Case Management Assistant Resume Samples

Case management assistants take charge of incoming court charges and make sure that the files are delivered to the appropriate recipient. The job description for a case management assistant include creating files for clients, filing paperwork, faxing and emailing documents to the concerned source or people, assisting in case management like workflow, report creation, developing links with various community resources, assisting in intake, case plan development, finding referrals, making assessments, monitoring follow-up and client records.

Applicants for the post of case management assistant should be proficient in MS Office programs and have the ability to complete any paperwork, they have to show good verbal and written communication skills and have a thorough knowledge of operating internet for online researching. Most of the Case Management Assistant Resume make a display of a degree with administrative support experience.

 

Case Management Assistant Resume example

Senior Case Management Assistant Resume

Summary : Seeking an opportunity in a fast-paced environment where helping people are the top priority; using the degree and work experience to gain further knowledge to excel in the career. Passionate to work with patients with excellent professional skills, interest to improve the skills in the field of Nursing and to contribute to the growth of the organization in a progressive, challenging and dynamic manner.

Skills : Microsoft Office, Microsoft Word, Data Entry, Customer Service, Medical Terminology, Insurance, Case Management Assistant, Unit secretary, Endoscopy scheduling.

Description :

    1. Researches compile, reviews, reconciles, and/or maintains a variety of information and records.
    2. Answers questions and supplies detailed information both in person and on the phone to clients, case managers, other service agencies, law enforcement agencies, as well as federal and state agencies and officials.
    3. Receives and processes a variety of requests for information, registrations, actions, forms, orders, notices, and/or other related information.
    4. May conduct initial interviews and evaluate customers' eligibility and needs.
    5. Follows through on client needs through the coordination of services.
    6. Sorts, files, and maintains materials and filing systems (paper, computer or imaging), retrieves file materials and keeps a record of file movement.
    7. Performs a variety of routine clerical activities in support of the assigned department.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Senior
Education
Education
Bachelor In Science


Lead Case Management Assistant Resume

Summary : A dedicated Lead Case Management Assistant who excels at relationship building. Knowledgeable in providing friendly, thorough customer service to clients, families and fellow healthcare professionals. Skilled in problem-solving, conflict resolution, and presentations. Able to network with public organizations and businesses to create successful partnerships. Adept at handling confidential and/or sensitive information.

Skills : Microsoft Office, Accounts Receivable, Customer Service, Communication Skills.

Description :

    1. Responsibilities include processing daily reports of admissions and discharges to be distributed to Medical and Insurance Providers.
    2. Upgrading Patient information in the system for approvals on stays and services rendered.
    3. Maintain Department Voicemails and note the information on patient files in the computerized system (Midas) for billing.
    4. Identify needed information requested by insurances to authorize for payment.
    5. Make Telephone calls to Insurance Companies notifying of admissions.
    6. Refax to Insurance needed clinical information for review.
    7. Obtain pre-authorization and schedule medical transportation of patients from Medical Facility.
    8. Refer patients to Skilled Nursing Facilities, set up home health care, and schedule delivery of DME Schedule follow-up appointments and obtain patient test results.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Senior
Education
Education
Bachelor Of Science


Case Management Assistant - Temp Resume

Headline : Seeking a challenging position that gives the opportunity to demonstrate excellent communication skills, attention to detail, positive attitude, experience, and work ethics; thus achieving success and knowledge to advance in the career. Looking for a successful career with an organization of immense repute, which will bring out the best of the professional ability in terms of analytical, organizational and communicational skills

Skills : Management, MS Office, Customer Service, Email, Faxing, Hiring, Inventory, Medical Terminology, Networking, Outlook

Description :

    1. Ensures compliance with state and federal regulatory requirements including the delivery of Important Message from Medicare.
    2. Coordinates utilization review requests Increasing Healthy at Home program referrals and completes reports.
    3. Assists with the insurance certification process to ensure payers receive the required clinical information.
    4. Conducts provider searches for hard to place patients.
    5. Assists department staff in the discharge planning process; referrals to post-discharge providers including; home health, hospice, SNU, LTAC, and assisted living.
    6. Coordinates applications for Medicaid, JPS Connections, and Health Insurance Exchange.
    7. Scheduled case meetings, filed paperwork, data entry, and took client calls for case managers.
    8. Helped create a new filing system.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Associates Of Arts

Case Management Assistant/Administrative Assistant Resume

Headline : To gain experience and knowledge and to utilize the skills as a Case Management Assistant/Administrative Assistant and provide effective and holistic nursing care to patients improve my teaching and communication skills. Proved loyalty and knowledge of medical ethics.

Skills : Computers, Microsoft Office Programs, Transcription Software.

Description :

    1. Facilitates communication with department team members from internal and external sources by coordinating telephone calls and messages.
    2. Utilizes and documents in the computer systems to facilitate case management workflow and communication.
    3. Monitors the computer system for admission and stay insurance authorizations notifying the Case Manager when a clinical update is needed.
    4. Submits a clinical review to appropriate review agencies and documents in the computer system.
    5. Coordinates the insurance authorization process with appropriate hospital departments.
    6. Coordinates the retroactive utilization process by tracking accounts needing review, ordering medical records, submitting completed reviews and documenting authorizations or denials.
    7. Provides support to the discharge coordination process.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Case Management Assistant - Part Time Resume

Headline : Case Management Assistant with core competencies includes active listening, critical thinking, and decision making and counseling as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency. Proven record of reliability and responsibility.

Skills : Microsoft Office, Accounts Receivable, Customer Service, Communication Skills.

Description :

    1. Assisted all Case Managers with Managed Care Patients.
    2. Set up new patient accounts, scheduled appointments, ordered all DME equipment, home health care, and hospice care, requested authorization from the insurance company.
    3. Attended all referral reviews and case management meetings for the determination of patient case approval.
    4. Contacted all patients with the status of their DME and diabetic supply orders.
    5. Assisted with compiling information for the approval process.
    6. Retrieved all voicemail messages and assisted as needed for each message.
    7. Updated all patient accounts with office notes and telephone conversations, Interacted with patients when needed during their appointments and translated as needed.
    8. Scheduled transportation for patient picks up.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma

Case Management Assistant (CMA) Resume

Headline : To secure a position in a dynamic marketing team that utilizes the knowledge of marketing principles, sales experience coupled with the team management and interpersonal skill to maximize current revenue sources of the organization and develop new avenues of income in a sustained and consistent manner.

Skills : Fluent In English And Spanish, Proficient In Microsoft Word, Microsoft Excel, Quickbooks, Powerpoint

Description :

    1. Interacted with providers and other health care professionals to provide computer-generated authorizations for designated medically necessary services.
    2. Requests were faxed or received via an ACD call center.
    3. Supplied ICD-9 diagnosis and procedure codes for all service requests to assist the Nurse Case Manager with the clinical review or identify patients requiring case management intervention.
    4. Provided accurate demographic information to ensure that all time-sensitive special correspondence was generated timely.
    5. Reviewed and entered prescription requests for medical review.
    6. Provided language assistance when necessary (Spanish translation).
    7. Ensured regulatory timeframe compliance for service requests, denials and appeals.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Junior Case Management Assistant Resume

Objective : To obtain a professional position where the proven decision-making and administrator skills will be utilized to improve an organization's productivity. Possess special sensitivity to meeting different needs in varied situations. Establishes contacts with patients, family, staff, and physicians.

Skills : Microsoft Office, Data Entry, Customer Service, Medical Terminology

Description :

    1. Created and maintained medical case notes for children discharged from inpatient care.
    2. Registered and process new children entering foster care.
    3. Created and update Microsoft Access and Excel database spreadsheets.
    4. Attended training classes for new software and equipment/train new and current employees.
    5. Tracked monitor, and report on all inpatient services for foster care children o Telephone and office intake for patient referrals or information regarding child and adolescent fostering programs.
    6. Served as a proactive lead developer through follow-up communications for client health appointments.
    7. Educator to public and private sectors on services offered to the child and adolescent population.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelors Of Science

Case Management Assistant - Full Time Resume

Headline : Seeking a career to serve humanity in the right manner in a distinguished organization, that enables to utilize the professional knowledge, skills, and experience in dealing with childrens in a better way. To work as a support worker for an organization providing care and attention to people suffering from different ailments, to merge the enthusiasm, compassionate nature, and aptitude for learning and development of the kids.

Skills : Spanish Bilingual, Insurance, Case Management Assistant, Unit secretary, Endoscopy scheduling.

Description :

    1. Provide operational support to twenty healthcare case manager nurses and social workers to advocate on behalf of patients.
    2. Communicate with patients and caregivers regarding available resources.
    3. Work with insurance companies to validate coverage and benefits.
    4. Assist managers to identify gaps in treatment plans.
    5. Help coordinate post-discharge services and referrals.
    6. Ensure and document patient understanding and receipt of educational materials and resources on Medicaid and Medicare.
    7. Coordinate expedient resolution of insurance inquiries and denials related to clinical reviews and other relevant medical information.
    8. Coordinate utilization review process used to determine medical care appropriateness.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Arts

Case Management Assistant/Office Manager Resume

Headline : Case Management Assistant/Office Manager proficient in handling any emergency situations and managing clinical staff. Able to converse in a polite manner and carry out the routine healthcare tasks required by patients. To follow clear instructions and work as a part of the ward team carrying out duties required during a shift.

Skills : Management, MS Office, Customer Service, Excel, Email, Faxing, Hiring, Inventory

Description :

    1. Coordinates monthly chart audits, identified by the case manager.
    2. Performs weekly QAPO chart audits as appropriate and guided by Case Manager.
    3. Follows up with facilities to track referrals-acceptance or denials.
    4. Arranges Vendor appointments as necessary and contacts families and establishes care conference date/time.
    5. Contacts families and coordinates date/time for discharge conferences, as directed by the case manager.
    6. Oversees the pull-through process of the hospital under the direction of the Director of Business Development.
    7. Ensures that all deficiencies remain at 0% to eliminate holds.
    8. Verifies Medicare benefits, secondary/supplemental insurance plans.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Case Management Assistant - Intern Resume

Objective : Seeking a Full-time position with a company that can utilize the skills and experience for a mutual benefit while providing upward mobility. To obtain a challenging and responsible position in an organization and to contribute effectively to the successful organization and further improve the personnel skills

Skills : Microsoft, Excel, Excellent Communication Skills, Punctual, Multi-Tasker, Friendly, Great People Skills, Great Customer Service, Typing.

Description :

    1. Made reminder calls to members as assigned by the RN Case Managers.
    2. Included but not limited to office visit reminder calls, preventive care, and screening calls, and follow up calls after office visits.
    3. Investigated pharmaceutical utilization as requested.
    4. Investigated community and social resources for members as directed.
    5. Acted as liaison to KHS members, community providers, and employees to the CM clinical staff.
    6. Supported the RN Case Managers by assisting in implementing members' Care plans.
    7. Responsible for communicating Care Plans for the members' primary care practitioners.
    8. Assisted with transportation coordination.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Diploma

Case Management Assistant Resume

Objective : Focused and hardworking, able to troubleshoot complex problems and get the job done. Effective team player with exceptional communication and interpersonal skills. To pursue a professionally satisfying career that enables to actualize and maximize the potential to produce peak performance where the knowledge and experience can be enriched.

Skills : Computers, Microsoft Office Programs, Transcription Software.

Description :

    1. Provided direct clerical support to the 7 Case Managers.
    2. Screened medical records to identify the quality of care issues.
    3. Facilitated case management plans of care after initial assessment by Case Management/Discharge Planning personnel.
    4. Contacted medical insurance providers to confirm medical insurance coverage, i.e.
    5. private insurance companies, Medicare, TRICARE.
    6. Assisted in obtaining, compiling and analyzing data available from computerization of quality improvement, risk management, case management, and/or utilization management.
    7. Made appointments and accompanied patients to appointments.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Associates