Case Manager Resume:

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Contact Information:

Full name
Present and permanent addresses
Telephone numbers
Email address

Objective:

To use my knowledge in best possible way for the betterment of the public health and to secure a position as a Case Manager in Medical field.

Career Profile:

Well trained, certified and experienced professional in the areas of health management, team leader, quality control, liaison with others. Strong ability to plan, forecast, set-up goals, implement solutions, co-ordinate various operational groups day-to-day activities.

Experience:

Lead Case Manager, Area Case Manager for Kindred Hospital 2002-Present

• 

  Lead Case Manager
  Reporting directly to CEO responsible for strategic budget planning, setting and monitoring individual goals based on budget, market analysis & trends, employee evaluations, communication (written & verbal) with my team, other departments, other marketing teams and Leads and well as executive staff at the facility and regional level.
• Performs Pre-Admissions assessments in order to determine a patients clinical and financial appropriateness for services. Develops individual patient cost matrix and care plan in order to provide quality care thru a patient s plan provider.
• Negotiates individual contracts with Payer sources based on the above cost matrix and care plans developed. Markets to providers and payers with scheduled and spontaneous presentations on daily basis.
• Developed numerous education materials and programs for market development. Communicates with all members of the health care team on both payer & provide levels (Doctors, Case Managers, Therapist, Administration, Families, etc).

Case Manager, Gordian Health Management, 2000-2002

• Performing Acuity Case Management for IPA in a limited provider service network. Marketing of Case Management services and its cost effective benefits to physicians.
• Assisting with the development and Implementation of Disability Case Management program.

District Case Manager, United States Postal Services – GENEX ,1999-2000

• Conducted Early Intervention Disability Case Management with goals to return Injured Workers back to work with in 45 days.
• Developed procedures for evaluating and implementing pilot Federal Disability Management program.

Regional Case Manager, CHAMPUS – Foundation Federal Health Services, 1997-1999

• 

  Lead Case Manager
  Responsible for comprehensive Case Management services for Texas, Louisiana, Oklahoma and Arkansas with an case load of approx 150 cases/mo.
• Transplant Case Manager (Solid Organ) contracting and case managing a multi state transplant service network for Adult and Pediatric patients.

Education:

Degree in Nursing, Walden University, USA, 1997

Accreditations and Certifications:

CCM
CPUR

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