A Case Management Nurse is a registered nurse who is tasked with the duty of evaluating and implementation of health care plans for individual patients. The job description entails completing the following tasks mentioned on the Case Management Nurse Resume – assessing new patients, updating and revising patient health care plans, educating patients and families about health care plans and options, making clinical decisions for routine patient care, accurately documenting and submitting medical records, providing emotional support to patients and families, evaluating and determining the needs of the patient; and creating an open environment for the patients and their families.
To ensure success in this field, the following skills are needed – familiarity with patient databases, a strong understanding of ethics surrounding the storage of patient information, the ability to work weekends and holidays, commitment to promoting patient’s well-being and commitment. A degree in nursing and case management experience is a must.
Objective : Case Management Nurse is responsible for Developing a treatment plan that will meet individual needs, Documenting assessments, treatments and interventions in an accurate manner with timely documentation of outcomes in the, Providing support to patients and families through case management, Collecting and monitoring patient progress, Providing education, advocacy, and referrals, Conducting assessments, screenings, and evaluations.
Skills : Microsoft Excel, Microsoft Word, Computer, Reports, Managed Care, Case Management, Star Plus, MMP, CFC, IDD PROGRAMS.
Description :
Performed continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
Assessed and responded to patient/family needs by coordinating efforts of other team members.
Identified and resolved barriers that hinder effective patient care.
Collaborated and consulted with physicians on patient's progress and discharge planning needs.
Performed utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
Coordinated the discharge planning process ensuring involvement of all members of the healthcare team.
Counselled with patients and family members in decision making and in meeting psycho social needs of the patient.
Experience
2-5 Years
Level
Executive
Education
BSN In Nursing
Case Management Nurse Resume
Objective : Case Management Nurse with 2 years of experienced in Assisting in the development of clinical documentation and care plans, Meeting with patients on a regular basis to establish goals, discuss progress, and provide quality assurance.
Skills : Hospital/Community Nursing, Patient Care, Reporting.
Description :
Reviewed admissions inpatients & observation for medical necessity, initiate and perform ongoing insurance reviews for Medicare, Medicaid, MCOs, and private insurance carriers.
Assessed need for case management and assist with social workers safe discharge plan.
Participated in QA/QI departmental initiatives.
Liasoned between medical team and external case managers to aid in services and possible transfers.
Collaborated with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
Compiled, evaluated, and reported statistics to members of the team and utilize the information to facilitate process improvement activities.
Acted as coordinator of the multidisciplinary care plan Facilitates communication between professional services to ensure ongoing revision of the care plan as well as the continuity of care across care settings.
Experience
2-5 Years
Level
Executive
Education
Master Of Jurisprudence
Case Management Nurse Resume
Headline : Case Management Nurse with 6 years of experience in Responding to patient needs and questions quickly and efficiently, Providing a warm welcome to patients each day, Answering telephone calls from patients and provide information on the phone, Performing physical examinations on patients as needed, and also Making referrals as needed, Scheduling appointments with doctors, specialists, therapists, and other healthcare providers.
Skills : Case Management, Planning, MS Office.
Description :
Ensured continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities.
Assessed treatment benefit value to cost.
Facilitated plan modification.
Assessed individual patient satisfaction and compliance.
Successfully prevented recurring hospital visits by educating client and family members in disease entity and preventative treatment.
Provide care in accordance with hospital policy, procedures, standards, and regulations.
Provided comfort and emotional support to patients and families.
Experience
5-7 Years
Level
Executive
Education
Associate's
Case Management Nurse Resume
Objective : As a Case Management Nurse, responsible for Providing direct service to patients, Managing the daily activities of assigned patients and ensure that their needs are met, Providing care coordination services to other members of the healthcare team, Coordinating patient referrals with referral sources, Collecting data from various sources to provide a complete picture of patient progress in order to make informed decisions about patient care.
Skills : Micosoft Office, Word, & Cerner Electronic Healthcare Documentation.
Description :
Provided clinical leadership in the pediatric ward.
Monitored infection control procedures.
Participated in rounds.
Participated in team meetings.
Participated in quality improvement initiatives.
Monitored patient's vital signs as appropriate.
Performed medical record documentation according to hospital policies.
Experience
2-5 Years
Level
Junior
Education
Master's
Case Management Nurse Resume
Summary : Case Management Nurse with 8 years of experience in Providing support for patients with chronic or complex mental health needs, Following up with patients post discharge, Coordinating care between various providers and facilities, Providing education on patient rights and responsibilities.
Skills : Patient Care, Educational Skills, Coordinating Skills.
Description :
Provided day to day care of patients while they are under observation or undergoing treatment.
Ensured that patient's lab work is updated on a daily basis according to hospital policies and procedure guidelines.
Evaluated patient's condition relative to treatment plan, identify changes.
Provided comprehensive nursing care for patients with a wide range of medical conditions.
Monitored and maintained patient vital signs.
Administered medications as ordered by the physician or nurse practitioner.
Provided education to patients and family members about their condition and treatment.
Experience
7-10 Years
Level
Management
Education
GED
Case Management Nurse Resume
Summary : Case Management Nurse with 10 years of experience in Maintaining medical records, Developing a plan for discharge including crisis management, Attending nursing staff meetings, Maintaining accurate documentation of all patients.
Developed patient care plans that include goals and objectives.
Collaborated with other members of the health care team to coordinate care for patients.
Provided education to patients about their condition and treatment.
Maintained accurate medical records.
Ensured safe practice by following established guidelines and protocols.
Collaborated with other members of the health care team to coordinate patient care.
Monitored patient care and treatment as assigned by the shift supervisor.
Experience
10+ Years
Level
Senior
Education
BS In Nursing
Case Management Nurse Resume
Summary : As a Case Management Nurse, responsible for Developing individualised care plans for clients and their families, Monitoring and assessing client progress, providing support to clients and their families, Providing quality care to each client on a personal level, Relating with clients, family members, staff, physicians, social workers, chaplains, volunteers.
Skills : Supervising Skills, Quality Care, Social Medica.
Description :
Coordinated all aspects of patient care, including triaging, treatment, and discharge planning.
Followed up with all patients to ensure they are following their care plan and medication schedule.
Managed paperwork and ensure the appropriate documentation is filed.
Provided on-call coverage during regular work hours.
Provided administrative support to other nurses on the unit.
Acted as a liaison between emergency department staff and other hospital departments.
Assisted with education of new staff members who start on the unit.
Experience
7-10 Years
Level
Management
Education
GED
Case Management Nurse Resume
Summary : As a Case Management Nurse, responsible for Communicating effectively with all parties involved, Ensuring adherence to policies and procedures of the facility, Attending weekly meetings with staff members to discuss patient progress, Maintaining accurate medical records, Following all company policies related to confidentiality.
Provided case management support to patients with complex medical and mental health needs.
Coordinated a range of care, including medication management, discharge planning, community referrals, etc.
Monitored patient progress and provide quality patient education.
Ensured appropriate referrals are made to resources within the community.
Supported the team in the delivery of client services.
Ensured all documentation is completed accurately and in compliance with department policy.
Maintained up-to-date client/patient demographics, medical history, and records.
Experience
7-10 Years
Level
Management
Education
G.E.D
Case Management Nurse Resume
Headline : Obtain a Case Management Nurse, responsible for Assessing patient needs, including assessment of physical, psychological and social aspects, Coordinating care provided by other healthcare providers, Providing education to patient and family members on their care plan, Providing support to patients and families in transition from hospital to home environment.
Skills : Psychological Skills, Care Management, Environmental Control.
Description :
Assisted with scheduling appointments with physicians and other providers.
Assisted clients with their social service needs as needed.
Assisted in the coordination of care plans between staff members and providers.
Provided support to staff members by providing training, answering questions, etc.
Maintained caseload records for each case.
Provided input on staffing levels for day to day operations.
Worked closely with other managers and supervisors as needed.
Experience
5-7 Years
Level
Executive
Education
MS
Case Management Nurse Resume
Headline : As a Case Management Nurse, responsible for Monitoring patients for signs of complications or potentially harmful situations, Promoting healthy lifestyle choices by assisting with exercise, dieting, smoking cessation or other appropriate interventions, Using case management software to track progress toward goals of treatment plan, Assisting with discharge planning.
Skills : Vendor, Patient Care, Coordinating Skills, Treatment Planning.
Description :
Provided comprehensive care, education, and support for patients and families.
Performed medical tests as needed (including blood draws).
Administered medications as needed (including injections).
Performed patient education as needed (including explaining procedures or treatments).
Provided referrals to appropriate services.
Coordinated patient referrals with providers/residents/families/support staff/social workers/case managers.
Collaborated with nursing support staff on treatment plans.
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