  • Per Diem Night Shift ED Case Management
  • Function independently and as part of a team, working effectively with various facilities, internal and external staff, patients, patients’ family, and physicians to facilitate patient care

List of Typical Responsibilities For a Rn-rn Case Manager Resume

Responsibilities for case manager utilization rn resume.

  • Work well in a fast-paced setting and with multiple physicians and multidisciplinary departments
  • Per Diem for Emergency Department
  • Work location is primarily in the Emergency Department
  • Understand and articulate short view of care and long view of care
  • Four 10-hr shifts per week. Based out of Downey Medical Center
  • Primary work location is Palomar
  • Crossed trained to Bed Coordinator

Responsibilities For RN Inpatient Case Manager Resume

  • Able to work variable hours
  • This per diem position is for inpatient and ED case management
  • Residence in MST, PST time zones
  • PerDiem Case Manager for our south county plan hospitals, Inland Valley, Rancho Springs and Temecula Valley
  • Assignments rotate between facilities

Responsibilities For Case Manager Utilization Rn-pd Resume

  • Position covers both inpatient and ED case management
  • Includes weekends and holidays
  • Weekends required and availability to work all shifts
  • Active RN license in GA & SC without restrictions
  • Able to work variable shifts - 8 hrs. 10 hrs or 12 hrs, weekends and holidays
  • Position requires every other weekend rotation
  • This per diem position is for coverage in the ED and Bed Coordniator for night shift
  • This is a 10 hour shift position

Responsibilities For RN Telephonic Case Manager Resume

  • Access to dedicated work space from home for in home office set up
  • Day shift inpatient case manager position
  • Every third weekend required, holidays required
  • Shifts varies between 12:00 pm- 8:30 pm and 3:00 pm -11:30 pm
  • Certification as a CCM, CMC or equivalent case management certification
  • Need to possess the ability to focus on both the details and the "big picture" simultaneously
  • Relationship-building, effective written and verbal communication skills that allow clear and concise presentation of conclusions and recommendations to a variety of audiences, critical thinking and problem-solving, ability to plan and organize effectively, proficient in typing and in use of computer applications (Excel and Outlook)
  • Knowledge of admission criteria for all internal and external patient admissions

Responsibilities For RN Advantage Case Manager Resume

  • Weekends and availability to work all shifts required
  • This is an office position located at 2222 W. Dunlap Ave. Phoenix, AZ
  • Be knowledgeable of patient’s available benefits / coverage / payor information
  • Assist in monitoring of annual financial goals for inpatient case management LOS, readmission’s, and denial rates, cost savings, patient/provider satisfaction and achievement of outcomes
  • Function independently and as part of a team, working effectively with various departments, internal and external staff, facilities, patients, patients’ family, and physicians to facilitate quality and efficient patient care

Responsibilities For Case Manager, Ltss-rn / LSW / Lisw Resume

  • FL licensed RN with previous Work Comp Case Management (Florida knowledge) experience is required (2 years)
  • Fluent in negotiating electronic health record (i.e., Health Connect), Access and Excel databases, email
  • Registered Nurse (RN) with active FL license
  • Walk and stand 80% of work time
  • Lift, bend, push, pull, stoop sufficiently enough to meet patient’s physical needs
  • Shift: 8 hour day shift / occasional weekend & holiday rotations
  • Transitional Case Manager

Responsibilities For Case Manager Spec RN PD Resume

  • Four (4), 10 hour shifts
  • This per diem position is for coverage in the ED and Bed Coordinator for night shift
  • Inpatient Case Management, 8 hour shift, weekend requirement
  • Inpatient Case Manager for Riverside outside medical plan hospitals (Inland valley, Racho Springs, Temecula)
  • Inpatient Case Management for Riverside outside medical plan hospitals in Coachella Valley (Desert Regional, JFK and High Desert)

Responsibilities For Case Manager, Chronic Conditions RN Resume

  • Night shift ED position
  • Every other weekend required, holidays required
  • Flexible shift - 8 hours, 10 hours or 12 hours
  • Per Diem case manager for Inpatient and ED
  • Knowledge of Milliman or Interqual
  • This is a temporary position for approximately four (4) months
  • Excellent interpersonal skills to develop relationships necessary to accomplish assessment, interventions, discharge planning, etc., with a wide range of patients, families, physicians, hospital staff, payers and community resources. Telephonic communication skills to develop professional rapport to provide clinical information and negotiate with external agencies

Related to Rn-rn Case Manager Resume Samples

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  5. RN Case Manager Resume Example for 2023

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  1. 7 Best RN Case Manager Resume Examples for 2024

    RN Case Manager Resume Examples. John Doe. RN Case Manager. 123 Main Street | Anytown, USA 99999 | Phone: (123) 456-7890 | Email: [email protected]. Registered Nurse Case Manager with 5 years' experience in a hospital setting. Consultative nurse with an advanced understanding of medical terminology and patient assessment.

  2. Nursing Case Manager Resume Examples and Template for 2024

    How to write a nursing case manager resume. Here are six steps to help you write an effective resume for a nursing case manager position: 1. Create an outline. Making an outline or finding a resume template is the first step to writing a resume.

  3. RN Case Manager Resume Examples for 2024

    RN Case Manager Resume Sample. A RN case manager is a registered nurse who works in a specialized manner to organize patient care and treatment. RN case managers essentially act as a liaison between the patient, doctors, and other healthcare providers to ensure the treatment plan is satisfactory for everyone involved.

  4. Nurse Case Manager Resume Examples for 2024

    2. Highlight your case management skills and achievements. As a Nurse Case Manager, your ability to effectively coordinate patient care, manage resources, and ensure positive outcomes is crucial. Use your resume summary to showcase your case management skills and notable achievements in these areas.

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    Template 3 of 9: Mental Health Case Manager Resume Example. In the mental health field, case managers play a crucial role in coordinating care and support for clients with mental health issues. As the industry shifts towards a more person-centered approach, mental health case managers are in high demand.

  6. Professional Nurse Case Manager Resume Examples

    Case Manager. 7/1/1999 - 4/1/2004. Company Name. City, State. Educated teens and high-risk adults on AIDS / HIV prevention. Reported new and known AIDS / HIV cases into URS in accordance with the AIDS Institute and state reporting guidelines. Monitored and followed-up with clients after initial visit and made appropriate referrals to medical ...

  7. RN Case Manager Resume Examples & Samples for 2024

    RN Case Managers are more involved in the social work aspect of healthcare, as opposed to the clinical aspect. Skills shown on sample resumes of RN Case Managers include providing home health services to patients, such as wound assessments and treatments, medication management and education, health care management and disease process education; and collaborating with health care providers in ...

  8. Nurse Case Manager Resume Examples and Templates

    What do Hiring Managers look for in a Nurse Case Manager Resume. Clinical Expertise: Strong nursing skills and in-depth knowledge of patient care. Case Management: Proficiency in coordinating and overseeing patient care plans and treatment. Communication: Effective communication skills for liaising with healthcare teams and patients. Advocacy: Advocating for patients' needs and ensuring they ...

  9. Nurse Case Manager Resume Sample

    Nurse Case Manager Resume (Text Format) 123 Your Address City, State Zip Code (xxx)-xxx-xxxx, [email protected]. Organized Nurse Case Manager with 7+ years of experience and a Master of Science in Nursing (MSN) seeking a position at Sunnyvale Clinic. Possesses a Case Management Certification (CMAC) and an innate love for care and treatment.

  10. Rn Case Manager Resume Samples

    Rn Case Manager Resume Examples & Samples. Coordinate and develop an individualized person centered plan of care through close communication with members via in-person or on-phone assessments and touchpoints. 3+ years clinical experience in a home health/hospice. 1 -2 years of direct care or case management.

  11. Nurse Case Manager Resume Samples

    Nicu Nurse Case Manager Resume Examples & Samples. Associate's or Bachelor's Degree (or higher) in nursing and/or a health-related field accredited diploma nursing school. 2+ years of clinical experience. Proficiency in the use of personal computers and supporting software in a Windows-based environment.

  12. Nurse Case Manager Resume Example

    Nurse Case Manager Resume Example. The nurse case manager resume example opens with a summary highlighting Maye's expertise in oncology, cardiac step-down units, surgical, and neurological intensive care units. The section titled "Areas of Expertise" features keywords used emphasize her related medical expertise, including cardiac ...

  13. Registered Nurse Case Manager Resume Samples

    Registered Nurse Case Manager Pool-tier Resume Examples & Samples. Requires current Registered Nurse (R.N.) license in Arizona. CCM, highly preferredTier 3: Minimum of 10 shifts/four weeks to include a minimum of 4 weekend shifts (out of 8 possible weekend days)/four weeks and 1 major and 1 minor holiday/year.

  14. 7 Best Nurse Case Manager Resume Examples for 2024

    Nurse Case Manager Resume Examples. John Doe. Nurse Case Manager. 123 Main Street | Anytown, USA 99999 | Phone: (123) 456-7890 | Email: [email protected]. Resourceful and detail- oriented Nurse Case Manager with 10+ years experience in patient care coordination, quality assurance, and medical case management.

  15. 3+ Registered Nurse Case Manager Resume Examples and Templates

    Your Registered Nurse Case Manager resume length should be less than one or two pages maximum. Unless you have more than 25 years of experience, any resume that's more than two pages would appear to be too long and risk getting rejected. On an average, for Registered Nurse Case Manager, we see most resumes have a length of 2.

  16. Rn Case Manager Resume Sample

    When listing skills on your rn case manager resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical rn case manager skills: Demonstrates ability to work within a decentralized model of patient-care delivery.

  17. Nurse Case Manager Resume Sample

    RN Nurse Case Manager. 10/2011 - 09/2017. Dallas, TX. Maintain a comprehensive working knowledge of community resources, payor requirements, and network services available to the target population. Using clinical/nursing skills to help coordinate the individual's treatment program while maximizing cost containment.

  18. Rn-case Management Resume Samples

    Ability to network, advocate, communicate assertively with all customers. Excellent interpersonal skills. Excellent communication skills. Exceptional organizational skills especially while multitasking. Ability to drive multiple projects. Ability to work in fast paced environment. Create a Resume in Minutes. 15 Rn-case Management resume templates.

  19. 10 Nurse Case Manager Resume Examples For 2024

    A nurse case manager resume should highlight a balance between clinical skills and soft skills like communication, empathy, and self-care. As Dean and Professor Wendy Robb Ph.D.at Cedar Crest College's School of Nursing points out, "Nurses need to protect themselves and their long-term mental health. Investment in self is one way to demonstrate ...

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    3 Tips for Writing an Experienced Case Manager Resume. When describing your case management experience, use specific metrics and numbers to showcase your impact. Highlight the number of successful cases managed, the percentage of clients with improved outcomes, or the reduction in turnaround time for client assessments.

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    Encouraging members to make healthy lifestyle changes. Documenting and tracking findings. Create a Resume in Minutes. 13 Rn-rn Case Manager resume templates. Read our complete resume writing guides. Rn-rn Case Manager Resume Samples and examples of curated bullet points for your resume to help you get an interview.

  22. Rn-rn Case Manager Resume Sample

    RN Inpatient Case Manager. 10/2013 - 07/2017. Dallas, TX. Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred. Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.