A Case Management Specialist is tasked with job tasks such as documenting and reviewing cases and its related applications. The most essential duties that can be seen on the Case Management Specialist Resume includes the following – overseeing case management policies and procedures, developing community resource referral relationships, evaluating and modifying prevailing and proposed healthcare and social service programs, handling case assignments, facilitating multiple care aspects, recording case information and addressing motivational and psychological issues.
Apart from proven work experience, job applicants are expected to possess these qualities and attributes – solid grasp of case management principles, a good knowledge of psychological aspects of care, the ability to adapt to new technologies relevant to work, and knowledge of medical conditions and their outcomes. A bachelor’s or an associate’s degree in a relevant field is the minimum qualification requirement for this post.
Summary : Devoted, service-focused leader offering extensive experience in working with diverse populations and innate ability to make critical decisions. A reliable worker with the capacity to quickly learn new concepts.
Skills : Microsoft Office, Forklift Operator, Inventory Control.
Description :
Maintained office within Calipatria State Prison where facilitation and provision of liaison services are carried out on a daily basis.
Provided counseling and serve as a resource bank to inmates and families during incarceration and prior to release.
Worked in collaboration with outside agencies to secure services for inmate's families.
Prepared, coordinated and facilitated Parenting and Creative Conflict Resolution/Anger Management Programs.
Assisted inmates and inmate's families in negotiations with the California Department of Corrections and Rehabilitation.
Provided administrative support to the Director of Complaint Intake and Adjudication for the Department of Justice, Civil Rights Division.
Read and analyzed incoming ADA related complaints, prepare summaries of ADA complaint allegations and exercise good judgment.
Experience
7-10 Years
Level
Management
Education
Management
Case Management Specialist III Resume
Summary : To continue professional growth utilizing nursing and case management knowledge, critical thinking skills, team building, and excellent communication skills in a position.
Skills : MS Office, Microsoft Office, And PowerPoint.
Description :
Excellent interpersonal and communication skills and strong customer service orientation because of serving different cultures.
Obtained, referred, and provided a variety of services from other organizations to delinquents and to their families.
Public speaking skills and presenting a case to Circuit Court.
Initiated and composed standardized legal documents routinely needed for specific legal actions, including motions, orders, answers.
Gathered necessary data from internal and/or external sources, evaluating the quality/integrity of the data on youth placed in and out-of-state facilities.
Conducted research and generate data using electronic, written, or verbal sources and may make use of general information, reports, surveys.
Tracked filing, hearing and trial dates, and schedule conferences and interviews.
Experience
10+ Years
Level
Senior
Education
BA
Case Management Specialist I Resume
Objective : As an enthusiastic professional, seeking for a great opportunity to take on the position with the Department/Organization. A great candidate to take on the responsibilities of providing services for patients.
Skills : Medical, Social Worker, Physician Portal.
Description :
Monitored intake assessments and initial client assessment procedures to determine the eligibility of client services; case management services.
Conducted services on-site center to review and ensure clients receive services on their mental, health, environment/shelter, educational.
Submitted Court Reports in a timely matter regarding Court Dependency cases; preside court case and testimony during court hearings.
Contacted respondents, criminal background checks, interviewing all parties involved with open dependency and family court cases/hearings.
Presented and attended court hearing procedures as scheduled.
Assisted with the development of client/family goals on mental/health/employment/educational tasks.
Conducted case audits, assist case plans for families, referrals to resources for services, submit statistical monthly reports and allowable costs.
Experience
2-5 Years
Level
Junior
Education
Associate Of Arts
Sr. Case Management Specialist Resume
Summary : Versatile and adaptable Case Worker adept at working effectively with children, adolescents, families, couples and groups. Invested and driven to form trusting relationships with clients and advocate.
Skills : MS Office, Access, and PowerPoint.
Description :
Established collaborative relationships with the client, family physicians, and other providers to determine medical history and current status.
Implemented, coordinated, monitored, and evaluated the case management plan on an ongoing basis.
Documented findings in a clear concise manner and continues to evaluate the medical necessity of frequency, intensity, and length of care.
Acted as a liaison between account, client, physicians, and agencies. Ensures privacy, confidentiality, and safety.
Maintained an accurate record of case interventions including cost/benefit analysis, savings, and data collection.
Acted as a preceptor for training and performance issues, as able and assigned.
Demonstrated sensitivity to culturally diverse situations, clients and customers.
Experience
10+ Years
Level
Senior
Education
BS
Jr. Case Management Specialist Resume
Objective : Highly personable Customer Service Professional with over twenty years of experience in account management claims, order processing, administrative, retail sales and office management roles.
Skills : Microsoft Office, Human Services, Training & Development.
Description :
Collaborated with Customer Service Management as well as other departments to ensure proper policies and procedures were carried out.
Instrumental in improving customer-satisfaction ratings through suggestion, development, and implementation of new reporting procedures.
Utilized product training to provide the customer with reliable product information.
Researched cases to obtain all information needed to properly handle a customers' request for assistance.
Worked closely with Honda Dealerships Management and Service personnel to ensure proper case handling.
Worked closely with overseas dealerships to ensure AHM military-based customers received proper care.
Reviewed documents provided by customers to ensure all the needed paperwork had been submitted to AHM.
Experience
2-5 Years
Level
Junior
Education
Diploma
Case Management Specialist II Resume
Headline : As a member of the Navajo Nation, have a particular interest in serving those in with indigenous communities. Have experience with the Case Management skills working with patients.
Skills : Technical Skills, MS-Excel.
Description :
Witnessed a patient's consent for surgical procedures.
Assisted with examinations & interpretation if needed.
Provided emotional support to newly diagnosed breast & cervical cancer patients and mastectomy patients.
Advocated/Supported person for the breast cancer patient.
Provided care and education targeting increasing screening rates to detect breast & cervical cancer in the early stages to decrease the mortality rate.
Monitored all aspects of treatment services of breast & cervical cancer diagnosed patients in a culturally sensitive perspective.
Set up appointments for outside referrals, arranging transportation with a safe ride if needed, prepared Contract Health paperwork for outside referrals.
Experience
5-7 Years
Level
Executive
Education
Associates Of Science
Case Management Specialist/Representative Resume
Summary : Obtain a position where can use the skills developed through education, experience and clinical skills; to offer the customer the appropriate quality and service deserve.
Skills : MS-Excel, Technical Skills.
Description :
Identified cases requiring interventions case management program.
Developed care according to the needs found plan. Knowledgeable about Medicare Guidelines and regulations.
Provided education to patients and families about condition management and prevention of complications.
Maintained communication with physicians and providers about the patient's condition and coordinate services or treatments that merits.
Evaluated events and studies requested by institutional guidelines, InterQual or consultations with a medical adviser.
Precertification studies, procedures, equipment and services required by the patient's physician.
Complied with the times set out to determine if the decision or notify the insured medical service provider and the determination of the case.
Experience
7-10 Years
Level
Management
Education
Nursing
Case Management Specialist/Executive Resume
Headline : Work experience in the human services field; four years in supervisor capacity. Conducted interviews and wrote presentence investigation reports Department of Corrections providing career counseling.
Skills : Technical Skills, Hard Working.
Description :
Identified and assessed participant's needs and evaluate, coordinate and ensure necessary services are provided.
Assisted participants in obtaining and maintaining permanent housing.
Utilized and coordinated support services and treatment options as necessary.
Communicated with housing managers and owners to resolve tenancy issues as they may arise.
Provided assessment of supportive services to participants that lack the ability or skill to maintain daily living situations.
Utilized and coordinated community resources to assist participants in developing skills for independent housing activities.
Utilized, facilitated and coordinated community resources available to the participant.
Arranged for transportation to appointments and community agencies.
Experience
5-7 Years
Level
Executive
Education
Diploma
Sr. Case Management Specialist Resume
Summary : Objective to obtain a challenging position in order to gain experience using the skills that have obtained throughout education and experience while being employed in a healthcare setting.
Skills : Hard Working, MS-Excel.
Description :
Gathered, input and generate daily reports, patient data reports, record minutes for meetings and key data entry.
Assisted in the discharge process and input payroll for the department.
Answered a multi-line phone system and direct calls accordingly.
Coordinated and facilitated the transition of patient care and information.
Pointed of contact for account rectification of insurance accounts. company-sponsored employee relations committees.
Responsible for initiation and completion of Advance Directives and issue compliance Important Message for Medicare for the entire hospital.
Coordinated scheduling of hearing dates with Magistrates, file management and Conducted "Roll Call" for defendants monthly.
Experience
10+ Years
Level
Senior
Education
Diploma
Associate Case Management Specialist Resume
Summary : Highly effective Technical Customer Support Professional with extensive experience in providing both voice and data service in the telecom industry to technical corporate and small business managers.
Skills : Data Service, Vendor Relations, Sales.
Description :
Functioned as Tech Support for the first point of customer contact.
Resolved issues by determining appropriate solutions for each customer.
Utilized a variety of resolutions including direct customer tech support (help desk) or product-swap.
Diplomatically and tactfully reassured angry customers to reduce conflict and achieve excellent customer satisfaction.
Collaborated with technicians to ensure clients received accurate information in a timely manner.
Created and processed up to orders daily using Oracle's Vantive system.
Handled all credit card charges and releases.
Experience
7-10 Years
Level
Management
Education
Networking
Case Management Specialist Resume
Headline : Confident, self-motivated professional with combined experience in Customer Services and Law Enforcement Profession. Responsible, resourceful, and committed to quality control processes.
Skills : Excellent Communication Skills, Customer Service Skills, Payroll.
Description :
Received and entered all new cases into the case management system.
Scheduled cases for initial and second court appearances.
Worked with the Clerk of Court, Public Defender's Office, as well as other government and law enforcement agencies.
Prepared legal documents for case preparation for attorneys.
Received and assisted in the process of discovery materials.
Processed and filed court documents with the Clerk of Court's Office.
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