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 sake of human health and to secure a position as a Case Manager in Medical field.

Career Profile:

Strong ability to collaborate directly with treating physicians, injured workers, employers, attorneys .Well trained, certified and experienced professional in the areas of health management, team leader, quality control, liaison with others. Co-ordinate various operational groups day-to-day activities.

Experience:

Medical Case Manager, INTRACORP/CIGNA – Anaheim, Ca,4/2002-05/2006

• Responsible for field and telephonic coordination of medical treatments and services, facilitation of return to work and/or case resolution by collaborating directly with treating physicians, injured workers, employers, attorneys and insurance professionals.
• Coordinated Utilization. Review process and performed extensive file reviews. I worked in Southern California, San Diego and Orange counties as well as the Central San Joaquin Valley.
• URAC trained and compliant. Performed Long Term Disability interviews to assist in clarifying level of impairment and justification for ongoing disability. Responsible for field case management of select General Liability claims.

Field Case Manager, SUNPLUS HOME CARE – San Diego, CA, 8/2001-4/2002

• Responsible for supervision of home care LVN/RN staff to assure continuity of care and safety to in-home medically fragile adults and pediatric patients through the Medi-Cal/private pay systems.

Medical Case Manager, GATES MCDONALD, INC. – Los Angeles, CA,4/1998-8/2201

• Responsible for telephonic and field ase management of industrial claims in jurisdictions of California, Texas, Colorado, Arkansas.
• Responsible for telephonic Longshore medical case management of claims though out the Continental U.S., Alaska and Puerto Rico.

Education:

Degree in Lib Art, Long Beach City College, USA,
Associate Degree in Nursing, Cypress College, USA, 1998

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