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RN Case Manager Resume Examples

An effective resume is an essential part of any job search and could be the key to securing that dream job. As a RN Case Manager, you’ll have a unique set of qualifications that make you stand out from other candidates. Writing a resume that highlights your strengths and the skills you bring to the table can be the difference between getting your foot in the door or being passed over. This guide will provide you with tips on how to write an effective RN Case Manager resume, as well as several examples to help get you started.

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RN Case Manager

123 Main Street | Anytown, USA 99999 | Phone: (123) 456-7890 | Email: [email protected]

Registered Nurse Case Manager with 5 years’ experience in a hospital setting. Consultative nurse with an advanced understanding of medical terminology and patient assessment. Highly skilled in identifying patient needs and providing effective, evidence- based interventions. Proven track record of excellent communication, collaboration, and teamwork skills.

Core Skills :

• Nursing Care Plans
• Patient Assessment
• Medication Management
• Discharge Planning
• Documentation
• Infection Control
• Collaboration
• Communication
• Problem Solving

Professional Experience : RN Case Manager, St. Mary’s Hospital, 2019- Present

• Coordinate with physicians, nurses, and other healthcare personnel to assess patient needs.
• Create and Implement patient care plans to ensure quality care.
• Monitor patient compliance and provide education on medications and treatments.
• Develop and coordinate discharge plans for patients.
• Track and document patient progress and outcomes.
• Monitor patient safety and quality of care.

RN Case Manager, Mercy Hospital, 2015- 2019

• Collaborated with physicians, nurses, and other healthcare personnel to assess patient needs.
• Developed and implemented patient care plans to ensure quality care.
• Monitored patient compliance and provided education on medications and treatments.
• Developed and coordinated discharge plans for patients.
• Tracked and documented patient progress and outcomes.
• Monitored patient safety and quality of care.

Education : Bachelor of Science in Nursing, Ohio State University, 2011- 2015 Certified Case Manager, American Case Management Association, 2015

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RN Case Manager Resume with No Experience

Recent nursing graduate with a passion for patient- centered care and strong communication skills. Seeking to leverage my knowledge and experience in the position of RN Case Manager.

• Patient- centered care
• Strong communication and interpersonal skills
• Excellent organizational and time management skills
• Knowledge of medical terminology
• Compassion and empathy

Responsibilities

• Develop and monitor individualized care plans
• Provide patient education sessions
• Conduct assessments of service needs
• Coordinate and monitor referrals to appropriate services
• Provide ongoing support to patients and families
• Ensure compliance with regulatory standards and quality assurance measures
• Maintain detailed records of patient progress and outcomes
• Communicate effectively with external providers and other healthcare professionals

Experience 0 Years

Level Junior

Education Bachelor’s

RN Case Manager Resume with 2 Years of Experience

Dynamic and results- driven Registered Nurse with two years of experience providing quality inpatient and outpatient care. Possess experience in the assessment, development, implementation, and evaluation of care plans, as well as excellent communication and interpersonal skills. Experienced in collaborating with multi- disciplinary teams to provide comprehensive patient care and ensure positive patient outcomes.

• Critical thinking
• Assessment and diagnosis
• Interpersonal communication
• Documentation and recordkeeping
• Patient advocacy
• Organization and time management
• Collaboration and teamwork

Responsibilities :

• Developed and implemented individualized care plans for individual patients
• Coordinated and monitored patient care services with other health professionals
• Provided patient assessments, diagnostics, and treatments in compliance with hospital protocols
• Evaluated and monitored patient progress and provide timely updates to physicians
• Educated and counseled patients and families on health issues and provided emotional support
• Assessed patient needs and provided patient- centered care
• Documented patient medical information in an accurate and timely manner
• Provided primary care to a diverse patient population of all ages

Experience 2+ Years

RN Case Manager Resume with 5 Years of Experience

RN Case Manager with 5+ years of experience in providing comprehensive case management services to clients with chronic illnesses, disabilities, and other health issues. Skilled in managing caseloads of complex cases, developing and executing care plans, and coordinating services between multiple providers. Excellent communicator with a compassionate and empathetic approach to client care.

• Client Assessment
• Care Plan Design and Execution
• Care Coordination
• Data Analysis
• Regulatory Compliance
• Team Collaboration
• Conduct medical assessments to identify health care and support needs
• Help clients understand the importance of preventive care and healthy lifestyle choices
• Develop and review care plans to ensure clients are receiving the necessary medical and support services
• Collaborate with other healthcare providers to coordinate and ensure quality care
• Monitor client progress and update care plans accordingly
• Ensure all aspects of care are consistent with standards, regulations, and laws
• Educate clients and families on care management techniques and techniques for coping with chronic illness
• Document all client assessments, care plans, and progress notes in electronic health records

Experience 5+ Years

Level Senior

RN Case Manager Resume with 7 Years of Experience

A dedicated and passionate RN Case Manager with 7 years of experience in providing comprehensive care assessment and management for individuals and families. Proven ability to assess, plan, implement, coordinate and monitor the care of patients with a variety of chronic and acute conditions. Highly skilled in assisting individuals and families to adjust to health care needs and ensuring quality care coordination.

• Assessment & Planning
• Prioritization & Organization
• Stress & Crisis Management
• Negotiation & Conflict Resolution
• Regulatory & Compliance Knowledge
• Documentation & Reporting
• Patient & Family Education
• Developed individualized plans of care and care coordination plans for patients with complex medical and social needs.
• Supervised, delegated and monitored the care of patients by nursing staff, allied health professionals and other members of the interdisciplinary team.
• Coordinated discharge planning, ensuring smooth transitions between care settings, and follow- up care.
• Collaborated with other departments and organizations to ensure appropriate utilization of resources.
• Evaluated and adjusted care plans based on patient response and progress.
• Assessed patient’s physical and psychosocial status and documented patient responses to treatments and interventions.
• Developed and maintained relationships with external agencies and services to ensure delivery of care and resources.
• Monitored and documented patient progress and outcomes.

Experience 7+ Years

RN Case Manager Resume with 10 Years of Experience

Highly motivated, detail- oriented Registered Nurse Case Manager with 10 years of experience in the nursing field. Experienced in providing direct patient care, working collaboratively with an interdisciplinary team, and utilizing evidence- based practice to improve patient outcomes. Skilled in patient education and managing complex cases. Demonstrates strong communication skills, especially when interacting with patients, families, and other healthcare professionals.

• Assessment and Evaluation
• Time Management
• Patient Education
• Interdisciplinary Collaboration
• Patient Advocacy
• Evidence- Based Practice
• Policy Adherence
• Critical Thinking
• Risk Management
• Assessed and evaluated patient care needs, developed and implemented patient care plans, and monitored progress towards desired outcomes
• Provided patient and family education to promote understanding of conditions and treatments
• Collaborated with an interdisciplinary team to coordinate patient care
• Acted as an advocate for patients on issues related to healthcare
• Utilized evidence- based practice to ensure quality care and improve patient outcomes
• Maintained accurate and complete documentation of patient care services
• Ensured policy and regulatory compliance in the delivery of patient care
• Applied critical thinking skills to accurately assess and develop plans for patient care
• Identified, evaluated, and managed potential risk and safety concerns

Experience 10+ Years

Level Senior Manager

Education Master’s

RN Case Manager Resume with 15 Years of Experience

An experienced RN Case Manager with 15 years of experience in providing professional health care services to patients. Skilled in managing daily operations of nursing staff, developing and implementing care plans, and coordinating patient care with physician offices. Possess a comprehensive understanding of medical terminology, disease processes, and current nursing practices. Proven record of improving patient outcomes by providing comprehensive patient care and maintaining an environment that emphasizes patient safety.

• Knowledge of nursing practice standards and regulations
• Excellent interpersonal and communication skills
• Ability to work with diverse patient populations
• Proficient in patient assessment and care plan development
• Strong problem- solving, organizational and time management skills
• Proficient in the use of computerized medical records systems
• In charge of overseeing daily operations of nursing staff
• Develop and implement individualized patient care plans
• Coordinate patient care with physician offices
• Conduct patient assessments and record results as per documentation requirements
• Evaluate patient progress and modify plans of care as needed
• Maintain patient records according to established protocols
• Provide patient and family members with education and support
• Ensure compliance with all applicable laws and regulations
• Assist with budgeting and financial planning for patient care services

Experience 15+ Years

Level Director

In addition to this, be sure to check out our resume templates , resume formats ,  cover letter examples ,  job description , and  career advice  pages for more helpful tips and advice.

What should be included in a RN Case Manager resume?

When applying for a position as a RN case manager, a comprehensive and well-crafted resume is essential. A RN case manager resume should include the following components in order to showcase your qualifications and experience:

• Summary of Qualifications: A brief statement highlighting your experience and qualifications as a case manager. Make sure to showcase any special skills, such as public speaking, crisis management, and organizational skills.
• Education: List your educational background, including degrees, certifications, and training programs.
• Professional Experience: Include any relevant experience that you have as a case manager, including job titles, dates of employment, and your responsibilities.
• Work History: Describe your work history, including any administrative roles, supervisory positions, or clinical experience.
• Areas of Expertise: Highlight any specialties or areas of expertise related to case management, such as elder care, mental health, or rehabilitation.
• Professional Affiliations: List any professional affiliations or memberships that you hold.
• Licenses and Certifications: Outline any relevant licenses and certifications that you have obtained in your professional career.

By including all of the above components in your RN case manager resume, you can create an effective and comprehensive document that will help you stand out from other applicants.

What is a good summary for a RN Case Manager resume?

A good summary for a Registered Nurse (RN) Case Manager resume should highlight the key skills and responsibilities acquired in the role. This includes having the ability to manage and assess patient care, develop treatment plans, and coordinate services. An ideal summary should also emphasize the ability to work collaboratively with other healthcare professionals such as physicians, social workers, and other healthcare staff. Lastly, the summary should convey the RN Case Manager’s proven track record of providing quality patient care and delivering successful outcomes. An experienced RN Case Manager should be able to use their experience to show how they have improved patient outcomes, and how they have contributed to the overall success of their department or organization.

What is a good objective for a RN Case Manager resume?

A Registered Nurse (RN) Case Manager is responsible for managing, coordinating, and monitoring patient care between the patient, the physician, and other health care providers. They are also responsible for ensuring that all patient needs are met and that all services are delivered in a timely and efficient manner. The objective of a RN Case Manager resume should reflect this.

The following are some objectives a RN Case Manager should consider for their resume:

• To utilize my strong clinical skills and experience to ensure high-quality, patient-centered care.
• To effectively collaborate with physicians, nurses, and other health care providers to ensure coordinated and comprehensive patient care.
• To effectively manage a caseload of patients, providing timely, cost-effective care while advocating for the patient’s needs.
• To develop and implement patient care plans that are patient-centric and outcome-focused.
• To utilize my knowledge of electronic health records (EHR) and other medical software to effectively document and monitor patient progress.
• To provide case management services that are consistent with accepted standards of care and ethical practice.

How do you list RN Case Manager skills on a resume?

When creating a resume for a Registered Nurse (RN) Case Manager position, it is important to include the relevant skills needed for the job. This will demonstrate to a potential employer that you have the necessary skills and knowledge to perform the duties of the position.

Below are some essential RN Case Manager skills to consider including in your resume:

• Knowledge of advanced nursing practice: A successful RN Case Manager must have comprehensive knowledge of advanced nursing practice, including but not limited to the assessment, diagnosis, and treatment of patients.
• Ability to manage a caseload: An RN Case Manager must be able to manage a large caseload, which includes coordinating and overseeing care plans, communicating with other healthcare professionals, and keeping up to date with the latest medical developments.
• Excellent communication skills: As an RN Case Manager, you must have excellent communication skills in order to effectively interact with patients, family members, and other healthcare professionals.
• Critical thinking skills: An RN Case Manager must be able to think critically and make decisions quickly to ensure the best possible patient outcomes.
• Attention to detail: As an RN Case Manager, you must pay attention to detail in order to accurately assess and develop patient care plans.
• Proficiency in EMR (Electronic Medical Record) systems: It is important for an RN Case Manager to have a working knowledge of EMR systems in order to manage patient records and keep track of patient progress.
• Leadership abilities: An RN Case Manager must have the ability to lead and motivate a team of healthcare professionals in order to ensure the best patient outcomes.

By including these skills on your resume, you will be able to demonstrate your qualifications as an RN Case Manager to potential employers.

What skills should I put on my resume for RN Case Manager?

When creating a resume for a Registered Nurse Case Manager position, it is important to highlight the skills and qualifications that make you an ideal candidate for the job. In order to be a successful RN Case Manager, certain core competencies must be demonstrated in order to prove that you are the right person for the job. Here are some of the top skills that should be included on your resume when applying for a RN Case Manager position:

• Strong Clinical Skills: As a RN Case Manager, you must be knowledgeable in medical terminology, procedures, treatments, and medications. You must also be able to effectively assess a patient’s condition in order to determine the best course of action.
• Excellent Interpersonal & Communication Skills: In order to effectively coordinate care for patients, you must be able to communicate clearly with physicians, nurses, and other healthcare professionals. You must also have the ability to build strong relationships with patients and their families.
• Ability to Work Independently: As a RN Case Manager, you must be able to work independently to coordinate care for patients. This includes making decisions and problem solving on your own in order to ensure that the patient’s needs are met.
• Organizational Skills: You must be organized and able to manage multiple tasks at once. This includes maintaining patient files and records, as well as staying on top of paperwork related to the patient’s care.
• Ability to Manage Time & Resources: You must be able to manage your time and resources effectively in order to provide the highest level of care to patients. This includes staying on top of deadlines and ensuring that all paperwork is completed accurately and on time.

By highlighting these core competencies on your resume, you can give yourself an edge in the job market when applying for a RN Case Manager position.

Key takeaways for an RN Case Manager resume

When creating your RN Case Manager resume, there are several key takeaways to keep in mind.

First, make sure that you highlight your experience as a case manager in a clear and concise manner. Include the length of time that you have been a case manager, as well as any additional certifications or training that you have received. Additionally, make sure to list any awards or recognition that you have received for your work as a case manager.

Second, be sure to emphasize your communication skills. As a case manager, you will often be required to interact with both medical professionals and patients, so having strong communication abilities is essential. Make sure that you showcase your ability to communicate clearly and efficiently to ensure that you stand out from the competition.

Third, list any special projects or initiatives that you have worked on as a case manager. This will demonstrate to employers that you are not only competent in your field, but that you can also think critically and come up with new solutions to problems.

Finally, emphasize your ability to work in a team setting. As a case manager, you will often be required to work with a team of medical professionals to provide the best care possible for patients. Make sure to highlight your ability to work with a group of individuals to get the job done.

By following these key takeaways, you can create a resume that will showcase your skills as a case manager and set you apart from the competition.

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Resume Worded   |  Proven Resume Examples

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RN Case Manager Resume Examples: Proven To Get You Hired In 2024

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• RN Case Manager
• Clinical Case Manager
• Hospice Case Manager
• Home Care Case Manager
• Case Management Coordinator

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• RN Case Manager Resume Tips

RN Case Manager Resume Template

Download in google doc, word or pdf for free. designed to pass resume screening software in 2022., rn case manager resume sample.

A RN case manager is a registered nurse who works in a specialized manner to organize patient care and treatment. RN case managers essentially act as a liaison between the patient, doctors, and other healthcare providers to ensure the treatment plan is satisfactory for everyone involved. Aspiring RN case managers will need several relevant experiences to be considered for the role. When recruiting for this position, hiring managers will be looking for a candidate with a BSN in nursing with RN licensing. Hiring managers will typically look for someone with 3+ years of hands-on nursing experience to consider them for a case manager role. They may also look for ancillary training and certification specific to the case manager position

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Recruiter Insight: Why this resume works in 2022

Tips to help you write your rn case manager resume in 2024,    obtain certifications related to rn case management.

Having an RN license and solid work experience is a great start. However, earning a CCMC (Commission for Case Manager Certification), RN-BC (Nurse Case Manager Certification) or CMCN (Certified Managed Care Nurse) will add authority to your resume and set you apart. These certifications all showcase that you have specialized knowledge about RN case management.

   Showcase how you’ve taken extra steps to help patients in the past

Landing a job as an RN case manager requires past clinical nursing experience. On your resume, maximize the relevant experiences in nursing that will transfer over to being a case manager. For example, you could highlight experiences you have with patient education, mentoring students, or educating family members about caretaking. These experiences will speak to your ability to fulfill the core competencies of a case manager.

Clinical Case Manager Resume Sample

Hospice case manager resume sample, home care case manager resume sample, case management coordinator resume sample.

We spoke with hiring managers and recruiters at top healthcare organizations like Mayo Clinic, Johns Hopkins Medicine, and UnitedHealth Group to gather their best tips for creating a strong RN Case Manager resume. Here's what they recommend:

   Highlight your clinical expertise

Emphasize your nursing experience and the specific clinical skills that make you a strong case manager:

• 5+ years of experience in critical care nursing, managing complex patient cases in a fast-paced ICU setting
• Expertise in conducting comprehensive patient assessments, developing individualized care plans, and coordinating with multidisciplinary teams
• Proficient in utilizing EMR systems like Epic and Cerner to document patient care and ensure continuity across settings

Avoid being too general or vague about your clinical background, like this:

• Experienced nurse with case management skills
• Knowledge of patient care

   Demonstrate your case management experience

Provide concrete examples of your case management responsibilities and accomplishments:

• Managed a caseload of 50+ complex patients, coordinating care across inpatient, outpatient, and home health settings
• Collaborated with physicians, social workers, and other providers to develop and implement comprehensive care plans, reducing readmissions by 25%
• Served as a patient advocate, educating patients and families on treatment options and connecting them with community resources

Don't just list generic case management duties without context, like:

• Coordinated patient care
• Worked with interdisciplinary teams
• Provided patient education

   Quantify your impact

Use numbers and metrics to showcase the value you brought in your previous roles:

• Reduced average length of stay by 2.5 days and improved patient satisfaction scores by 30% through proactive discharge planning and care coordination
• Achieved 95% compliance with care plan goals and interventions across a high-risk patient population
• Saved $500K annually by identifying and addressing gaps in care, preventing avoidable complications and readmissions

Avoid making vague statements about your contributions without backing them up with data:

• Improved patient outcomes
• Reduced costs
• Ensured quality care

   Showcase your leadership and collaboration skills

Highlight experiences that demonstrate your ability to lead teams and work effectively with others:

• Supervised and mentored a team of 5 RN case managers, providing clinical guidance and performance feedback to ensure high-quality care coordination
• Collaborated with a cross-functional team of physicians, administrators, and IT staff to implement a new care management platform, improving workflow efficiency by 40%
• Served on a hospital-wide committee to develop and roll out new care coordination protocols, resulting in a 20% reduction in readmissions across high-risk patient populations

Don't simply list soft skills without providing supporting examples:

• Strong leadership abilities
• Excellent communicator
• Team player

   Tailor your resume to the job description

Customize your resume to highlight the specific skills and experiences that the employer is seeking:

• Highlight your experience with the specific patient populations or care settings mentioned in the job description
• Emphasize your proficiency with the EMR, case management, or other software systems that the role requires
• Mirror the language and terminology used in the job posting to show your fit

For example, if the job description emphasizes "care transitions" and "population health management," include bullet points like: "Managed safe and efficient care transitions for a complex patient population, collaborating with inpatient, outpatient, and post-acute providers" "Utilized population health management strategies to identify and engage high-risk patients, reducing ED utilization by 15%"

Avoid submitting a generic resume that doesn't speak to the specific requirements and priorities of the role you're applying for.

   Include relevant certifications and education

List any certifications, training, or continuing education that are relevant to case management and demonstrate your expertise:

• Certified Case Manager (CCM)
• Certified in Care Coordination and Transition Management (CCCTM)
• Completed 30+ hours of continuing education in population health, care transitions, and value-based care models

Be sure to also include your nursing degree(s) and any other relevant education:

• Bachelor of Science in Nursing (BSN), University of Michigan
• Master of Science in Nursing (MSN), Case Management Track, Johns Hopkins University

Avoid listing certifications or training that aren't directly applicable to the RN case manager role.

Writing Your RN Case Manager Resume: Section By Section

  summary.

A resume summary for an RN Case Manager is an optional section that sits at the top of your resume. It provides a brief overview of your most relevant qualifications, skills, and experience. While not required, a well-written summary can help you stand out to employers by highlighting your unique value proposition and demonstrating your fit for the role.

When writing your summary, focus on your key strengths and accomplishments that are most relevant to the RN Case Manager position. Avoid using an objective statement, as these are outdated and focus on what you want rather than what you can offer the employer.

To learn how to write an effective resume summary for your RN Case Manager resume, or figure out if you need one, please read RN Case Manager Resume Summary Examples , or RN Case Manager Resume Objective Examples .

1. Tailor your summary to the RN Case Manager role

A generic, one-size-fits-all summary won't capture an employer's attention. Instead, customize your summary to the specific RN Case Manager position you're applying for. Read the job description carefully and identify the key qualifications and skills the employer is looking for.

Then, showcase how you meet those requirements through your summary. For example:

Compassionate and detail-oriented RN Case Manager with 5+ years of experience coordinating care for diverse patient populations. Skilled in developing personalized care plans, collaborating with interdisciplinary teams, and ensuring compliance with healthcare regulations. Proven track record of improving patient outcomes and reducing hospital readmissions by 20%.

Avoid summaries that are too broad or could apply to any nursing role, like:

• Experienced registered nurse seeking a challenging position in a reputable healthcare organization.
• Dedicated and hardworking RN with strong clinical skills and a passion for patient care.

2. Highlight your case management expertise

As an RN Case Manager, your primary role is to coordinate and manage patient care across different settings. Employers want to see that you have the specific skills and knowledge needed to excel in this role.

In your summary, showcase your expertise in areas such as:

• Developing and implementing personalized care plans
• Collaborating with interdisciplinary teams (e.g., physicians, social workers, therapists)
• Facilitating communication between patients, families, and healthcare providers
• Ensuring compliance with healthcare regulations and standards
• Utilizing case management software and tools

For example:

Skilled RN Case Manager adept at developing and implementing comprehensive care plans for complex patient cases. Experienced in collaborating with interdisciplinary teams to ensure seamless care coordination and optimal patient outcomes. Proficient in utilizing case management software to streamline processes and maintain compliance with healthcare regulations.

  Experience

Your work experience section is the core of your resume. It's where you show the impact you've made at your previous nursing jobs. Recruiters and hiring managers will look at this section closely to gauge if you have the skills and experience they need in their next RN case manager.

In this section, we'll cover the essential tips to write an effective work experience section step-by-step.

1. Use strong action verbs

When describing your previous roles and accomplishments, start your bullet points with strong action verbs. Action verbs help paint a vivid picture of your skills and capabilities. They also help your resume stand out from the countless resumes that use generic, boring language.

Here are some examples of strong action verbs for a RN case manager:

• Coordinated care plans for 50+ patients, resulting in a 20% reduction in hospital readmissions
• Collaborated with a multidisciplinary team to develop personalized treatment plans
• Assessed patient needs and connected them with appropriate resources and services
• Educated patients and families on disease management and treatment options

2. Quantify your accomplishments with numbers and metrics

When possible, use numbers and metrics to quantify your accomplishments. This helps provide concrete evidence of your skills and experience. Compare the following two bullet points:

• Managed a caseload of patients
• Managed a caseload of 80+ patients, ensuring timely and appropriate care for all

The second bullet point is much more effective because it uses a specific number to quantify the scope of the responsibility.

More examples of quantified accomplishments:

• Reduced hospital readmissions by 15% through implementing a new care coordination protocol
• Improved patient satisfaction scores by 25% by focusing on clear communication and education

3. Highlight relevant tools and technologies

As a RN case manager, you likely use various tools and technologies in your day-to-day work. Highlighting your proficiency with these tools can help demonstrate your technical skills and industry knowledge.

Some examples of relevant tools and technologies for RN case managers:

• Electronic Health Records (EHR) systems like Epic, Cerner, or Meditech
• Case management software like Allscripts CareDirector or Casenet TruCare
• Utilization review tools like MCG or InterQual
• Telehealth platforms like Teladoc or Amwell

When mentioning tools and technologies, be specific about how you used them and the impact they had. For example:

Utilized Epic EHR system to document patient assessments, care plans, and progress notes, ensuring accurate and timely communication with the care team.

4. Showcase your career growth and promotions

Hiring managers love to see candidates who have shown growth and progression in their careers. If you've been promoted or taken on increasing responsibilities in your previous roles, make sure to highlight that in your work experience section.

Here's an example of how you might showcase a promotion:

Senior RN Case Manager, ABC Hospital, 2018-2022 RN Case Manager, ABC Hospital, 2015-2018 - Promoted to Senior RN Case Manager due to strong performance and leadership skills - Mentored and trained 5 new RN Case Managers, ensuring smooth onboarding and skill development - Led a quality improvement initiative that reduced hospital readmissions by 10%

By showing your progression and the increased responsibilities you took on, you demonstrate your ability to grow and succeed in your role.

  Education

Your education section is one of the most important parts of your resume as an RN case manager. It shows employers that you have the necessary qualifications and training to excel in this role. Here are some key tips to keep in mind when writing your education section:

1. List your nursing degree first

As an RN case manager, your nursing degree is your most important educational credential. Make sure to list it first in your education section, even if you have other degrees.

Include the full name of your degree, the institution you attended, and the year you graduated. For example:

Bachelor of Science in Nursing (BSN) University of California, Los Angeles Graduated: 2018

2. Include relevant coursework and clinical rotations

If you're a recent nursing graduate, you may not have a lot of work experience yet. In this case, highlighting relevant coursework and clinical rotations can help show employers that you have the skills and knowledge needed for the job.

Some examples of coursework and rotations to include:

• Case Management in Nursing
• Community Health Nursing
• Gerontology Nursing
• Psychiatric Nursing clinical rotation

3. List key certifications

Certifications demonstrate your expertise in case management and commitment to professional development. Some important ones to include in your education section:

• Certified Rehabilitation Registered Nurse (CRRN)
• Certified Continuity of Care (CCC)

If you have room, you can also list the certifying organization and expiration date.

4. Keep it concise if you're a seasoned RN

If you have many years of nursing and case management experience, there's no need to go into a lot of detail in your education section. Simply listing your degrees, institutions, and graduation years is sufficient.

Here's an example of what not to include:

Master of Science in Nursing (2005) Courses: Nursing Theory, Advanced Health Assessment, Pathophysiology, Pharmacology, Nursing Research, Leadership in Nursing, Community Nursing GPA: 3.8

Instead, just include the key details:

Master of Science in Nursing Johns Hopkins University School of Nursing

  Skills

As an RN case manager, your skills section is a critical component of your resume. It's where you showcase your expertise and qualifications to potential employers. In this section, we'll guide you through the process of crafting a compelling skills section that highlights your unique strengths and sets you apart from other candidates.

1. Highlight your clinical skills

As an RN case manager, your clinical skills are the foundation of your profession. Make sure to highlight the specific clinical skills that are most relevant to the job you're applying for. This could include:

• Patient assessment and triage
• Care planning and coordination
• Medication management
• Disease management (e.g. diabetes, heart disease)

By showcasing your clinical expertise, you demonstrate to potential employers that you have the knowledge and experience necessary to provide high-quality patient care.

2. Showcase your case management expertise

As an RN case manager, you play a critical role in coordinating patient care and ensuring optimal outcomes. Your skills section should highlight your case management expertise, such as:

• Care coordination and transition planning
• Utilization review and resource management
• Patient and family education
• Discharge planning
• Interdisciplinary collaboration

By emphasizing your case management skills, you show potential employers that you have the ability to navigate complex healthcare systems and ensure seamless care delivery.

3. Include relevant certifications and technical skills

In addition to your clinical and case management skills, it's important to highlight any relevant certifications or technical skills that set you apart. This could include:

• Case Management Certification (CCM)
• Proficiency in electronic health records (EHR) systems
• Experience with telehealth platforms
• Knowledge of coding and billing systems (e.g. ICD-10, CPT)

By including these additional qualifications, you demonstrate your commitment to professional development and your ability to adapt to the evolving healthcare landscape.

4. Tailor your skills to the job description

One of the biggest mistakes job seekers make is using a generic skills section that doesn't align with the specific job they're applying for. To avoid this pitfall, carefully review the job description and tailor your skills section accordingly.

For example, if the job description emphasizes experience with a particular EHR system or case management approach, make sure to highlight those specific skills in your resume. This shows the employer that you have the exact qualifications they're looking for.

Skills: Clinical assessment Care planning Patient education Discharge planning Utilization review

While this skills section includes relevant case management skills, it's too generic and doesn't align with the specific job requirements. Instead, try something like this:

Skills: Expertise in Epic EHR system Certified Case Manager (CCM) Experienced in utilization review and resource management Proficient in ICD-10 coding and billing Skilled in interdisciplinary collaboration and care coordination

By tailoring your skills section to the job description, you increase your chances of catching the employer's attention and landing an interview.

Skills For RN Case Manager Resumes

Here are examples of popular skills from RN Case Manager job descriptions that you can include on your resume.

• Mental Health Counseling
• Nonprofit Organizations
• Crisis Intervention
• Motivational Interviewing
• Case Management
• Community Outreach
• Cognitive Behavioral Therapy (CBT)
• Program Development
• Healthcare Management

Skills Word Cloud For RN Case Manager Resumes

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RN Case Manager Resumes

• Template #1: RN Case Manager
• Template #2: RN Case Manager
• Template #3: Clinical Case Manager
• Template #4: Hospice Case Manager
• Template #5: Home Care Case Manager
• Template #6: Case Management Coordinator
• Skills for RN Case Manager Resumes
• Free RN Case Manager Resume Review
• Other Medical Resumes
• RN Case Manager Interview Guide
• RN Case Manager Sample Cover Letters
• Alternative Careers to a Case Manager
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Registered Nurse Case Manager Resume Samples

The guide to resume tailoring.

Guide the recruiter to the conclusion that you are the best candidate for the registered nurse case manager job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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• Providing patient education to assist with self-management
• Tracks and trends variances barriers related to access to care; makes recommendations and develops action plans to improve processes and systems
• Providing patient education to assist with self-management of their medical condition or disease processes
• Assists in managing performance improvement projects
• Demonstrates initiatives in developing, implementing and analyzing quality improvement strategies for the case management department
• Assist in the development of case management policies and procedures
• This is a full time RN Case Manager position that works three 12 hour shifts per week and works every other weekend
• Keeps abreast of all changes in policies and procedures relating to Utilization Management, Discharge Planning and Case Management process
• Coordinates patient discharge with physician, managed care agency, social work services, patient and family
• Performs Clinical Care Coordination assessment within 72 hours of admission on all patients. Perform ongoing reviews every 48 hours or as necessary
• Makes referrals to other hospital departments for collaboration and assistance in discharge planning
• Develops and documents a post discharge care plan in conjunction with other members of the health care team based on initial patient assessment
• Identifies problematic care patterns or cases and make referrals to the Supervisor and the department involved
• Assists in identifying patient incidents through the NYPORTS program
• Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities
• Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals
• Utilization Review, Quality and Compliance Monitoring
• Conducts concurrent medical record review using specific quality indicators and clinical decision support criteria as approved by the medical staff, TJC, CMS and other regulatory agencies and document findings
• Serves as liaison with Physician Performance Improvement (PPI) to ensure the reporting of quality indicators and care concerns
• Reviews all new admissions daily against inpatient screening criteria and communicates necessary changes in status designation to ordering physician and Patient Access
• Identifies all observation patients with observation alert sticker, reviews status no less frequently than daily, and communicates directly with the attending physician if severity of illness and intensity of service meet criteria for inpatient admission or when observation hours threaten to exceed 48 hrs
• 5+ years of acute care experience
• Discharge planning, utilization management, home care experience
• Supervisory experience
• Positive attitude, self directed, pleasant, cooperative, assertive
• Professional demeanor with patients, families, physicians, and fellow employees
• Knowledge of nursing theory and principles and the sustained ability to remain calm, productive and focused under stress conditions
• In-depth understanding of and skill in using nationally recognized medical utilization criteria sets,(ie InterQual)
• Responsible for processing Medi-Cal TARS (Treatment Authorization Request) and obtaining physician signature in a timely manner
• Collaborates with discharge coordinator regarding patient cases not meeting intensity of services/severity of illness criteria

10 Registered Nurse Case Manager resume templates

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• Initiates the appeal process upon notification of denial by business office
• Demonstrates knowledge of pediatric, adolescent, adult and geriatric variations in treatment/procedure as evidenced by annual age specific competency assessment/evaluation
• Responsible for admissions, concurrent and/or retrospective reviews of all patients in accordance with the criteria and the policies and procedures approved by the Performance Improvement Committee, and consistent with Federal and State guidelines, PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies
• Serves as a liaison to
• Possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care
• Proficiency level typically achieved with 5 years clinical experience
• Ability to work effectively in an interdisciplinary team format
• Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care
• May supervise other staff
• Knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care
• Current Registered Nurse \(R.N.\) license in Arizona
• Basic Life Support \(BLS\) certification, required
• Interacting with Medical Directors on challenging cases
• Educating members on disease processes
• Documenting and tracking findings
• Making post-discharge calls to ensure that discharged member receive the necessary services and resources
• A current, unrestricted RN license in the State of Georgia
• 3+ years of experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Case Manager for an insurance company
• 1+ year of clinical experience dealing with adult patients
• Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
• Case or disease management experience
• Experience working with Medicare / geriatric patients
• Experience / exposure with discharge planning
• Certified Case Manager (CCM)
• Bilingual (Spanish / English) skills
• Medical / Surgical, Home Health, Diabetes or Cardiac experience or certification
• Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment

Registered Nurse Case Manager PRN Resume Examples & Samples

• RN with current state licensure, BSN preferred
• Three years nursing experience in acute care setting with Case Management experience preferred
• Knowledge of PRO, HCFA, HRS regulations
• Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. The RN Case Manager discusses alternate levels of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed
• The RN Case Manager is knowledgeable of all JCAHO, HCFA, and state/federal requirements for provision of care, planning, and documenting
• Graduate of an accredited diploma, associates, or baccalaureate degree nursing program. (required)
• Minimum of 3 years clinical experience in area in which Case Management was performed. (preferred)
• Assesses discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals, and document plan
• Utilize community resources to support patient’s post hospital needs. Documents choice in available resources
• Facilitates and provides education of hospital staff, physicians, patients, and caregivers for purposes of efficient resource utilization
• Tracks resource statistics to identify improvement opportunities. Reports findings at medical staff and other hospital committee meetings
• At least one year experience in utilization review, resource management, discharge planning, or case management. (preferred)
• Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient
• Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities
• Minimum 2 years of clinical nursing experience
• Under the supervision of the Director of Continuum of Care Department the RN Case Manager provides oversight and intervention through assessing, planning, coordinating, monitoring and evaluation of services required to respond to individual patient needs
• The case manager is responsible for utilization review, discharge planning and care coordination with the patient, patient’s family, physician and health care team
• The case manager works with other members of Continuum of Care Department sharing responsibilities as assigned to meet the needs of each patient
• Graduate from an accredited School of Nursing and or Bachelor of Science in Nursing Degree
• Minimum of 3 years clinical nursing experience, preferably 1 year of experience in Managed Care
• Ability to work both independently and collaboratively with other professionals
• Able to assess patient care needs and utilize available resources to provide safe discharges
• Assesses, develops, implements , coordinates and monitors a comprehensive plan of care in collaboration with the physician and interdisciplinary team
• Balances individual clinical and psychosocial patient/family needs with the efficient and cost effective utilization of resources, while promoting quality outcomes
• Graduation from an accredited school of nursing. Bachelors’ degree preferred
• Current RN license for the State of Missouri and Commissioned as a Notary Public for the State of Missouri within 18 months of hire
• Applies problem-solving techniques to the Case Manager process
• Assesses variables that impact on health and functioning
• Interprets clinical information and assess implication for treatment
• Develops an individualized case management plan that addresses singular physical, vocational, psychosocial, financial and educational needs
• Understands insurance policy language
• Presents various health care options
• Documents Case Management activities
• Maintains familiarity with disease processes available resources and treatment modalities, assessing their quality and appropriateness for specific disabilities, illnesses and injuries
• Adheres to and complies with HCA's ethics and compliance policies and procedures in the Code of Conduct. Attends annual training sessions
• At least 1 year experience as a case manager in a healthcare setting preferred
• Knowledge of accreditation and regulatory standards
• Interpersonal skills in working with physicians, healthcare professionals, patients and families
• Possess working knowledge of utilization review, case management and DRGs
• Demonstrate knowledge of commercial insurance requirements/criteria for indications of hospitalization
• Requires working in a fast-paced setting and self-motivated

Registered Nurse Case Manager / Days Resume Examples & Samples

• Financial Assessment and Coordination
• Communicates proactively and cooperatively with Patient Access, Patient Account Services (PAS) and Central Verification Office (CVO) personnel to ensure proper pre-certification and consistency of admissions status designation between physician order and EMR
• Communicates known changes to patient payer information and other relevant financial characteristics of coverage to appropriate admissions and/or billing personnel
• Proactively ensures that required clinical justification is provided to third party payers to obtain recertification for continued hospitalization and treatment and that transfer of this information, together with days approved and contact information is provided timely to the PAS and CVO via computerized insurance review documentation
• Serves as liaison between third party payers, patient access PAS and CVO to ensure communication of all pertinent information regarding level of care, billing and reimbursement
• Works with the patient and family to identify alternate financial resources available to meet the cost of necessary post-discharge needs or to recommend alternate care options when necessary funding is unavailable
• Proactively initiates expedited appeals process with payers and communicates with denials management regarding anticipated or verified denials and cooperates with denials management to provide additional clinical information for appeals
• Treatment Planning and Coordination of Services
• Educates patient and family on case manager role and process for contacting the case manager for questions
• Ensures that patient tests are appropriate and necessary and are carried out within the established time frame and that results are promptly available
• Serves as a patient advocate by enhancing a collaborative relationship to maximize the patient's and family's ability to make informed decisions
• Communicates with treating physicians at regular intervals throughout hospitalization of the patient to develop an effective working relationship, while assisting physicians to maintain appropriate costs, utilization of resources, and discharge plans commensurate with the patient's available resources
• Monitors and provides documentation of identified variance days for tracking and trending
• Stays current with education related to CMS and HCA billing compliance mandates, monitors and ensures that facility is compliant
• Discharge Planning and Continuity of Care
• Facilitates the ordering and delivery of specialized medical equipment, orthotics and prosthetics as ordered by the attending physician
• Facilitates referral process of next level of care
• General Duties
• Actively utilizes and complies with facility principles of good communication and customer service standards, including use of AIDET as developed by the department
• Prepares and presents inservice and training programs as requested
• Ability to read, analyze and comprehend complex clinical and financial data and its application to level of care criteria and discharge options; strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes; excellent critical thinking skills; assertive personality traits to facilitate ongoing physician communication; organize, prioritize and manage time efficiently. Computer literacy and familiarity with the operation of basic office equipment. Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members within various socioeconomic groups and representatives of varied outside agencies. Ability to communicate effectively with and know the age-specific needs of patients of adolescent, adult and geriatric age
• The Care Coordinator promotes inter-professional synchronization throughout the acute episode, and completes effective handoff to the next level of care or community to ensure continuity of care
• The Care Coordinator proactively assesses, identifies, and works to mitigate the risk posed by barriers to the patients’ transitions of care
• The Care Coordinator works in partnership with the patient and/or care partner(s) to develop a comprehensive, individualized transitional care plan. Participation and leadership in patient rounding activities, huddles, and committee meetings is expected, where appropriate
• The role requires the successful completion of annual competency training, as assigned. Care coordinators are required to obtain certification by an approved entity within one year of eligibility
• Minimum of three years of recent RN clinical experience required. Minimum of two years of recent experience in Utilization Review, Quality, or Care Management preferred
• Knowledge of acute care regulatory/accreditation requirements preferred. Discharge planning and/or Quality Improvement experience preferred
• Making outbound calls and taking inbound calls to assess members' current health status
• Interacting with Medical Directors/Pharmacists on challenging cases
• Coordinating care for members i.e. Partnering with internal and external vendors including, Behavioral Health, Wellness, Social Workers, EAP
• Communication with customers and/or account management teams
• Collaboration with Primary Care and Specialty Providers
• Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses within 12 months
• Utah RN license required
• Three to five years experience in an acute care setting. Two years experience in Case Management and/or Discharge Planning preferred
• Excellent public relation skills, knowledge of community resources, knowledge of regulatory agencies

RN / Registered Nurse Case Manager Resume Examples & Samples

• Typing 25 wpm
• Light Work - exert/lift up to 20 lbs. force occasionally, and/or up to 10 lbs. frequently

Registered Nurse Case Manager Per Request Needed Resume Examples & Samples

• 4 years of clinical experience as a Registered Nurse
• Experience in Case Management, utilization review, nursing clinical quality or discharge planning preferred
• RN-Colorado
• Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally
• Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V
• Making outbound calls and service inbound calls to assess members' current health status
• Identifying gaps or barriers in treatment plans and partner with member to develop an effective care plan
• Collaborate with Medical Directors on high clinical and financial risk cases
• Collaborate with Pharmacist regarding medication reconciliation, including lower cost alternatives, medication interactions
• Holistic multi-disciplinary coordination of care for members, including partnering with Inpatient Case Manager, Physicians, Ancillary providers, Social Workers and other internal and external clinical programs
• Facilitating referrals to Health programs and additional approved resources to assist members in managing their health more effectively
• Empower members to actively participate in their health care including healthy lifestyle changes
• Proactively begin readmission prevention and discharging beginning with outreach to the member upon admission to the hospital and post-discharge to ensure the member has the appropriate services and resources in place for a successful recovery
• Graduate of an Accredited RN program
• Current, unrestricted RN license in the State of Illinois
• 3+ years recent clinical experience as an RN ( Acute care, Case or Disease management within a hospital setting or Home Health Care/Hospice) or experience as a telephonic Case Manager for an insurance company
• Multiple state licensure (in addition to Compact License if applicable) OR ability to obtain multiple state nursing licenses required
• Strong computer skills with the ability to use multiple platforms, navigate within a Windows environment, and a foundational knowledge for Microsoft Office and email. (Ability to create, copy, edit, save & send documents utilizing Word, Excel & Email)
• Disease Case Management experience
• Experience with Asthma, Diabetes or Heart disease treatment
• Experience or knowledge of utilization review, concurrent review and / or risk management
• Bilingual Spanish
• Ability to work in a faced-paced environment, adapt to change, strong organizational skills and multitasking abilities are keys to success
• Strong communication skills and open to constructive feedback as well as Open Coaching dialogue
• Independent, team player and critical thinking skills
• Possess knowledge of case management or utilization review as normally obtained through the completion of a Bachelor's degree in case management or health care
• Hold a current Registered Nurse (R.N.) license in Arizona
• Possess a Basic Life Support (BLS) for Health Care Providers certification, required prior to employment
• Demonstrate a proficiency level typically achieved with 5 years clinical experience
• Knowledge of case management or utilization review as normally obtained through the completion of a Bachelor'sdegree in case management or health care
• Current Registered Nurse (R.N.) license in Arizona
• Basic Life Support (BLS) for Health Care Providers, required prior to employment

Registered Nurse Case Manager Pool Resume Examples & Samples

• Basic Life Support (BLS) certification is required
• Working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management
• Critical thinking skills, problem-solving abilities, effective communication skills, and time management skills
• CCM, highly preferred

RN Registered Nurse Case Manager Resume Examples & Samples

• Although Registry positions normally do not offer guaranteed hours, this is a position which will require a full time 40hr commitment from the successful candidate for up to 6 months
• Shifts are Monday thru Friday
• A minimum of 5 years clinical med/surg (inpt) knowledge
• Prior auth processing is desired but not necessary
• Health plan knowledge such as previous work history with Health Net, United Health Care, AHCCCS, etc. is desirable
• Microsoft Office knowledge
• Knowledge of how to use the internet for medical research-ex: CMS website

Registered Nurse Case Manager Prn-utilization Review Resume Examples & Samples

• Initiates timely admission and continued stay reviews per Department Standards
• Works well autonomously and as a team member
• Excellent communication skills (oral and written) and customer service oriented
• Promotes and maintains collaborative working relationships
• Graduate of an accredited nursing program, diploma, associate degree or baccalaureate program
• This position performs case management, utilization review and discharge planning responsibilities
• Admission/pre-admission screening for appropriateness of admission and continued stay
• Concurrent review of inpatients; assess patients for discharge planning and community resource needs
• Assist in identifying problem diagnoses and practice patterns
• Participates in committees as required
• Performs case management assessment and makes appropriate referrals as needed
• Performs other special duties within the case management scope of work as assigned by the Department Director
• Current TX RN license or applicable compact state
• Current enrolled in a BSN program will be considered
• Minimum 2 years of direct patient care in an acute care setting
• Some experience with discharge planning and utilization review proficiency is necessary to be considered for this role
• Minimum two years acute care case management experience
• Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan
• Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered
• Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed
• Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization
• Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting
• Required: Current Texas licensure as a Registered Nurse
• Education:Graduate of an accredited diploma, associates, or baccalaureate degree nursing program
• Experience:Minimum of 3 years clinical experience in area in which Case Management will be performed
• Required:Current Texas licensure as a Registered Nurse
• Preferred:Bachelor of Science in Nursing
• Current and unencumbered license to practice as a Registered Nurse specific to that state the employee is assigned to work by the company
• Demonstrated knowledge of the appropriate skills for communicating with individuals of all ages. Excellentinterpersonal skills including verbal and written communication skills
• Valid Driver’s License
• Reliable transportation and agency required liability insurance

Registered Nurse Case Manager Days Resume Examples & Samples

• Concurrent review of inpatients
• Assess patients for discharge planning and community resource needs
• Identifies under-utilization and over-utilization of services
• Communicates with care providers of appropriateness of admission, treatment , and length of stay; monitors patients for appropriateness of level of care
• Acts as patients' advocate; performs case management assessment and makes appropriate referrals as needed
• Provide social service consult and follow up as needed
• Assess for quality of patient care
• Acts as consultant to the Health Information coders when clinical questions arises
• Current Texas State RN license or compact license is accepted
• Bachelor of Science Degree in Nursing preferred
• Three years of direct patient care nursing experience in an acute care setting preferred
• Prior Case Management experience preferred

Registered Nurse Case Manager Pool-tier Resume Examples & Samples

• Requires current Registered Nurse (R.N.) license in Arizona
• CCM, highly preferredTier 3: Minimum of 10 shifts/four weeks to include a minimum of 4 weekend shifts (out of 8 possible weekend days)/four weeks and 1 major and 1 minor holiday/year
• RN Case Managers must have at leasttwo areas of competency in order to FLOAT
• Major Holidays: Thanksgiving, Christmas Day & New Year’s Day (must work a different major holiday each year)
• Minor Holidays: Memorial Day, 4th of July, Labor Day (Minor holidays may also include difficult to staff days or other days as defined by Leadership: e.g. Halloween, Valentine’s day, Easter, Mother’s/Father’s day, Super Bowl Sunday, St. Patrick’s Day, Day after Thanksgiving, etc.)
• Offered as a flat rate wage Tier 3 = $44.00/hour, non-negotiable
• Benefits not included
• Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues
• Identifies and resolves barriers that hinder effective patient care
• Collaborates and consults with physicians on patient's progress and discharge planning needs
• Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity
• Maintains knowledge of resources and facilities available to patients and family members
• Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions

Registered Nurse, Case Manager, Home Health Resume Examples & Samples

• Responsible for coordination of patient care for assigned caseload. Will manage the clinical aspects and oversee the plan of care for patients along with discharge planning
• Acts as a resource for other clinicians including Registered Nurses, Licensed Practical Nurses, Home Health Aides, Physical Therapists, etc., who may be working on a particular home care case for which the primary RN is responsible for managing
• Regularly re-evaluates patient nursing needs

Registered Nurse, Case Manager, Hospice Resume Examples & Samples

• Responsible for coordination of patient care for assigned caseload. Will oversee the plan of care for patients along with discharge planning
• Develops a plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic and preventive nursing actions. Includes the patient and the family in the planning process
• Initiates appropriate preventive nursing procedures. Administers medications and treatments as prescribed by the physician
• Provides health care instructions to the patient as appropriate per assessment and plan of care
• Responsible to communicating with all disciplines involved in the patient’s care (i.e., Social Work, Chaplain, Hospice
• Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes
• Assesses and responds to patient/family needs by coordinating efforts of other team members
• Manages the process to review and, as appropriate, appeal denials received from payors
• Bachelor's of Science in Nursing preferred
• Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order
• Minimum of two years experience, at lease one of which is in the area of public health, home care, or hospice nursing is preferred
• Self directed and able to work with minimal supervision
• Management experience not required. Responsible for supervising hospice aides
• Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist

Hospice Registered Nurse Case Manager Resume Examples & Samples

• Registered Nurse licensed in the State of Colorado
• Graduate of an Associate’s degree Nursing program
• Valid driver’s license and active auto insurance
• Basic Life Support (BLS) competency
• At least 2 years of experience in hospital, Home Health and/or Hospice
• Infectious positivity and interpersonal skills
• Ability to document within the HomeCare HomeBase (HCHB) electronic medical record
• Mastery of time management skills to effectively case manage
• 3 years experience in Home Health and/or Hospice
• HomeCare HomeBase experience and understanding
• Communicates with care providers of appropriateness of admission, treatment, and length of stay
• Monitors patients for appropriateness of level of care
• Participates in development and implementation of QI programs
• Acts as patients' advocate
• Assess for quality of patient care; acts as consultant to the Health Information coders when clinical questions arises
• Prepares education materials for in-service and training of physicians, hospital personnel and the community as needed
• Enters data and maintains the appropriate reports
• Current Texas Licensure as a Registered Nurse required. Compact license is accepted
• Current Healthcare Provider CPR issued by the American Heart Association required
• Two years of direct patient care experience
• Under the general supervision of the Director, Case Management, the Clinical Case Manager is responsible for assisting in the implementation of the Case Management Program to ensure ongoing assessment of patient care delivery according to established standards
• Coordinates patient care services provided in the Intensive Care/PCU Unit in collaboration with the Director on designated shifts
• Functions as a resource person for staff members and assists in necessary education of individual members of nursing staff with a focus on promoting clinical competence in the provision of critical care nursing
• Assumes responsibility for the quality of nursing care provided by the Intensive Care/PCU Unit on designated shifts including the implementation of programs to improve this quality in collaboration with the Director
• Ensures adherence to standards in the Intensive Care Unit/PCU based on Administrative Operational Standards, Nursing Administrative Standards, Human Resource Standards, and Intensive Care/PCU Unit Standards with collaboration with the Director, ICU/PCU, or Chief Nursing Officer in unusual situations
• Consults and coordinates with healthcare team members to assess, plan, implement, evaluate, and modify the plan of care, as indicated by the patient’s responses and conditions
• RN licensure by Texas Board of Nursing
• Minimum for 3 years of clinical practice with emphasis on leadership and management exp
• Previous experience in critical care nursing with certification (CCRN) preferred
• BLS and ACLS from the American Heart Association required
• Current licensure in Texas as a Registered Nurse with Bachelor of Science in Nursing preferred
• Experience in health care delivery systems with focus on Case Management or Performance Improvement preferred

Home Health Registered Nurse Case Manager Resume Examples & Samples

• RN, licensed in the state of Oregon, and with at least 1 year home health and/or hospice experience
• Strong team skills
• Flexible--responds well to changing priorities and conditions
• Knowledge of the duties and functions of the home health and hospice agency and its relationship to the healthcare community
• Regularly assesses and reassesses the nursing needs of the Hospice patient
• Provides dietary counseling
• Provides Hospice nursing services, treatments and preventive procedures
• Initiates nursing procedures appropriate for the patient’s Hospice care and safety
• Observes signs and symptoms and reports to the physician and IDG members any unexpected changes in the patient’s physical or emotional condition
• Teaches, supervises and counsels the Hospice patient and family members about providing care for the patient
• Supervises and trains other nursing service personnel
• Develops and re-evaluates the patient/family care plan in conjunction with IDG to meet needs and maintain continuity of care
• Performs specific nursing procedures as needed (e.g., treatments, management of symptoms) following doctor’s orders
• Attends team conferences
• Maintains records as required by Hospice
• Follows the policies and procedures of Hospice. Observes confidentiality and safeguards all patient-related information in compliance with HIPAA regulations
• Always communicates to the supervisor if unable to meet a patient’s need or perform a procedure
• Participates in on-call system and is responsible for providing on-call coverage when unavailable for assigned duties
• Maintain skills and knowledge
• Works with interdisciplinary group concept of patient care
• Coordinates the implementation of the plan of care for patients residing in SNF, NF, ICF or MR
• Organizes work schedule and utilizes time management to be able to attend all required meetings
• Complies with agency infection control policies and protocols
• Assist with orientation, teaching and training as requested
• Other duties as assigned by Director of Professional Services
• Meets with residents and families to discuss the transfer process, anticipate treatment, expected outcome and financial implications
• Determines the special needs of the resident (i.e. equipment, staff) and creates cost effective solutions
• Communicates transfer, admission clinical and financial information to appropriate facility staff members. Ensure the facility is prepared for admission
• Obtains the necessary information (medical and financial) to provide information relevant to the completion of the initial MDS, including back-up documentation
• Facilitates resident placement based on clinical services needed, bed availability, resident/family preference, geographic location, etc
• Effectively manage relationships to achieve positive process with referral sources within referring providers
• Coordinate tours at facilities for referral sources
• Coordinates tours and admissions conferences for potential resident s and their families
• Collaborates with the resident, members of the healthcare team and, when appropriate, the resident's significant other(s) in the interest of the resident's healthcare
• Consult with, utilized and initiates referrals to appropriate community agencies and healthcare resources to provide continuity of care
• Ensure information is received and documented on all new resident referrals and necessary data for completion of all phases of assessment and admission are completed
• Current knowledge and understanding of payments systems, HMO, PPO, Indemnity, Workers Compensation, insurance (Medicare and Medicaid, etc
• Familiarity with State and Federal Regulations
• Must be a graduate of an accredited School of Nursing. BSN degree highly desired,
• Two years’ experience as an RN Case Manager preferred,
• Must possess a current, unencumbered license to practice as a RN in the State, and current CPR Certificate

Registered Nurse Case Manager Orthopedics Resume Examples & Samples

• Possesses the ability to provide a comprehensive physical assessment and triage patients according to patient acuities
• Coordinates the surgical schedule and prioritizes cases accordingly
• Coordinate patient care between clinic, operating room and discharge activities and coordinate requests for specialized Operating Room equipment
• Work closely with the Orthopedic Residents, providing guidance and direction regarding the day to day operation of the Orthopedics Program
• Consistently demonstrates sound clinical judgment and the ability to effectively provide and/or direct the care provided by team members for patients and modifies and updates the plans of care/treatment plans for patients
• Identifies significant patient care problems and sets priorities for their management
• Provides and directs nursing care for clients with complex nursing care needs; i.e. multi-system health care issues, complex psychosocial issues, etc
• Demonstrates leadership qualities through collaboration with others
• Participates in studying, identifying, evaluating and implementing creative process and system improvements that facilitate the mission of the Medical Center at the program or service level and which can be documented through demonstrated outcomes
• Demonstrates understanding of patient rights, policies relating to patient rights (i.e. Advanced Directives, DNR, patient confidentiality) and understanding of ethics for the Federal employee
• Acts as a patient advocate, guides, directs or supports co-workers regarding ethical issues and makes appropriate referrals when issues are suspected or identified; i.e. knowledgeable regarding the chain-of command and ensures referrals are made to the Medical Ethics Committee when appropriate
• Completes assignments in a timely and effective manner and follows safety protocols designed to reduce/eliminate employee risk of injury
• Guides and ensures that other health team members follow established safety protocols that have been designed to reduce/eliminate the risk of injury and when in charge, makes assignments in a manner that appropriately utilizes and optimizes the resources available for the shift
• Consistently demonstrates consideration and/or utilization of restraint alternative and/or utilizes the least restrictive form of restraint possible
• Supports and enhances client self-determination
• As well as other assigned duties
• Orthopedic experience is preferred
• Critical Care experience is strongly preferred

Registered Nurse Case Manager, Area Resume Examples & Samples

• Conducts telephonic, face-to-face or home visits as required
• Maintains ongoing member case load for regular outreach and management
• Collaborates with RN case managers/supervisors as needed or required
• Completes face-to-face comprehensive assessments of members per regulated timelines
• Facilitates comprehensive waiver enrollment and disenrollment processes
• Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals
• Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members
• Assesses for medical necessity and authorize all appropriate waiver services
• Evaluates covered benefits and advise appropriately regarding funding source
• Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration
• Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns
• Identifies critical incidents and develops prevention plans to assure member's health and welfare
• Note for RN's: May have additional duties, such as providing consultation, recommendations and education as appropriate to non-RN case managers; working cases with members who have complex medical conditions and medication regimens; and/or conducting medication reconciliation when needed
• 50-75% travel required
• At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports
• Active, unrestricted State Nursing license (RN/LVN/LPN) OR Clinical Social Worker license in good standing
• Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation
• 1 year experience working with population who receive waiver services

Registered Nurse Case Manager for ., OH Area Resume Examples & Samples

• Facilitates interdisciplinary care team meetings and informal ICT collaboration
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts
• RNs are assigned cases with members who have complex medical conditions and medication regimens
• RNs conduct medication reconciliation when needed

Registered Nurse Case Manager General Surgery Resume Examples & Samples

• Provide routine patient care and management in the clinic setting. Perform basic nursing procedures including, but not limited to, ostomy care, wound care, and dressing changes
• Triage patients with acute and chronic complaints, in consultation with General Surgery clinical staff and according to standardized procedures
• Case management for patients with complex needs to coordinate and facilitate their General Surgery care (e.g. consultation for referral patients from outside of VAPAHCS, oncological patients receiving multimodal therapy, Bariatric Surgery patients, Breast Surgery, integrating care with other medical specialties)
• Serve as a primary General Surgery section patient advocate. Provide service recovery to address patient and family concerns
• Current BLS provider card issued by American Heart Association (AHA) or Military Training Network (MTN)
• Four (4) years of recent surgical setting (inpatient, outpatient, and clinic) RN practice experience
• Experience in ostomy care, wound care, dressing changes, suture/staple removal
• Current Ostomy Care Certification or are willing to obtain within one year of hire
• RN experience in coordinating care for surgical patients
• OF-306 Declaration For Federal Employment: http://www.opm.gov/forms/pdf_fill/of0306.pdf (Required if selected)
• Copy of Transcripts (Official transcripts will be required if selected)

Registered Nurse Case Manager Plastic & Reconstructive Hand Surgery Resume Examples & Samples

• Provide routine patient care and management in the clinic setting. Perform basic nursing procedures including, but not limited to, wound care, dressing changes, post-op care including suture removal
• Triage patients with acute and chronic complaints, in consultation with Plastic & Hand Surgery clinical staff and according to standardized procedures
• Request and follow up on diagnostic studies as indicated per request of Plastic & Hand Surgery providers
• Serve as primary Plastic & Hand Reconstructive Surgery section patient advocate. Provides service recovery to address patient and family concerns
• Instructed in treatment of life threatening situations where a physician is not immediately available
• Four (4) years of recent medical-surgical unit RN practice experience
• One (1) year of recent Case Management experience
• Certification in Case Management (RN-BC) or CCM (Certified Case Management)
• Resume (Required for ALL applicants)
• Non-Award SF-50 (VA, other Federal Employees, and Reinstatement eligible)
• VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-fill.pdf) (Required if selected)

Registered Nurse Case Manager Behavioral Health Interdisciplinary Program Bhip Resume Examples & Samples

• Makes follow up calls to Veterans who no show or cancel scheduled appointments
• Does assessments with vital signs on all Veterans with scheduled appointments with BHIP providers and informs providers of any abnormal findings and completes clinical reminders
• Fills medication boxes and provides education to Veterans about their medications. Ensures that Veterans have adequate refills on their medications and works with provider when new refills are needed. Provides phone follow up with Veterans who have been placed on new medications to monitor therapeutic effects and assess for side effects or adverse reactions
• Works closely with other BHIP members in developing a comprehensive treatment plan and providing follow up phone calls or face to face visits as needed or suggested by team
• Participates in and contributes to regular meetings with BHIP team and MH Staff, which may be on a daily and ad hoc basis, as well as weekly team meetings with the ACOS, Mental Health
• Monitors providers clinic to ensure that Veterans needing to be seen right away can be seen without delay
• Participates in patient safety and quality improvement processes

Registered Nurse Case Manager Hospice Resume Examples & Samples

• Collaborate with IDG members to provide continuous assessment of assigned patients, initiate appropriate nursing actions, and evaluate the results of these actions
• Facilitate the implementation of nursing interventions, preventive and therapeutic nursing procedures. Provide direct patient care as necessary
• Assume a leadership role to facilitate interdisciplinary coordination and collaboration
• Provide appropriate information and explanation to patients family/caregivers. Facilitate patient and family education
• Evaluate the effectiveness of teaching to promote quality patient/family/caregiver outcomes, and ongoing professional development of hospice staff
• Develop visit frequencies in accordance with patients needs and acuity, reviewing at least weekly and adjusting as needed
• Participate in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner
• Facilitate the quality assessment, performance improvement (QAPI) process
• For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree
• For all other eligible licensed or certified health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred
• 2 years of rehabilitation experience preferred
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner
• Current / Good Standing :Registered Nurse (RN) license in the state of CA ***
• Continuing education credits maintained as required by state of practice required
• Minimum of three (3) years’ experience in clinical nursing preferred
• Minimum of one (1) years experience in renal nursing or case management /and or case coordination ** preferred
• Previous experience in healthcare performance coaching preferred
• Bilingual ( English/Spanish ) is preferred but not required **
• Current driver’s license in state of CA with positive driving record and able to meet requirements of insurance coverage required
• Will require travel within Palm Springs, Banning, and Marino Valley, CA **
• Functional proficiency with DaVita specific clinical software programs, required within 90 days of employment

Registered Nurse Case Manager Pain Management Resume Examples & Samples

• BSN Degree is highly desirable; National certification in Case Management is preferred
• A minimum of five (5) years of complex nursing experience highly desirable with 2 years of case management experience preferred
• Demonstrated ability in previous assignments to make critical decisions in stressful environments
• Demonstrated ability to work independently and exercise good judgment with minimal supervision
• 3) Whether you were referred to the selecting official for further consideration
• ) A copy of any pertinent certifications
• ) Form OF-306: Declaration of Federal Employment
• ) Copies of transcripts to validate each level of academic achievement (diploma, ADN, BSN, MSN, etc.) and all licensure/national certification documentation
• *Application materials will not be accepted by e-mail. ***
• Promotes hospice philosophy
• Communicates identified needs and potential solutions to supervisor
• Completes routine and emergency assessments on each patient as indicated by departmental policy
• Coordinates clinical and psycho-social and spiritual services as indicated by Plan of Care through case management
• Records observations, treatments, and other pertinent information
• Communicates with IDT, Medical Director and Attending Physician as directed regarding measures to alleviate symptoms, and monitors response to measures implemented
• Provides physical and emotional interventive care to support the patient and family in period of crisis through case management with the psycho-social team
• Prevents unwarranted hospitalizations by meeting patient and family needs in the home
• Coordinates Case Management of routine and emergency patient care
• Collaborates with IDT meet needs of patient for clinical and psycho-social interventions
• Collaborates with IDT to coordinate hospice care for the patient and family to ensure appropriateness, continuity, and quality of care
• Updates the POC for IDT
• Develops and updates care plans following each POC change and ensures updates are made from the psycho-social staff
• Assists in identifying the need for intervention of other IDT members
• Effectively communicates patient and family needs to IDT
• Educates patient and caregiver regarding
• Care of patient
• Disease process
• Dying Process
• Symptom control
• Admits patients
• Explains hospice services and Medicare benefits to patients and families
• Obtains the Election of Benefits
• Completes referral and admission assessments as requested
• Maintains appropriate communication
• Keeps physician and Medical Director informed of patient needs and condition
• Ensures documentation at bedside
• Notifies other IDT members of physician concerns and suggestions
• Submits appropriate documentation and paper work to contracted facilities at completion of patient visit
• Completes and submits IDT Narratives, time logs, and all required documentation by 10 A.M. the following morning
• Supervises the care given by Licensed Practical Nurses and Hospices Aides
• Promotes home health philosophy
• Coordinates clinical and all disciplines(PT,OT,MSW or HHA) as indicated by Plan of Care through case management
• Provides physical and emotional interventive care to support the patient and family in period of crisis through case management
• Collaborates with IDT to coordinate home health care for the patient and family to ensure appropriateness, continuity, and quality of care
• Explains home health services and Medicare benefits to patients and families
• Explains Home bound criteria and skill need to patient and families
• Completes and submits clinical notes and Oasis, time logs, and all required documentation by 10 A.M. the following morning
• Supervises the care given by Licensed Practical Nurses and Home Health Aides
• Current state of Oregon Registered Nurse (RN) licensure and graduation from an accredited school of nursing
• 3-5 years of clinical experience
• Working knowledge Medicare criteria for skilled nursing services or home health/medical equipment services
• Demonstrated ability to work cooperatively in a multi-disciplinary team
• Current recognition by a national professional organization in case management must be obtained within 2 years of hire date
• For RNs, graduation from a Bachelor's of Science in Nursing (BSN) program
• Home health, skilled nursing facility and/or community health nursing (OR) clinical social work
• 1 year of managed care experience and/or utilization management experience
• Graduate of an accredited Bachelors Nursing degree program or completion of an accredited Nursing program with a Bachelors degree or higher in a health care field
• Applicants without a BSN degree must actively pursue and attain a BSN within five years of hire
• Current license to practice as a Registered Nurse in the State of Washington
• A minimum of three years registered nursing experience in an acute care hospital
• Ability to employ advanced communication, negotiation, and interpersonal skills with all levels of internal and external customers
• A minimum of one year of hospital case management experience
• Knowledge of funding, resources, services, clinical standards and outcomes
• Current Washington State Registered Nurse License
• Minimum of five (5) years clinical experience
• CPR or BLS certification within 6 months of hire
• Previous experience in utilization review/case management
• Computer skills: typing, email, and word processing
• Certified case manager

Registered Nurse Case Manager, Home Health Resume Examples & Samples

• Conduct a comprehensive patient assessment(s), initial, reassessment, discharge and ongoing of the client's needs, including OASIS assessment at appropriate time points. (G171, G172, G331, G335) Achieve and maintain OASIS assessment accuracy. Communicate findings to ordering physician. Validate medical diagnoses and submit preliminary ranking. Identify and prioritize the problems/needs of patient. Establish a physician-directed, individualized treatment plan in conjunction with Utilization Management staff
• Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
• Educate and require adherence to performance improvement processes and initiatives
• Establish and manage patient Plan of Treatment for all disciplines/services, from assessment to discharge under direction of physician for a defined caseload. Obtain physician orders for all service and treatment. Execute the plan of treatment and revise as necessary in conjunction with the ordering physician. (G162, G173) Coordinate services with other disciplines (G176). Inform the physician and other staff of changes in patient condition (G176). Determine preliminary ranking of medical diagnoses and assure accuracy ongoing
• Expand knowledge and expertise through educational resources and literature review
• Model and mentor effective leadership and management
• Plan and coordinate care to meet ongoing needs at time of discharge. Complete Discharge Instructions
• Provide clinical services and/or treatments requiring substantial and specialized nursing skill. (G174) Complete all education requirements. Maintain Agency specialty clinical competencies
• Responsible for achievement of optimal patient outcomes. Identify and prioritize the problems/needs of the patient. Develop individualized, patient specific, measurable/realistic outcomes. Initiate appropriate preventive and rehabilitative nursing procedures. (G175) Consult with supervisor when variances to outcomes and/or utilization patterns are identified. Educate the patient and family in meeting nursing and related needs. (G177) Utilize appropriate patient teaching methods that are age specific, culturally sensitive, language specific, and appropriate to level of education and physical disability. Identify, initiate and coordinate referrals to internal and external resources, including specialty staff. Evaluate outcomes of care and validate declines
• Responsible for concise, accurate and timely documentation of patient observations, care, treatment and outcome attainment. Prepare clinical and progress notes. (G176)
• Responsible for meeting/exceeding Customer Service initiatives. Initiate activities to report and/or resolve customer complaints. Establish and maintain customer relationship focus with all internal and external customers
• Responsible to manage the provision of safe and effective care for a defined caseload. Assure continuity of care. Prioritize patients for emergency preparedness. Maintain productivity standards. Instruct, direct and document supervision of License Practical Nurse in patient plan of care. (G178) Develop and modify Home Health Aide Plan of Care as indicated. Assign Home Health Aide to a specific patient. Document supervision of Home Health Aide services according to regulation. Review HHA documentation to assure compliance to HHA plan of care. Observe care being provided in the home during initial supervisory visit to assure adherence to care plan, rights, and safety
• Act 34 Criminal Clearance
• Cardio Pulmonary Resuscitation
• Conduct a comprehensive patient assessment(s), initial, reassessment, discharge and ongoing of the client's needs, including OASIS assessment at appropriate time points. (G171, G172, G331, G335) Achieve and maintain OASIS assessment accuracy. Communicate findings to ordering physician. Validate medical diagnoses and submit preliminary ranking. Identify and prioritize the problems/needs of patient
• Establish a physician-directed, individualized treatment plan in conjunction with Utilization Management staff
• Manager third party authorization process to avoid bad debt
• Provide third party payer updates as requested for visit authorization within the specified time frames. Assure third party payer authorizations are obtained for specific payers. Verify third party payer coverage with patient on an ongoing basis
• Graduate of a School of Nursing accredited by NLN required. Bachelors Degree in Nursing is preferred
• Minimum of one year work experience. Internal: Minimum 1 year satisfactory performance as RN II preferred. Demonstrated OASIS competency
• Competency in a minimum of one clinical specialty area
• Adhere to infection control principles, standards, policies and procedures
• Maintain and protect customer and Agency confidentiality
• Maintain personal productivity by demonstrating satisfactory attendance and punctuality
• Manager third party authorization process to avoid bad debt. Provide third party payer updates as requested for visit authorization within the specified time frames. Assure third party payer authorizations are obtained for specific payers. Verify third party payer coverage with patient on an ongoing basis
• Promote personal and co-worker safety during work duties
• Represent and participate in Agency professional and community activities as requested
• Graduate of a School of Nursing accredited by NLN required
• Bachelors Degree in Nursing is preferred
• Minimum of one year work experience
• Internal: Minimum 1 year satisfactory performance as RN II preferred. Demonstrated OASIS competency. Competency in a minimum of one clinical specialty area
• Competency in a Windows based environment
• Access to transportation in the Agency service area with valid Pennsylvania drivers license and auto liability insurance
• Must possess and maintain valid CPR certification while employed in a clinical role
• Has sufficient endurance to perform tasks over long periods of work hours
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations

Registered Nurse, Case Manager Resume Examples & Samples

• Currently licensed as a Registered Nurse in the state(s) in which they are practicing
• Demonstrates ability to work independently and execute own workload
• One-year recent nursing experience required; home care experience preferred
• Responsible for providing leadership for the clinical support team
• Assists providers in communications with their patients and other healthcare providers
• Implements protocols and systems for Quality Improvement activities
• Works collaboratively with clinic operations
• Reviews provider’s incoming communication/tasks
• Reconciles tasks with RN Scope of Practice and/or delegates as appropriate
• Makes nursing decisions based on interpretation of data and assessments
• Assists in effective systems for triaging walk-in patients
• Serves as a leader of the healthcare team
• Discusses patient findings and progress toward outcomes with providers and other members of the healthcare team
• Participates in problem identification and resolution
• Prioritizes, delegates assignments appropriately and complies with the standard of practice
• Confronts difficult or conflict situations constructively and seeks appropriate assistance
• Leads and directs others through change processes
• Champions new ideas
• Shares responsibility and authority with subordinates and holds them accountable for performance
• Acts as a resource and mentor to new employees
• Demonstrates professional and supportive behavior
• Practices customer service standards
• Assures that policies, protocols, safety guidelines and facility requirements are met
• Supports audit activities
• Provide dispensary care according to clinical medical protocols
• Dispense medications as prescribed by EVCHC providers
• Provide required information and education regarding medications and drug interactions
• Accurately complete all required documentation
• Ensure that updated educational materials and patient instruction sheets are available and included with every prescription
• As necessary, consult with Medical Director and/or Consulting Pharmacist regarding drug interactions
• Take part in medical updates and training as appropriate; comply with continuing medical requirements
• Participate in team meetings as required
• Assistance with quality improvement activities as required
• Completion of accredited Registered Nurse training program, and current license as an RN in the State of California
• Must relate well to all cultural and ethnic groups in the community
• Community Health experience preferred
• Duties are performed primarily in a site/office setting
• Work requires periods of standing, sitting, lifting, turning, twisting, walking, pushing, pulling, reaching, speaking, hearing, seeing and ability to articulate clearly, use of hands to finger, reaching with hands and arms
• Ability to stand, sit, stoop, kneel, and bend in order to speak to patients
• Frequent significant decisions to ensure the operations of the agency
• Ability to communicate, in a positive manner, with all levels of staff
• Assess for appropriate level of care and admission status utilizing nationally recognized criteria such as InterQual/Milliman
• Promotes appropriate documentation which will accurately support the severity of illness and intensity of service
• When documentation is not reflective of the severity of illness and intensity of service, immediate discussion with the admitting physician will be provided to educate and facilitate the necessary documentation
• The CM will demonstrate the ability to discuss difficult/sensitive subjects with physicians in an articulate and professional manner
• Confirm the diagnosis identified as the reason for admission
• Request documentation to support admission
• Confirm that the clinical symptoms/treatment, including severity of illness and intensity of service per Interqual guidelines for admission are met, as well as, payer guidelines for admission and continued stay. Maintains up to date knowledge of payer guidelines including Medicare, Medicaid, Commercial Insurance, Managed Care Plans, etc
• Confirm that the defined level of care/status is appropriate for the identified treatment plan
• Identifies readmissions and makes the appropriate referrals as needed to meet the needs of the patient. Documents Readmission Assessments appropriately and timely
• Documents Avoidable Days appropriately and timely
• Enters the Utilization Management review on all screened admissions
• Continues to reassess observation cases and outpatient in a bed cases throughout the length of stay, with the assistance of the ED/Admissions case managers, for potential conversion or discharge
• Enters the concurrent Utilization management reviews on all payer cases requiring clinical information. Clinical information is faxed or transmitted electronically as needed
• Communicates to registration the need for inpatient authorizations
• Communicates to the Director of Case Management, House Supervisor, CNO or CFO as needed when a patient does not meet admission screening guidelines or continued stay guidelines and patient is admitted or remains in-house
• Supports cost containment efforts through resource management, reporting variances to department Director or Manager
• Proactively screens and assess patients assigned in order to determine discharge needs and establishes a viable discharge plan while collaborating with patients, families, and a multidisciplinary team
• Consults and collaborates with a multidisciplinary team on complex cases
• Provides consults and referrals for patients that may include: adoption, fetal demise, teen pregnancies (under 14 years of age), abused or neglected children, abused or neglected elderly, complex family issues, suicidal patients, patients with a terminal diagnosis and/or patients who are victims of domestic violence
• Maintains knowledge of payer guidelines governing discharge planning; including Medicare, Medicaid, Commercial Insurance, Managed care, etc
• Documents discharge plans in the patients chart and communicates the plan to all parties involved including patient, family, physician, nursing, etc
• Actively participates in continuous quality improvement and is fiscally responsible when using charitable hospital resources
• Case Manager follows all departmental and hospital safety policies, including identification and correction of environmental and practice safety issues
• Assists in the development, implementation and evaluation of policies, standards, educational services, and programs that support the CTMC mission
• Represents the Case Management Department on interdisciplinary teams. These may include committees/meetings within the organization or out in the community
• Initiates activities to enhance revenue and support cost reduction and containment activities
• Rounds with the physician when appropriate or upon request
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
• Effective communication among employees, and between employees, patients, visitors and supervisors is essential to ensure quality patient care and to avoid misunderstanding, errors and miscommunications which could have a detrimental effect on the health, safety and well-being of patients and co-workers. In addition to these communication and safety concerns, individuals in this position must be able to effectively review patient and related medical records, understand nurse and/or physician verbal and written instructions, read labels of medications, safety information, and hazardous chemicals. Therefore, to prevent misunderstandings, errors, and miscommunications in the provision of quality patient care and other job-related services, employees in this position are required to have the capability of fluently speaking, reading, and writing English
• Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
• Ability to communicate effectively, read, and comprehend complex clinical and financial data. Organize, prioritize, and manage time efficiently. Utilizes computer keyboard extensively to obtain and transmit patient, financial, medical, and psychosocial information of a confidential nature. Operates printer to obtain computer-generated information. Utilizes telephone and fax machine
• Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members, and representatives of outside agencies. Ability to work with adolescent, adult, and geriatric patients. Must be able to communicate both verbally and in writing. Knowledge of community resources and continuum of care options
• Ability to use Interqual standards for appropriateness of admissions continued stays and discharge. Knowledge of Millman and Robert’s Length of Stay guidelines. Understanding of Managed Care, Medicare and Medicaid. Ability to integrate clinical, social, and financial assessments into a patient care plan
• Must be able to demonstrate understanding of national patient safety initiatives by strict compliance to all safety protocols and procedures as required by both HCA and Round Rock Medical Center. Utilizes universal precautions at all times. Works autonomously and with supervision. Maintains confidentiality of patient medical records. Regular and predictable attendance is required
• Bachelors of Science in Nursing, required
• Minimum of three years RN clinical experience, preferred
• Possess interpersonal communication and negotiation skills
• Possess analytical, data management and PC skills
• Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement, preferred
• Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components with minimal supervision
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
• Performs duties in amanner to promote quality patient care and customer satisfaction, while promoting safety, cost efficiency, and a commitment to Continuous Quality Improvement process
• Valid nurses license and appropriate education is required
• 1-3 years case management experience preferred
• 1-2 years Rehabilitation experience preferred
• Two or more years of experience as a licensed clinician in an acute hospital or rehabilitation setting preferred
• Ability to operate basic computer and data management software
• FIM credentialed within 90 days of hire
• Good organizational abilities
• Ability to coordinate principle function with several interdisciplinary departments
• Ability to relate well to physicians, other nursing personnel, interdisciplinary staff, patients, families/significant others, as well as personnel from outside facilities
• Displays professional communication skills with all contacts
• Certification: BLS must be maintained throughout employment with Terre Haute Regional Hospital
• Current BLS certification required or to be obtained at department expense within one month of hire
• Knowledge of community resources and the ability to carry out nursing responsibilities in diverse settings under difficult situations with a diverse patient population with varying healthcare needs
• Adequate knowledge to perform clinical assessments, plan patient care, manage a care plan, and educate and orient families and staff. Ability to modify services to the age and/or developmental stage of the patient
• Ability to communicate effectively with physicians, multi-disciplinary health care providers, and a wide variety of staff, as well as patients and family members
• Bachelors of Science Degree in Nursing (BSN) from a four-year college or university
• Minimum of Three (3) years current experience in a health care environment with home health case management experience
• Registered Nurse with current licensure to practice nursing in the state of agency operation and possess and maintain current CPR certification
• Registered Nurse with minimum one (1) year of hospice experience
• Ability to work with and supervise hospice aides
• Graduate of an accredited school of nursing or an accredited health information technology program
• Previous experience as a Case Manager; OR 3 years current clinical hospital experience; OR Nursing Management experience
• Current Case Management Certification

Registered Nurse / Case Manager Resume Examples & Samples

• Performs concurrent review on all patients and share all problematic cases with the Supervisor and Physician Advisor
• Performs retrospective reviews as required
• Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required
• Attends Utilization Management Committee and other staff meetings, as required
• Identifies services or treatments that may not be medically necessary and make referrals to the Physician Advisor
• Consults with physicians and other health care professionals on aspects of patient care
• Implements a discharge plan as necessary; document ongoing discharge planning activities in the patient's medical record according to protocol
• Collaborates with appropriate professional personnel to assess patients for alternative level of care and notify appropriate hospital departments
• Acts as a liaison with patient's insurance carrier (case manager, utilization reviewer) to coordinate post hospital services and referrals
• Makes arrangement for non-North Shore-Long Island Jewish Home Care services including home care, Hospice, equipment, supplies and laboratory services for post discharge needs
• Performs any and all related duties as required
• Identifies problematic documentation patterns or cases and make referrals to the appropriate departments, to the Supervisor of CM-CCC and/or the Physician Advisor
• High School Diploma or equivalent, required. Bachelor's Degree in Nursing or related field, preferred
• PRI certification preferred
• Develops a care plan which establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process
• Management experience not required. Responsible for supervising home health aides
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist
• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness (es)
• Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills
• Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order
• Compensation based on experience
• 401k with match program
• RN, licensed in the state of Oregon, and with at least 1 year home health experience
• Must be a graduate of an approved school of nursing and licensed as a Registered Nurse in the state of employment
• Must possess a valid state driver’s license, automobile liability insurance, and have dependable transportation
• Minimum of one year of clinical experience is strongly preferred
• Previous home health or hospice experience is preferred
• Assesses the needs of all patient admissions, and checks the status of each patient from admission to discharge
• Serves as facilitator and member of health care team
• Identifies all barriers encountered delaying patient discharge, e.g., testing, lab and x-ray results and facilitates same in order to expedite patient discharge
• Communicates with patients, physicians, nurses and social workers to identify patients who may require post discharge services. Attends rounds on patient units to screen patients for ongoing care and services needed after discharge
• Identifies an appropriate agency for providing comprehensive patient care based on patient needs and available resources
• Collects data referencing patient's progress and follows up on changes in patient's plan of care
• Contacts insurance company to assess coverage and the need for prior authorization for post-discharge care and advises patients of same
• Provides information to managed care agencies to enable them to provide required services to patients discharged in their care
• Identifies patient/family educational needs and arranges for those needs to be met prior to discharge
• Keeps abreast of developments in the field and serves as a resource to other staff
• Knowledge of patient care management, theories, and practices as normally acquired through the completion of a Bachelor's Degree in Nursing or related field
• PRI certification, preferred
• Minimum of one (1) year utilization review/discharge planning and case management or related work experience to ensure familiarity with managed care services and federal/state regulations and trends in patient care
• Strong organizational, communication and independent decision making skills required
• Supports the HCA Code of Conduct. Demonstrates behaviors consistent with organization mission and goals
• Ensures patient/personal safety by maintaining a safe and therapeutic environment and adhering to Safety Program and Infection Control Programs
• Supports hospital and departmental Performance Improvement Goals
• Demonstrates and promotes Plaza Medical Center of Fort Worth’s Mission and Values philosophies
• Accountability
• Contributes to the organization’s goals of success
• Unparalleled Service
• Consistent Earnings Performance
• Engaged Employees
• Accepts accountability and responsibility as a member of the Case Management Department and of the patient care team
• Functions effectively as a multi-disciplinary team member
• Promotes personal growth and professionalism in the work environment
• Acts as the communication liaison to insurance companies and post-hospital care facilities
• Participates in performance improvement activities of the department and organization
• Assists Social Workers with the evaluation of suspected abuse and neglect referrals; makes official reports to state and regulatory or legal agencies as required by statue or facility policy
• Assists Social Workers with in developing an individual plan of care for recurring patients to include education related to accessing healthcare services at the appropriate level of care; preventative education, and community based resources, provides assistance with access to medication assistance programs
• Assists Social Workers with identifying needs and development of realistic plans which include patient/family centered goals and facilitates implementing plan
• Acts as a resource for the interdisciplinary team, develops, implements, evaluates, revises as needed, a discharge plan to include identified psychosocial and discharge needs
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, HIPPA and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services
• Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care
• Adheres to established policy and procedure and standard of care; escalates issues through the Chain of Command
• Acts on behalf of the department in the training of new case managers and social worker’s
• Graduate of an accredited professional school of nursing required; BSN or MSN preferred
• Two- year’s recent experience as an RN Case Manager in an acute care facility with responsibility for discharge planning and payor systems
• Expertise in data analysis; excellent verbal and written communication skills; knowledge of JCAHO and regulatory standards
• Ability to communicate effectively, read, and comprehend complex clinical and financial data. Organize, prioritize and manage time efficiently. Utilize computer keyboard extensively to obtain and transmit patient financial, medical, and psychosocial information of a confidential nature. Operate printer to obtain computer-generated information. Utilize telephone and FAX machine
• Must be able to communicate effectively with a wide range of hospital personnel, physicians, patients/family members, and representatives of outside agencies. Ability to work adolescent, adult, and geriatric patients. Must be able to communicate both verbally and in writing. Knowledge of community resources and continuum of care options
• Must be able to demonstrate understanding of national patient safety initiatives by strict compliance to all safety protocols and procedures as required by both HCA and Round Rock Medical Center. Adheres to isolation policies and procedures. Utilizes universal precautions at all times
• Works autonomously and with supervision. Maintains confidentiality of patient medical records. Regular and predictable attendance is required
• Creates plan for care across the continuum, integrating patient/family preferences and values
• Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan
• Minimum of two years recent, relevant acute care, discharge planning, Case Management and/or utilization review experience
• Current Washington State drivers license
• Current CCM, NACCM or ACME upon hire or must be obtained within 1 year of employment
• Proof of auto insurance
• One year of long term care or geriatric nursing experience
• Bachelor Nursing Degree
• Medical Surgical Experience or Rehabilitation Medicine
• TX RN license
• BSN degree/Plan to enroll or currently enrolled will be considered
• 2 years of direct patient care experience
• Experience with discharge planning necessary to be considered for this role
• Graduate from accredited school of Nursing
• Current Registered Nurse (RN) licensure in the State of Alaska at time of hire
• 2 years experience as a Registered Nurse
• Bachelors of Science in Nursing (BSN)
• 3 years of clinical nursing experience
• 1 year of experience as an RN in Utilization Management-review, Case Management and Discharge-planning experience

MDS Registered Nurse Case Manager Resume Examples & Samples

• Maintains current RN licensure in Washington State
• Cardiopulmonary Resuscitation certification within 30 days of hire
• Food Handler’s Permit within 90 days of hrie
• 2 years of Long Term Care, Transitional Care, or equivalent experience
• Proficiency in technology
• Bachelor’s Degree in Nursing (BSN)
• Ensure physician-specific plan of care is being followed for all patients
• Propose alternative treatment to ensure a cost effective and efficient plan of care
• Review all clinical findings and diagnostic reports. Correlate medical record findings with patient assessment findings
• Ensures referrals and follow through are appropriate and completed in a timely manner
• Minimum of 5 years clinical experience in nursing required
• Must be able to demonstrate understanding of national patient safety initiatives by strict compliance to all safety protocols and procedures as required by both HCA and North Austin Medical Center
• Must be able to be self directed and self initiating in the performance of duties, requiring minimal supervision and direction
• Must have excellent interpersonal skills, presenting in a caring and professional demeanor with patients, staff, physicians, providers and the general public in the performance of all duties
• Must be discreet and maintain patient/staff confidentiality in handling sensitive information and documents
• Must have good organizational and time management skills and show the ability to prioritize duties
• Must be able to provide own structure in the performance of duties, soliciting supervision and guidance as needed. Must be able to manage high stress and “crisis” situations in a calm manner, responding appropriately and objectively to resolve the situation
• Must be able to identify deficits and problems in own work area, analyze the situation =, develop a plan for corrective action and make decisions independently using good judgment
• Must be able to communicate effectively with others both written and verbal communications
• Must have regular and predictable attendance
• Must be able to work with others in an effective manner using a team approach
• Must be familiar with good management practices
• Must be able to read and understand medical and technical documents and language related to physical medicine, rehabilitation and case management
• Should be familiar with computers and word processing software
• Patients served may range from adolescents to geriatrics
• Must pass competency checklists for all responsibilities outlined by department/program policy
• Will participate and promote positive team interactions to ensure quality patient care and interdisciplinary collaboration

Registered Nurse, Case Manager, Day Shift Resume Examples & Samples

• Performs systematic assessment and reassessment of patient and family/significant other considering clinical presentation, cultural and religious influences, individual experiences, available resources, environmental factors as well as health behaviors and practices. Considers all aspects of patient/family assessment findings. Understands medical plan of care and is able to communicate pertinent findings from patient assessment. Monitors medical plan of care to determine outcome of treatment and revise patient assessment as necessary. Facilitates appropriate consults based on patient assessment to ensure timely delivery of care. Identifies cultural and religious influences on illness
• Formulates the plan of care, along with the patient and family, based on communication with the attending physician(s), expected goals of care and length of stay; articulates knowledge of the plan of care through an understanding of patients diagnosis, prognosis, care needs, and desired outcomes. Considers assessment findings and collaborates with the attending physician (s)/hospitalist to establish the expected goals of care and LOS. Collaboratively participates in the development of an interdisciplinary plan of care that is individualized to the patients condition or needs. Focuses the care plan on quality of life, effective utilization of resources, and facilitates goal achievement and movement through the continuum of care. Proactively identifies hospital services and available resources to meet patients needs. Reviews patient history and re-assess prognosis and care needs to achieve desired outcomes. Assesses patient/family needs for advance care planning. Confers with attending physician/hospitalist and health care team regarding variances from anticipated plan of care
• Applies customary protocols, pathways, evidence-based processes and other means of managing patient care. Utilizes protocols, pathways and order sets to formulate, communicate and ensure implementation of the patient plan of care. Utilizes multidisciplinary team to address individualized patient needs. Develops realistic goals with multidisciplinary team for patient to achieve milestone activities within appropriate timeframes. Demonstrates flexibility with plan of care to meet patient needs
• Facilitates effective coordination of interdisciplinary unit/physician team (e.g., Firm on the Medical Service) rounds to identify the patients clinical management needs, progression of care, identification of barriers, appropriate discharge plan and anticipated discharge date. Assumes a leadership role to coordinate and facilitate daily interdisciplinary unit/physician team rounds, LOS management and discharge process. Collaborates with the interdisciplinary team to maintain appropriate levels of care to expedite the movement of the patient to alternate levels of care throughout the continuum. Reviews, monitors and individualizes on an ongoing basis, each patients plan of care based on diagnosis and assessment of patient/family needs. Identifies internal obstacles to efficiency and good patient outcomes and intervenes with healthcare team to eliminate when possible. Identifies a follow-up time frame to accomplish the recommended plan. Communicates patient status and needs to the next level of care for discharge planning
• Ensures identification of variances and the development of appropriate contingency plans for each phase of care in the event of patient health complications or systems barriers. Communicates with the attending physician/hospitalist, patient/family and staff regarding alteration in plan. Monitors test results, patient responses to interventions, health status and makes recommendations for revisions to treatment plan based on patient need and responses. Evaluates and communicates changes in patients clinical condition timely. Documents medical plan of care and reflects patients progress in meeting prescribed plan
• Effectively communicates information relative to a potential denial to the appropriate members of the health care team. Communicates timely, complete, and accurate information relative to a potential denial to the appropriate members of the health care team. Demonstrates an understanding of the peer-to-peer appeal process for authorization of acute inpatient hospitalization. Effectively monitors, documents and informs members of the health care team the outcome of the peer-to-peer appeal process. Demonstrates an understanding of CMS, Milliman Care Guidelines relative to the patients diagnosis and condition when providing a clinical review to the payor to prevent a potential denial. Effectively communicates the impact on reimbursement to the hospital for potentially denied days to the health care team. Utilizes the chief of service/physician advisor per departmental guidelines
• Communicates the outcome of chart review and managed care company telephonic review with the health care team as appropriate. Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information. Performs and documents initial certification and continued stay reviews within appropriate time frame and in appropriate system. Documents obtained payor authorization in a complete, timely and concise manner. Maintains follow-up communication with payor as required for authorization of hospital stay. Notifies health care team of outcomes of communication with payor and authorization status. Notifies departmental manager of all unresolved utilization problems/issues
• Acts as advocate/facilitator in all cases with insurance related issues, delays in treatments and/or diagnostic tests. Collaborates with the interdisciplinary team to maintain appropriate levels of care to facilitate movement of the patient through the continuum. Identifies and documents delays in treatment and processes. Understands basic reimbursement systems and identifies potential payor issues relative to delays in treatments and/or diagnostic tests. Assists in developing strategies to decrease avoidable days. Demonstrates and communicates the value of avoidable days and/or additional documentation to justify acute inpatient hospitalization
• Educates nursing, medical and ancillary staff about care management role, relevant clinical criteria and resources available for patients, as well as regulatory and managed care requirements. Demonstrates an understanding of the vision and goals of the care management program. Demonstrates an understanding of the core functions of the care management role. Demonstrates an understanding of and effectively communicates information relative to clinical criteria and resources available for patients/families to the healthcare team. Serves as a resource for other members of the health care team by participating in or conducting formal/informal in-service education as needed. Identifies own practice abilities and limitations and obtains instruction and supervision as necessary. This includes seeking education for self development
• Participates in development and implementation of appropriate patient/family education material pertinent to population served. Contributes to the development of patient/family education material for disease management. Facilitates patient/family education and understanding to prevent risk behaviors and to promote and achieve good health outcomes. Educates the patient/family and provide support in moving toward self-care. Educates and assists in facilitating patient/family access to necessary and appropriate health care services
• Communicates information documented in the medical record that identifies a potential event/occurrence to the Risk Manager. Identifies quality and risk management issues; refer issues for corrective action as appropriate. Documents a potential event/occurrence and communications to the Risk Manager into Canopy within established timeframes
• Contributes to the development of new strategies to address transitional planning needs of specific assigned patient populations, improved care coordination and care management delivery. Utilizes current literature to facilitate clinical/care management practice changes. Participates in the development and revision of clinical/care management practice standards. Engages in strategies to measure improvements in quality of care that directly result from care management interventions. Utilizes evaluative and outcomes data to improve care management services
• Assesses patient and medical record documentation for appropriate acute admission and level of care, quality and safety indicators, and plans for discharge. Assesses patient and medical record documentation to identify medical necessity and appropriateness of admission and continued stay using pre-established clinical criteria (i.e., Milliman Care Guidelines, CMS) according to hospital policy. Ensures that the physicians documentation supports level of care. Collaborates with physician when additional documentation needed to support level of care. Communicates appropriate level of care to the health care team. Utilizes patient assessment information to identify quality and safety indicators to monitor during hospital stay. Performs initial and ongoing assessment of patient/family needs for discharge planning and communicates findings to interdisciplinary team
• Works collaboratively with attending physician, consulting physician(s) and other disciplines to identify, develop, implement and coordinate an appropriate plan of care that maximizes individual patient/family preference and enhances quality, access, and cost-effective outcomes. Ensures patients individualized plan of care is collaborative and multidisciplinary by working with patient/family, attending physician/hospitalist and health care team members. Coordinates care based on individual needs, expected goals and length of stay. Facilitates interdisciplinary plan of care interventions. Communicates effectively with attending physician/hospitalist and members of health care team to enhance patient care in a positive environment
• Assesses patient and family responses to interdisciplinary plan of care and care management interventions, and adapts interventions to achieve optimal outcomes. Collaborates with patient, family, interdisciplinary team for agreement with treatment goals, timeframes and coordination of care. Works with the interdisciplinary team to facilitate adjustments to the care plan to promote enhanced outcomes. Intervenes as care manager in a manner that is consistent with the established plan of care. Prioritizes and organizes interventions. Implements interventions in a safe, timely and appropriate manner
• Documents assessments, findings, progress, interventions and recommendations in a care management software system and/or medical record according to established standards. Documentation meets standards in accordance with departmental and hospital policy and procedures. Documents assessments, findings, progress, interventions and recommendations in Canopy and ECIN Care Management and ICIS systems within established timeframes. Documents revisions in diagnoses, plan of care and outcomes. Documents patients responses to interventions with appropriate consideration of patient confidentiality
• Supports the mission, philosophy, standards, goals and objectives of NYU Hospitals Center and Care Management Program. Contributes to the development of the goals and objectives of the Care Management Program consistent with the objectives of NYU Hospitals Center. Understands, applies and supports departmental/hospital policies, procedures and standards. Observes at all times legal and ethical considerations pertaining to patients and hospital personnel. Initiates programs for improving cost effectiveness in coordination of patient care. Assists managers to create a participative environment in department based meetings and other activities. Analyzes and develops systems to improve processes and outcomes in collaboration with managers
• Facilitates timely and appropriate communication among attending physicians, nurse practitioners, physician assistants, patients, family members, other members of the health care team, external providers and payers. Refers significant clinical issues per protocol to the attending physician and/or hospitalist or to the designated consultants. Utilizes chief of service/physician advisor to address unresolved clinical and interdisciplinary issues. Participates and contributes as a regular member of interdisciplinary rounds to communicate and receive pertinent information. Utilizes critical thinking skills and assists others to identify and resolve potential and existing problems related to coordination of patient care. Determines the best method to communicate with the interdisciplinary team about different kinds of issues (i.e., direct contact, telephoning, emailing, and paging). Collaborates with attending physician/hospitalist regarding patients achievement of therapeutic regimen
• Coordinates discharge appeals or issuance of Hospital Notices in accordance with State and Federal Regulations and departmental guidelines. Demonstrates an understanding of the CMS and NY State regulations for discharge appeals and issuance of Hospital Notices. Follows procedures for issuing Hospital Notices when appropriate and communicate necessary information to healthcare team relative to patients benefits. Facilitates issuance of the Important Message from Medicare within 24 48 hours before discharge and the Detailed Notice of Discharge if indicated. Effectively communicates the initiation of a discharge appeal to the health care team. Coordinates the collection of medical record documentation for review by the review agent (i.e., IPRO, managed care carrier). Communicates outcome of discharge appeal to patient/family and health care team
• Participates in departmental, interdisciplinary, hospital and Medical Board committees as appropriate. Participates in departmental, interdisciplinary, hospital and Medical Board committees as requested. Represents the voice of Care Management in committee participation. Completes committee assignments as requested. Provides feedback and periodic reports to Care Management at departmental meetings and senior managers on relevant issues
• Facilitates patient/family knowledge of and participation in the plan of care. Identifies long and short term needs based on a comprehensive assessment and anticipate outcomes. Proactively identifies hospital services and available resources to meet the patients needs. Ensures that patients individualized plan of care is collaborative and multidisciplinary by working with patient, physician, and health care team members. Focuses the care plan on quality of life, effective utilization of resources, and facilitates goal achievement and movement through the continuum of care. Collaborates with patient/family, physician, and health care team for final agreement with treatment goals, timeframes and coordination of care. Develops additional and contingency plan options with patient/family when planning for discharge
• Serves as resource for education of patients, families, peers, staff and physicians. Facilitates patient/family teaching as soon as learning needs are identified. Provides patient/family education regarding post acute services, community resources or other as needs identified. Role models expert professional care management practices. Supports a constructive environment of learning and development of mutual respect with health care team and peers. Facilitates staff access to outside educational opportunities through sharing of program announcements, etc
• Maintains current clinical knowledge in area of review and patient population. Achieves and maintains current professional licensure, national certification, and/or higher education in case management or in a health and human services profession directly related to case management practice. Maintains continuing competence appropriate to case management and to professional licensure or professional certification. Provides only case management services within scope of practice. Refers patient to another source for services outside scope of practice. Maintains continuing competence appropriate to case management and to professional licensure or professional certification. Maintains annual mandatory education requirements. Maintains membership in professional organizations
• Promotes own professional growth and development in care management role. Identifies own practice abilities and limitations and obtains instruction and supervision as necessary. This includes seeking education for self development. Participates in and utilizes peer review to identify areas for improvement in practice and leadership. Achieves previously established personal professional goals. Participates in departmental education sessions
• Evaluates appropriateness of alternate level of care for optimal delivery of services to the patient and for resource efficiency. Assesses the need for continued acute care services. Anticipates barriers to discharge. Assesses and re-assesses appropriate discharge plans and options based on clinical need and patient/family resources. Collaborates with other members of the interdisciplinary team to dual plan discharge options. Facilitates patient/family team meetings to discuss discharge plan and options
• Participates in development of quality indicators and analysis of such indicators per departmental quality & performance improvement plan. Collaborates with members of the interdisciplinary team to develop quality indicators to measure performance improvement per departmental quality & performance improvement plan. Conducts required and initiated monitoring activities report to respective disciplines as indicated. Evaluates outcomes of monitoring, and adjusts targets and reporting as indicated. Facilitates and ensures sharing of data and outcomes with interdisciplinary team
• Uses evidence-based practice to drive improvement strategies. Promotes health care outcomes in conjunction with evidence-based guidelines. Identifies areas requiring further study. Develops strategies to utilize data findings for individual patients as well as program. Recommends interdisciplinary evidence-based practice changes
• Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department. Identifies trends in care, processes or services that may provide opportunities for improvement in a patient population or clinical service. Refers appropriately cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department. Takes initiative to participate in a quality/process improvement initiative. Collaborates with the interdisciplinary team to create solutions and take corrective actions to address issues resulting in variances in the plan of care
• Alaska State Registered Nurse (RN) license
• Reliable transportation with a valid Alaska driver’s license and automobile insurance according to Alaska State Motor Vehicle laws
• Knowledge of end of life (EOL) care
• Pharmacology, Phlebotomy, and IV skills
• Experience in Oncology, Hospice, Long Term Care or Homecare
• Knowledge of infusion therapy
• Licensed as a Registered Nurse (RN) in the State of Alaska
• 2 years of professional nursing experience
• 2 years of Nurse Case Management experience
• Ability to work with a wide range of patients of varied socioeconomic and ethnic backgrounds
• Desire to work as a team member towards a common goal of delivering quality health care to low income and indigent patients
• Ability to maintain records and charts and to prepare clear, concise reports

Registered Nurse Case Manager hrs / wk Resume Examples & Samples

•  The ability to use critical thinking and experience to conduct a range of risk and health assessments
•  Monitoring employee exposure to hazardous substances administering statutory and non-statutory health surveillance
•   The ability to prescribe routine and corrective stretches for reducing and preventing injuries
•  The ability to render first aid to injured employees such as giving artificial respiration, cleaning and bandaging wounds, applying heat and cold to promote healing and advising on safer mechanism of job performance
•  The ability to request assistance of on-site employee health services or a physician as necessary to assist employee
•  The ability to communicate about and provide general health guidance on disease management issues such as HTN, DM
•  The ability to treat chronic minor reports of discomfort and related functional limitations to maintain employee performance
•  Spending time “on the floor” interacting with and engaging employees, providing job coaching. Assessing the work environment for potential health and safety problems. Must be fully capable of extended mobility, climbing both in protected work environments and outdoors
•  Assists in process of FMLA and ADA program application. Includes communication with outside medical providers
•  Conducts, collects and documents on-site data for following official reporting. Participate in management meetings for information delivery
•  Performs ergonomic job hazard analysis of work stations with identified risk factors including job process, work station and work method and follow up to evaluate effectiveness of change
•  Provide on-going evaluations of work environments and provide recommendations in the workplace
•  Prepares ergonomic, injury intervention, injury treatment, surveillance, FMLA/ADA reports
•  Provide education and training to employees in Health, Safety and Wellness topics, including: BBP, Universal precautions, in proper lifting techniques and body mechanics, as well as other OSHA surveillance, health and wellness related topics
•  Maintains the confidentiality of sensitive information and records
•  The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers
•  Ability to comply with ATI standards of operations
•  Ability to adhere to the Core Values of the Company
•  Perform other duties as assigned by management
•  At least 2 years of nursing experience
•  Some experience in occupational health nursing
•  Action oriented
•  Approachability
•  Career ambition
•  Comfort around higher management
•  Compassion
•  Composure
•  Conflict management
•  Creativity
•  Integrity and trust
•  Priority setting
•  Problem solving
•  Time management
•  Timely decision making
•  Microsoft Office
•  The ability to organize and manage multiple priorities
•  Strong customer orientation
•  Excellent interpersonal and communication (both oral and written) skills
•  Excellent presentation skills
•  Strong team player; and
•  Commitment to company values

Related Job Titles

3+ Registered Nurse Case Manager Resume Examples and Templates

This page provides you with Registered Nurse Case Manager resume samples to use to create your own resume with our easy-to-use resume builder . Below you'll find our how-to section that will guide you through each section of a Registered Nurse Case Manager resume.

What do Hiring Managers look for in a Registered Nurse Case Manager Resume

• Providing nursing care to patients with complex medical conditions and coordinating their healthcare.
• Assessing patient needs, developing care plans, and setting goals for medical treatment and recovery.
• Collaborating with healthcare providers, specialists, and social workers to ensure comprehensive patient care.
• Monitoring patient progress and adjusting care plans as needed to achieve optimal outcomes.
• Advocating for patients' rights and facilitating access to healthcare services and resources.
• Educating patients and their families on treatment options, self-care, and disease management.
• Documenting patient information, care plans, and interventions accurately and comprehensively.

How to Write a Registered Nurse Case Manager Resume?

To write a professional Registered Nurse Case Manager resume, follow these steps:

• Select the right Registered Nurse Case Manager resume template.
• Write a professional summary at the top explaining your Registered Nurse Case Manager’s experience and achievements.
• Follow the STAR method while writing your Registered Nurse Case Manager resume’s work experience. Show what you were responsible for and what you achieved as a Registered Nurse Case Manager.
• List your top Registered Nurse Case Manager skills in a separate skills section.

How to Write Your Registered Nurse Case Manager Resume Header?

Write the perfect Registered Nurse Case Manager resume header by:

• Adding your full name at the top of the header.
• Add a photo to your resume if you are applying for jobs outside of the US. For applying to jobs within the US, avoid adding photo to your resume header.
• Add your current Case Management position to the header to show relevance.
• Add your current city, your phone number and a professional email address.
• Finally, add a link to your portfolio to the Registered Nurse Case Manager resume header. If there’s no portfolio link to add, consider adding a link to your LinkedIn profile instead.
• Bad Registered Nurse Case Manager Resume Example - Header Section

Lisa 9 W. Wakehurst St. Mount Vernon, NY 10550 Marital Status: Married, email: [email protected]

• Good Registered Nurse Case Manager Resume Example - Header Section

Lisa Stanton, Mount Vernon, NY, Phone number: +1-555-555-5555, Link: linkedin/in/johndoe

Make sure to add a professional looking email address while writing your resume header. Let’s assume your name is John Doe - here is a formula you can use to create email addresses:

• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]

For a Registered Nurse Case Manager email, we recommend you either go with a custom domain name ( [email protected] ) or select a very reputed email provider (Gmail or Outlook).

How to Write a Professional Registered Nurse Case Manager Resume Summary?

Use this template to write the best Registered Nurse Case Manager resume summary: Registered Nurse Case Manager with [number of years] experience of [top 2-3 skills]. Achieved [top achievement]. Expert at [X], [Y] and [Z].

How to Write a Registered Nurse Case Manager Resume Experience Section?

Here’s how you can write a job winning Registered Nurse Case Manager resume experience section:

• Write your Registered Nurse Case Manager work experience in a reverse chronological order.
• Use bullets instead of paragraphs to explain your Registered Nurse Case Manager work experience.
• While describing your work experience focus on highlighting what you did and the impact you made (you can use numbers to describe your success as a Registered Nurse Case Manager).
• Use action verbs in your bullet points.

Registered Nurse Case Manager/Charge Nurse Resume Example

Registered Nurse Case Manager/Charge Nurse

• Aided in patient examination and assessment for appropriate treatment and services.
• Offered counseling and emotional support to alleviate patient anxiety.
• Maintained detailed records of treatment scheduling and patient condition changes.
• Inspected and ensured proper operation of dialysis equipment, reporting any issues to the relevant personnel.

Registered Nurse Case Manager Resume Example

Registered Nurse Case Manager

• Oversaw a caseload of 15-20 terminal patients.
• Offered support, education, and resources to patients and their families.
• Managed symptoms using both pharmaceutical and non-pharmaceutical methods.
• Administered nursing care for crisis, urgent, and end-of-life situations.
• Kept the physician and APRN informed about patients' current status and condition changes.
• Evaluate members' medical and psychosocial requirements to create a care plan.
• Coordinate care, recognize needs, make referrals when necessary, assess benefits and resources, and collaborate with the healthcare team.
• Examine pertinent Standards of Care, action plans, and potential behavior change opportunities.
• Offered a welcoming introduction to Instacare services for new clients.
• Conducted clinical admission intake assessments.
• Conducted routine in-home health assessments and supervised Certified Home Health Aides in compliance with CHAP accreditation standards.
• Maintained client satisfaction through consistent, proactive communication with clients, their families, and medical team members.
• Assessed healthcare needs, treatment goals, and available resources for each patient to facilitate optimal care connections.
• Engaged in patient-centered care planning, offering guidance to patients and caregivers while addressing inquiries and issues.
• Utilized McKesson and Cerner resources to manage discharge planning data.
• Ongoing assessment of patients and resources for comprehensive post-acute care management.

Registered Nurse Case Manager (RNCM) Resume Example

Registered Nurse Case Manager (RNCM)

• Maintained professional licensure and oversaw the competency development of subordinate team members.
• Documented and communicated vital clinical indicators, laboratory requests, and progress notes between partner providers and attending physicians.
• Served as the main point of contact for wellness consultations and case management.

Top Registered Nurse Case Manager Resume Skills for 2023

• Patient Assessment and Care Planning
• Care Coordination and Case Management
• Electronic Health Record (EHR) Usage
• Healthcare Documentation
• Disease Management
• Medication Management
• Pain Management
• Patient Education and Counseling
• Interdisciplinary Team Collaboration
• Palliative Care
• End-of-Life Care
• Home Health Care
• Health Assessment Tools and Guidelines
• Care Plan Development
• Quality Assurance and Improvement
• Health Insurance Navigation
• Medicare and Medicaid Knowledge
• Regulatory Compliance (e.g., HIPAA)
• Patient Advocacy
• Infection Control Practices
• Wound Care and Dressing Changes
• Discharge Planning
• Geriatric Nursing
• Pediatric Nursing (if applicable)
• Maternal and Newborn Nursing (if applicable)
• Mental Health Assessment (if applicable)
• Case Management Software (e.g., CaseWare)
• Community Resources Knowledge
• Continuous Learning in Nursing Practices
• Cultural Competence in Healthcare
• Patient Safety Protocols
• Rehabilitation Services Coordination (if applicable)
• Rehabilitation Therapy Knowledge (e.g., PT, OT)
• Substance Abuse Treatment Coordination (if applicable)
• Crisis Intervention (if applicable)
• Medical Equipment Management
• Telehealth Nursing (if applicable)
• Healthcare Disparities Awareness
• Health Education Program Development
• Risk Assessment and Mitigation
• Patient Progress Evaluation
• Continuous Care Planning
• Interagency Coordination
• Home Health Software (if applicable)
• Health Assessment Documentation
• Public Health Knowledge (if applicable)
• Health Promotion and Disease Prevention
• Patient and Family Support
• Case Management Reporting
• Healthcare Policy Knowledge

How Long Should my Registered Nurse Case Manager Resume be?

Your Registered Nurse Case Manager resume length should be less than one or two pages maximum. Unless you have more than 25 years of experience, any resume that’s more than two pages would appear to be too long and risk getting rejected.

On an average, for Registered Nurse Case Manager, we see most resumes have a length of 2. And, that’s why we advise you to keep the resume length appropriate to not get rejected.

Frequently Asked Questions (FAQs) for Registered Nurse Case Manager Resume

What does a Registered Nurse Case Manager do?

• A Registered Nurse Case Manager is responsible for coordinating healthcare services and resources for patients with complex medical needs. They assess patient needs, develop care plans, coordinate with healthcare providers, monitor patient progress, and advocate for optimal outcomes.

What qualifications are important for a Registered Nurse Case Manager position?

• Qualifications typically include a bachelor's degree in nursing (BSN) and a registered nurse (RN) license. Additional certifications in case management or relevant specialties may be preferred. Strong clinical skills, communication abilities, critical thinking, and knowledge of healthcare regulations are essential.

What kind of experience should a Registered Nurse Case Manager highlight on their resume?

• Experience in nursing, particularly in care coordination, case management, or a related field, is crucial for a Registered Nurse Case Manager. Highlighting proficiency in assessing patient needs, developing care plans, coordinating interdisciplinary care teams, and documenting patient progress can demonstrate relevant experience.

How important is it for a Registered Nurse Case Manager to demonstrate knowledge of healthcare regulations on their resume?

• Knowledge of healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and Medicare guidelines, is important for a Registered Nurse Case Manager. Highlighting experience in ensuring compliance with these regulations and advocating for patient rights can demonstrate the Manager's understanding of legal requirements.

Should a Registered Nurse Case Manager include their experience with care coordination software on their resume?

• Yes, mentioning experience with care coordination software, electronic health records (EHR), or case management systems is important for a Registered Nurse Case Manager. This demonstrates the Manager's ability to effectively document patient information, track care plans, and communicate with healthcare team members.

What soft skills are important for a Registered Nurse Case Manager to highlight on their resume?

• Soft skills such as communication, empathy, collaboration, problem-solving, and time management are crucial for a Registered Nurse Case Manager. These skills contribute to effectively coordinating patient care, advocating for patient needs, and facilitating interdisciplinary teamwork.

Is it necessary for a Registered Nurse Case Manager to mention their experience with patient education on their resume?

• Yes, mentioning experience with patient education, including providing health education, teaching self-care techniques, and promoting patient empowerment, is important for a Registered Nurse Case Manager. This demonstrates the Manager's role in supporting patient autonomy and improving health outcomes.

How should a Registered Nurse Case Manager tailor their resume for different healthcare settings (e.g., hospitals, home health agencies, insurance companies)?

• A Registered Nurse Case Manager should highlight experience and skills relevant to the specific healthcare settings they have worked in, whether it's hospitals, home health agencies, insurance companies, or other settings. Emphasizing familiarity with setting-specific care delivery models, patient populations, and regulatory requirements can be beneficial.

Should a Registered Nurse Case Manager include their educational background on their resume?

• Yes, including educational background such as degrees, certifications, or relevant coursework related to nursing, case management, or healthcare administration is important for a Registered Nurse Case Manager. This provides credibility and demonstrates the foundational knowledge necessary for the role.

How can a Registered Nurse Case Manager make their resume visually appealing and easy to read?

• Utilizing clear headings, bullet points to highlight key skills and experiences, and a professional layout are important aspects of resume formatting. Additionally, including specific examples of successful case management outcomes, any relevant certifications or awards, or extracurricular involvement can enhance the overall presentation of the resume.

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Work Experience

• Utilize community resources to support patient’s post hospital needs. Documents choice in available resources
• Participates in department audit activities
• Initiate and coordinate a multidisciplinary team approach to care management which includes patients, payors, and providers, across the care continuum
• Evaluate patients’ comprehensive medical and social support and devise a comprehensive plan of care to support patients’ self-management of condition(s), arrange for services and ensure continuity of care at optimal levels
• Design care plans which ensure seamless continuity of care, minimize the potential for duplication of services, and reduce fragmentation and gaps in care
• Enhance and continuously improve communication and collaborative relationships with multi-disciplinary healthcare team members including payors and providers
• Act as patient advocate protecting privacy and confidentiality issues
• Provide patient education, monitor health needs, and coordinate community resources
• Prevent adverse patient events to minimize poor outcomes
• Maintain a comprehensive working knowledge of community resources, payor requirements, and network services available to the target population
• Using clinical/nursing skills to help coordinate the individual’s treatment program while maximizing cost containment
• Serving as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists
• Facilitate treatment between providers and worker
• Resource for claims personnel when needing providers in certain locales
• Partner with employers determining modified work
• Accurate and quality documentation meeting Best Practices timeframes
• Reporting billing hours in accordance with case activity and billing practices
• Following specific account instructions
• Demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole
• Coordinate effective, efficient & proactive completion of all utilization management activities that facilitate the member’s movement through the continuum of care
• Monitoring and Evaluation. Gathers information and documentation from all relevant sources regarding the case management plan’s activities and/or services to determine the plan’s effectiveness in reaching desired outcomes and goals. Modifies or changes the case management plan, as needed
• Monitors the admission and discharge process of the client into the program
• Performs initial assessment and tailored plan to achieve the desired outcome for the client and leave transition and return to work
• Evaluates effectiveness of care coordination needs across the continuum of care, revises plan as needed
• Maintains communication with providers, inpatient care management as needed and third party payers
• Assumes responsibility for care management of assigned population
• Able to prioritizes schedule to accommodate needs of the patient

Professional Skills

• Decision making with sound judgment, good organizational and time management skills, and excellent verbal and written communication skills
• Strong clinical, interpersonal, analytical, priority setting, problem solving, and organizational skills
• Problem solving skills and independent decision making skills is required
• Strong interpersonal skills. Ability to work effectively with employees, management, medical providers, and vendors
• Utilize available resources efficiently and effectively; good organizational skills and ability to prioritize work load
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, influential leadership skill
• Demonstrates highly effective problem-solving, planning and organizational skills

How to write Nurse Case Manager Resume

Nurse Case Manager role is responsible for case, health, nursing, organizational, computer, medical, interpersonal, education, training, customer. To write great resume for nurse case manager job, your resume must include:

• Your contact information
• Work experience
• Skill listing

Contact Information For Nurse Case Manager Resume

The section contact information is important in your nurse case manager resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

• First and last name
• Telephone number

Work Experience in Your Nurse Case Manager Resume

The section work experience is an essential part of your nurse case manager resume. It’s the one thing the recruiter really cares about and pays the most attention to. This section, however, is not just a list of your previous nurse case manager responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular nurse case manager position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Nurse Case Manager resume experience can include:

• Strong communication skills in order to effectively communicate with claimants, medical professionals, employers, claims staff and others
• Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program
• Critical thinking, excellent verbal and written skills and ability to work in a team environment required
• RN experience in a hospital setting, acute care, direct care experience and/or experience as a Case Manager
• Strong problem solving skills and the ability to perform positively and efficiently in production driven environment
• Clinical experience and/or case management, utilization review, and/or discharge planning experience in an acute care setting

Education on a Nurse Case Manager Resume

Make sure to make education a priority on your nurse case manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your nurse case manager experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

• School you graduated from
• Major/ minor
• Year of graduation
• Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Nurse Case Manager Resume

When listing skills on your nurse case manager resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical nurse case manager skills:

• Effective interpersonal communication and writing skills
• Utilizes excellent writing skills, and accurate and clear communication to relay findings to healthcare team
• Strong interpersonal skills, including oral and written communications
• Demonstrated accountability and skills in analysis, decision making and time management
• Excellent analytical, communication, computer, interpersonal, and problem solving skills
• Good problem solving skills and the ability to triage based on severity

List of Typical Experience For a Nurse Case Manager Resume

Experience for rn nurse case manager resume.

• Organizational skills with regard to time management, task prioritization, and integration of information from a variety of sources
• Computer Skills, keyboard knowledge, Microsoft Office; Word, Excel
• Effectively manages assigned caseload of medical/disability cases within company and regulatory guidelines
• Demonstrates the ability to triage care and use risk stratification to establish daily work-flow
• Case Management or Utilization Review experience for at least 1 year
• Understanding of IMMS holistic approach to medical management
• Understanding of legislative acts, such as the ADA
• Complete program specific tracking and reporting based on contractual and departmental KPIs and benchmarks

Experience For Field Nurse Case Manager Resume

• Basic understanding of CMS, OIG, RAC, MIC and CERT auditing and regulations
• Assists the practice to develop a process for managing the patient population using best practices for preventative care and disease management
• Resource Management and Discharge Planning
• Per approved scripting, conduct telephonic patient interviews and document responses
• Consult with/refer patient to program pharmacist for medication counseling as needed
• Ensure timely follow up on all outstanding reports

Experience For Behavioral Health Nurse Case Manager Resume

• Competency using email, attachments
• Apply principles of adult learning to provide educate to staff, patients and families
• Works closely with the ACO team to include other nurse case managers, social workers, medical directors and outreach assistant
• The contractor shall possess demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to enhance patient adherence to individualized treatment plans and train peers and staff
• The contractor shall possess the ability to seek feedback from peers, professional colleagues, clients, and outcomes research, in order to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues
• The contractor shall have the skills to effectively consult with health care providers at all levels and negotiate with outside providers for services and products in order to obtain client services and support

Experience For Workers Compensation Telephonic Nurse Case Manager Resume

• Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards in order to ensure adherence within legal and professional parameters
• Three years acute care experience or managed care experience is required
• Worker’s compensation or disability management experience is highly desired, but not required
• Previous med-surg experience required
• All Health Care Providers shall have and maintain current certification in Basic Cardiac Life Support (BCLS) as certified by the American Heart Association

Experience For Telephonic Nurse Case Manager Resume

• Current RN Texas License
• Contact patients at scheduled intervals to assess for therapy compliance, provide education and support on disease state and medication therapy
• Update physician office with patient concerns and/or actions that impact compliance to prescribed therapy
• Communicate with patient, physician, program staff and other health care providers to assure high quality and continuity of care
• Recognize and escalate potential risk management issues
• Act as a clinical resource for non-clinicians

Experience For Transitional Care Nurse / Case Manager Resume

• Identify and report adverse events based on the REMS requirements for each medication
• Ensure reports are generated as/when required by program
• Excellent verbal communication skills with the ability to communicate with participants and communicate professionally with individuals who serve in a variety of functions, i.e. physicians, account managers, brokers, customer service staff, IMMS executive management, other IMMS Medical Management nurses, hospital utilization review nurses, etc
• Assists health care teams in prioritizing patient follow-up, especially for emergency department frequent visitors and recently hospitalized patients
• Assists team members with escalated patient matters to improve the patient experience relating to care management, disease management and case coordination

Experience For Nurse Case Manager Rn-medicaid Resume

• Facilitating multi-disciplinary cross continuum patient care needs
• Collaborating with physicians, office staff and hospital departments
• Ability and willingness to function both independently and as part of a team
• Applies a series of criteria and measures to stratify a patient population and assigns patients to certain risk strata for case management and other preventive health programs
• Improves the patient connections to appropriate post discharge services focusing on transitions of care (i.e. medical home, nurse access clinic, faith- based clinics, etc.)

Experience For Nurse Case Manager Rn-field Based & Telephonic Resume

• Documents case management processes and interventions as outlined by department guidelines
• Collaborates with physicians and office staff in a Patient-Centered Medical Home (PCMH), focusing on identifying the needs of complex, high risk patients while assisting the practice to develop a process for managing the patient population using best practices for preventative care and disease management
• Applies electronic tools to help identify high risk, high need, and potentially high cost patients
• Uses registries and EMR to manage the population’s health in preventive health care, disease management, behavioral health screenings and interventions, care opportunities, etc
• Applies process improvement strategies in conjunction with other departments in evaluating standardized processes for outcomes of care

Experience For Nurse Case Manager Rn-field & Telephonic Resume

• Performs other job related as assigned
• Provides consultive support and acts as a resource for team members requiring advanced skills in collaborating, developing, implementing, monitoring, and evaluating the case management process for extremely complex patients
• Collaborates with physicians and office staff in a Patient-Centered Medical Home (PCMH), while focusing on identifying the needs of complex, high-risk patients
• Provides intensive case management to a high-risk population as defined by protocol to include assessment, plan development and implementation
• Utilizes the electronic medical records system to identify high-risk, high need, and potentially high cost patients; Uses registries and electronic medical records system to manage the population’s health in preventive health care, disease management, behavioral health screenings and interventions, care opportunities, etc
• Identifying and referring complex patients to disease management programs and community resources as needed
• Provides telephonic case management in a workers’ compensation environment

Experience For RN Nurse Case Manager Specialist Resume

• Works collaboratively with Senior Return-to-Work Specialist to
• Provide telephonic outreach for assessment, and follow up to close gaps in care
• Implementation of the transition plan
• Complete patient education to support health needs
• Provide timely, complete and concise documentation
• Concurrently enters all information into the healthplan’s computer documentation system ensuring complete and accurate information per established policies and guidelines

List of Typical Skills For a Nurse Case Manager Resume

Skills for rn nurse case manager resume.

• Resolve moderate to complex issues applying judgment, critical thinking and problem solving skills to determine a proper course of action
• Demonstrates evidence of continuing education, minimally 1 per quarter to maintain clinical expertise
• Utilize clinical/nursing skills to collect, review and analyze health data from medical records and/or other sources as provided
• Prior experience in an NICU
• Clinical / case management experience; or any combination of education and experience, which would provide an equivalent background

Skills For Field Nurse Case Manager Resume

• Keeps case notes and tracks cases effectively using proprietary computer system
• Determine appropriateness of care, quality of care, and testing utilizing evidenced based guidelines
• Experience dealing with multiple tasks, and problem solving under pressure
• Actively participates as a contributing team member as demonstrated by attitude, cooperation, shared problem solving and participation in projects
• Experience as a Registered Nurse within a Home Care or Medical-Surgical setting
• Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of resources
• Build solid working relationships with internal staff, matrix partners, key functional areas, customers, and providers
• Active RN licensure in good standing is required

Skills For Behavioral Health Nurse Case Manager Resume

• Strong working knowledge of clinical research concepts, ethics, processes and protocol implementation and management
• Experience using pc's with multiple screens
• Three (3) years of RN experience in a hospital setting, required
• Two years' experience in any case management setting or Acute Care is required
• Ambulatory care or Acute care nursing experience
• Nursing experience required
• 3+years clinical experience in acute setting
• Perform telephonic care management consultations with members, promoting high quality, evidence-based practice recommendations

Skills For Workers Compensation Telephonic Nurse Case Manager Resume

• Facilitate effective transitions of care through timely communication of necessary information for patient care and discharge planning
• Previous home care or medical-surgical experience
• Three or more years’ experience in clinical case management of members with multiple and complex chronic conditions
• Establishes and maintains effective working relationships with Hospital ER Staff
• Exhibits a proven knowledge of multiple product lines and services
• Using Transitional Care Nursing guidelines, assesses/identifies the needs of the individual/family/caregiver
• Commuting / Daily travel within Washington, DC required
• Working knowledge of the financial aspects of third-party payors and reimbursement

Skills For Telephonic Nurse Case Manager Resume

• Ongoing promotion and maintenance of quality assurance standards from a Case Review/Case Management standpoint, as well as in the provision of customer service
• Reviewing utilization patterns
• Working knowledge and application of client Decision Point Review Plan and AICRA
• Performing admission and continued stay review per policy and procedure
• Assisting with physician documentation
• Identifying and referring complex patients to disease management programs and community resources as needed,
• Communicating with patients and families about the plan of care, collaborating with physicians, office staff and hospital departments,
• Obtaining and maintaining applicable designations are encouraged; these designations are required where dictated by state regulations
• Sitting 5 to 8 hours a day during office time requirements

Skills For Transitional Care Nurse / Case Manager Resume

• Working knowledge of the Cost of Medical Care
• Develops reporting, tracking and trending for presentations to DFSM Management
• Exercise independent judgement in decision making, utilizing all relevant information
• Site Coordination. Assists in coordinating the opening of additional practice sites
• Collaborates with Core Care Coordinators to determine how to manage acute issues as they relate to any existing care plan, any barriers, and any ongoing needs
• Participate in ongoing training meetings and in-services
• The Case Manager- Registered Nurse is responsible for providing pre-admission, discharge planning, and utilization management functions for the Hospital
• Responsible for capturing and monitoring P4Q quality metrics

Skills For Nurse Case Manager Rn-medicaid Resume

• Assists in improving operation workflows and streamlining work processes
• Develop, implement and evaluate individual care planning for all members
• Responsible for carrying out case management activities for members referred to the case management program across all levels of care
• Manages all aspects of discharge planning/transition process
• Manage/coordinate an active volume of cases by providing information and coordination to customers worldwide in a multicultural population
• Manages/coordinates an active caseload of case management cases by providing Information, Navigation and Coordination for our global members
• Conduct ID15 online interviews with employer, injured worker and medical provider, following RTW standards for appropriate classification of high risk claims
• Build a working relationship with all ID15 high risk injured workers, customers and medical providers

Skills For Nurse Case Manager Rn-field Based & Telephonic Resume

• Conducts an evaluation of members needs & benefit plan eligibility; facilitates integrative functions using clinical tools/information/data
• Analyze information and evaluate results to determine the proper course of action while following established standards
• RN and current unrestricted nursing license required
• Graduate of an accredited nursing program, BSN required
• Coordinate the individual’s treatment program while maximizing cost containment
• High level knowledge of the worker’s compensation industry and claims processes, reporting and regulatory requirements
• BSN from an accredited nursing program

Skills For Nurse Case Manager Rn-field & Telephonic Resume

• Participates in clinical rounds, presenting complex cases
• Computer/typing proficiency to enter and retrieve data in electronic clinical records
• Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states
• Can show proof of success in the following areas
• Travel to and work at participating practices, to facilities and within the community
• Documentation. Maintains records documenting activity and performance of delivery services
• Utilizes Medical Staff approved monitors for ongoing measurement/evaluation of utilization management
• Performs the “denial” process for all patients according to particular payor
• Maintains current clinical records according to department policy and professional standards and prepares monthly statistical reports

Skills For RN Nurse Case Manager Specialist Resume

• Is available to be on a rotating basis on weekends, evenings and holidays with other staff to provide onsite Utilization review services
• Serves as patient advocate in assuring a collaborative approach to patient care management
• Participates in improving processes related to the Continuum of Care, Performance Improvement, and the Joint Commission Important Functions as appropriate
• Current Maryland State Nursing License
• Exposure to and familiarity with GA state regulations governing work related injury claims
• Maintenance of continuing education appropriate to case management, Workers' Compensation issues
• Coordinates services and authorizations for members transitioning from AHCCCS health plans to the American Indian Health Program
• Communicates with all parties in order to gather information regarding the work injury, medical treatment needs, functional status and work ability
• Assures that screening tests, immunizations and urgent referrals are up to date; perform outreach when additional action is needed

List of Typical Responsibilities For a Nurse Case Manager Resume

Responsibilities for rn nurse case manager resume.

• Confident presentation skills/excellent verbal communication skills
• Demonstrates excellent customer service skills in a high demand telephonic business environment
• Experience in a hospital setting, acute care, direct care experience as an RN and/or experience as a telephonic Case Manager for an insurance company
• Strong problem solving skills and ability to perform critical analysis
• Strong oral, written, and presentation skills required in order to represent the organization to internal and external customers
• Experience: Previous workers’ compensation and/or disability case management experience or Occupational health experience
• Excellent written, verbal, telephonic skills

Responsibilities For Field Nurse Case Manager Resume

• Fast and accurate typing, data entry and word processing skills is required
• Prior experience working in case management
• Two years Lactation Consultant current experience or RN with 4 years Breast Feeding Counselor experience or Certified Nurse Midwife
• Effectively utilizes desktop tools to conform to State jurisdictional guidelines and account specific criteria
• Clinical nurse experience with a preference for previous orthopedic, emergency room, critical care, home care or rehab care experience
• Hospice experience or other experience in Palliative care

Responsibilities For Behavioral Health Nurse Case Manager Resume

• BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
• Basic knowledge of analytic tools and data management skills
• Proficient computer skills: MS Office (Word, Excel, Outlook)
• Engage with all members during their hospitalization, giving priority to those with higher-risk and past history of high utilization
• Experience in case management (ideally in a home health setting, acute or post-acute setting)
• Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility. Completes documentation as required
• Travel to hospitals, skilled nursing facilities, patient’s homes, and other sites where patients receive care as needed

Responsibilities For Workers Compensation Telephonic Nurse Case Manager Resume

• Clinical experience in acute setting for 3 or more years
• Experience in Case management, Utilization review, and/or discharge planning
• Experience in managed care, acute care, post-acute (hospital) or Home Health setting
• Varied clinical nursing experience
• 0 – 2 years’ of Nephrology Nursing and/or case management experience
• Experience in Nursing Case Management
• Experience with case management or discharge planning
• Manage competing priorities, multi-task with results oriented outcomes and work in a fast paced environment

Responsibilities For Telephonic Nurse Case Manager Resume

• Possesses nursing license in good standing at all times of employment and to notify the immediate manager of any restrictions or disciplinary action imposed
• Demonstrates fiscal responsibility with resources; including staff and supplies
• RN state licensure in good standing with the State Board of Nursing
• Utilizes evidenced based medicine when performing claim reviews
• Demonstrates a commitment to professionalism and self-improvement”
• Demonstrate knowledge of case management concepts, principles, and strategies
• Strong ability to collaborate with others for a mutually beneficial outcome

Responsibilities For Transitional Care Nurse / Case Manager Resume

• Experienced evaluating for GIP level of care
• Experience with symptom management recommendations
• Utilizes approved evidence based guidelines and general health and wellness strategies to achieve goals in the overall health of members
• 1+years’ experience in a Managed Care environment
• Maternal child care experience required
• Good command of data management and development of data-driven processes that improve care, and/or decrease cost
• Experience in public or private third party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support is an asset
• One to three years’ experience in clinical and case management

Responsibilities For Nurse Case Manager Rn-medicaid Resume

• Experience in a managed care environment
• Registered nurse with current NY state RN license with at least 2 years of experience
• Obstetrics experience required
• Worker’s compensation case management experience
• Experience as a Registered Nurse
• Michigan Medicine work experience
• Related experience in a healthcare environment. Knowledge of HEDIS/CAHPS/HOS/Stars, case management/ care coordination
• 12 months nursing experience
• Five (5) years of UM/CM experience

Responsibilities For Nurse Case Manager Rn-field Based & Telephonic Resume

• Three to five (3-5) years of diverse clinical experience required
• Recent supervised or managed care management experience
• Handle multiple projects at the same time with ability to prioritize projects
• Experience in case management or utilization management
• Experience in medical-surgical, critical care or home health settings
• Valid New York State Registered Nurse (RN) license

Responsibilities For Nurse Case Manager Rn-field & Telephonic Resume

• Reviewing, understanding and practicing within the scope of licensure
• Communicating and collaborating with physicians, their office staff and staff of ancillary departments (e.g., lab, pharmacy)
• Understanding of renal and diabetes disease process and current management practices
• Providing pertinent health and wellness information to meet the needs of the caller
• Rotating weekend/holiday coverage also required, rotation approx. once weekend every 10 weeks
• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs

Responsibilities For RN Nurse Case Manager Specialist Resume

• With the managers, participate in the training process of new caseworkers, including but not limited to shadowing & call monitoring; and
• Assists in identifying and evaluating providers and managed care vendors
• Graduate of Accredited Registered Nursing Program with current active license (RN) to practice nursing in the state where the business resides
• Social workers provide counseling and emotional support and assist in finding respite care when needed
• Bereavement counselors offer counseling and bereavement support, including a specialized program for children, for up to one year after the patient's death
• Proficient in Microsoft applications including Word, Excel, PowerPoint, and Outlook. Typing is proficient and accurate and at least average speed
• Current, active, unrestricted Registered Nursing (RN) license with active state nursing license for area of assigned jurisdiction
• Maintain case records with clear, concise, pertinent documentation, conforming to product standard operating procedures and medical/legal guidelines
• Screens and coordinates with Transition Planning team in the discharge planning process from patient admission to departure

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Registered Nurse Case Manager Resume Sample

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Rachel Watson

Registered nurse case manager.

Highly skilled and compassionate registered nurse case manager with 5+ years of experience in coordinating and managing patient care. Proficient in conducting assessments, creating individualized care plans, and ensuring seamless transitions between healthcare providers. Strong advocate for patients and families, adept at navigating complex healthcare systems and facilitating communication across interdisciplinary teams. Dedicated to providing quality care and supporting positive patient outcomes.

• Care coordination
• Patient assessment
• Treatment planning
• Communication skills
• Problemsolving abilities
• Patient advocacy
• Team collaboration
• Documentation skills
• Time management
• Critical thinking

Work Experience

• Assessing and evaluating patients needs and creating a comprehensive care plan
• Collaborating with the interdisciplinary healthcare team to develop and implement the plan of care
• Coordinating and scheduling medical appointments and procedures for patients
• Monitoring and evaluating patient progress and adjusting the care plan as necessary
• Providing patient education and counseling on disease management and prevention
• Managing and advocating for patients insurance coverage and reimbursement
• Assessing and addressing patients psychosocial and emotional needs
• Facilitating communication and collaboration between healthcare providers and patients/families
• Collaborating with community organizations and agencies to ensure appropriate and timely care and support for patients
• Conducting regular documentation and reporting of patient outcomes and care coordination activities.

Registered nurse

• Providing direct patient care, including administering medications, monitoring vital signs, and dressing wounds
• Collaborating with other healthcare professionals to create and implement patient care plans
• Educating patients and their families on disease prevention and health management
• Monitoring and documenting patient progress and response to treatment
• Assisting with diagnostic tests and procedures, such as blood draws and catheter insertions
• Advocating for patients needs and safety within the healthcare system
• Participating in interdisciplinary team meetings and contributing to the development of patient care protocols
• Keeping up to date with the latest medical advancements, research, and best practices
• Ensuring proper infection control measures are followed to prevent the spread of disease.

Masters in Nursing

Career expert tips:.

• Always make sure you choose the perfect resume format to suit your professional experience.
• Ensure that you know how to write a resume in a way that highlights your competencies.
• Check the expert curated popular good CV and resume examples

Exploring the Role of a Registered Nurse Case Manager

As the healthcare landscape advances, the significance of a Registered Nurse Case Manager in the industry has grown exponentially. This pivotal role involves a unique blend of clinical expertise, compassionate patient care, and strategic case management. Let’s dive deep into the multifaceted responsibilities of a Registered Nurse Case Manager, understanding the requirements, skills, and key aspects that define this crucial position.

Registered Nurse Case Manager Job Requirements

Embarking on a career as a Registered Nurse Case Manager involves meeting specific prerequisites that demand a balance of medical proficiency and organizational skills. Here’s a comprehensive list of requirements for those aspiring to excel in this role:

• A Bachelor of Science in Nursing (BSN) or an equivalent degree, providing a strong foundation in clinical knowledge and patient care.
• Active and unrestricted registered nurse (RN) license, ensuring compliance with regulatory standards.
• Experience in clinical nursing, showcasing a comprehensive understanding of patient needs and healthcare processes.
• Specialized certifications in case management, indicating a commitment to advancing skills in this field.
• Effective communication and interpersonal skills, crucial for collaborating with interdisciplinary teams and communicating with patients and their families.
• Analytical and problem-solving abilities, vital for assessing complex medical cases and developing appropriate care plans.
• Adaptability and resilience, traits required to navigate the dynamic and sometimes challenging healthcare environment.

Acquiring additional certifications, such as Certified Case Manager (CCM), can enhance your profile and competitiveness in the job market.

Responsibilities of a Registered Nurse Case Manager

The role of a Registered Nurse Case Manager is a tapestry of responsibilities that encompasses clinical care, patient advocacy, and efficient case management. Here are the core duties that define this role:

• Assessing patients’ medical needs and collaborating with healthcare teams to develop personalized care plans.
• Coordinating and overseeing the implementation of care plans, ensuring seamless healthcare delivery.
• Advocating for patients’ rights and ensuring they receive appropriate medical interventions and support.
• Conducting regular evaluations of care plans, making adjustments based on patients’ progress and changing medical conditions.
• Collaborating with insurance providers to secure necessary approvals and coverage for medical treatments.
• Providing education and support to patients and their families, fostering a holistic approach to healthcare.
• Ensuring compliance with healthcare regulations and ethical standards in all aspects of case management.

Each responsibility requires a unique set of skills and contributes to the overall well-being of patients under the care of a Registered Nurse Case Manager.

Registered Nurse Case Manager Resume Writing Tips

Crafting a resume that stands out in the competitive healthcare industry is essential for aspiring Registered Nurse Case Managers. Here are some tips to help you create a compelling resume:

• Highlight your clinical experience, emphasizing the diverse medical cases you’ve managed and your impact on patient outcomes.
• Showcase your communication skills, detailing instances where effective communication positively influenced patient care.
• Include measurable achievements, such as successful case resolutions or improvements in patient satisfaction scores.
• List relevant certifications, providing evidence of your commitment to professional development in case management.
• Customize your resume for each application, aligning your skills and experiences with the specific job requirements.

Each tip contributes to creating a resume that effectively communicates your qualifications and distinguishes you as a top candidate in the field.

Registered Nurse Case Manager Resume Summary Examples

Your resume summary serves as the introduction to your career story, capturing your experiences and strengths concisely. Here are some examples to inspire your resume summary:

• “Dedicated Registered Nurse Case Manager with a proven track record in coordinating comprehensive care plans for diverse patient populations.”
• “Experienced healthcare professional with a passion for patient advocacy, skilled in developing and implementing effective case management strategies.”
• “Results-driven Registered Nurse Case Manager with a focus on optimizing patient outcomes through strategic care coordination and collaboration.”

Your resume summary is your opportunity to make a strong first impression, emphasizing your unique contributions to the field.

Create a Comprehensive Experience Section for Your Registered Nurse Case Manager Resume

Your experience section is the core of your resume, detailing the depth and breadth of your professional journey. Here are examples to guide you in crafting a robust experience section:

• “Led the case management team in a busy urban hospital, overseeing successful care plans for a diverse patient population.”
• “Implemented a streamlined communication system that improved coordination among healthcare providers, resulting in a 15% reduction in patient readmissions.”
• “Collaborated with insurance companies to secure timely approvals, ensuring patients received necessary treatments without delays.”

Each experience listed should highlight your contributions, innovations, and positive impacts on patient care.

Education Section for Your Registered Nurse Case Manager Resume

Your educational background is a testament to your foundational knowledge and commitment to excellence in nursing. Here’s how you can present your educational milestones:

• Bachelor of Science in Nursing (BSN), XYZ University, providing a comprehensive understanding of nursing principles and patient care, 2015.
• Certified Case Manager (CCM), demonstrating a commitment to advancing skills in case management, 2018.
• Registered Nurse (RN) License, [State], attesting to your qualification and compliance with state regulatory standards.

Your education section should showcase your academic achievements and certifications that contribute to your expertise as a Registered Nurse Case Manager.

Key Skills for a Registered Nurse Case Manager Resume

Your skill set is a crucial aspect of your resume, showcasing your abilities in patient care, case management, and collaboration. Here’s a breakdown of essential soft and hard skills for a Registered Nurse Case Manager:

Soft Skills:

• Effective communication and interpersonal skills for building strong relationships with patients and healthcare teams.
• Empathy and compassion, essential for understanding and addressing patients’ emotional and physical needs.
• Adaptability and resilience, navigating the dynamic and sometimes challenging healthcare environment.
• Analytical and critical thinking skills, assessing complex medical cases and developing effective care plans.

Hard Skills:

• Clinical expertise, showcasing a deep understanding of medical conditions and treatment protocols.
• Case management skills, including the ability to develop and implement comprehensive care plans.
• Knowledge of healthcare regulations, ensuring compliance with ethical and legal standards.
• Effective use of healthcare information systems and technology for efficient case management.

Your skills section is a toolset that demonstrates your ability to provide exceptional patient care and succeed as a Registered Nurse Case Manager.

Common Mistakes to Avoid in a Registered Nurse Case Manager Resume

When crafting your resume, it’s crucial to steer clear of common mistakes that could hinder your chances of securing your desired role. Here are some pitfalls to avoid:

• Using a generic approach, tailor your resume to showcase how your unique skills and experiences align with the specific requirements of the job.
• Focusing solely on job duties, highlight your achievements and contributions to demonstrate your impact in previous roles.
• Neglecting the importance of a cover letter, use this opportunity to convey your passion for case management and patient care.
• Overloading your resume with medical jargon, ensure your resume is accessible to both healthcare professionals and non-specialists.
• Skipping the proofreading process, a polished resume enhances your professional image and attention to detail.

Avoiding these mistakes ensures your resume is authentic, compelling, and stands out in the competitive job market for Registered Nurse Case Managers.

Insights for a Standout Registered Nurse Case Manager Resume

As we conclude this in-depth guide, remember these key insights to create a standout Registered Nurse Case Manager resume:

• Emphasize your impact on patient care, showcasing how your contributions positively influenced healthcare outcomes.
• Showcase your communication skills, detailing instances where effective communication played a crucial role in patient care.
• Quantify your achievements, using measurable metrics to highlight successful case resolutions or improvements in patient satisfaction.
• Highlight your commitment to professional development, including relevant certifications and ongoing education in case management.

By incorporating these insights into your resume, you’ll present a compelling narrative of your skills, experiences, and dedication to excellence as a Registered Nurse Case Manager. Best of luck in your job search!

Finally, feel free to utilize resources like AI Resume Builder , Resume Design , Resume Samples , Resume Examples , Resume Skills , Resume Help , Resume Synonyms , and Job Responsibilities to create a standout application and prepare for the Registered Nurse Case Manager job interview .

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5 Amazing rn case manager Resume Examples (Updated 2023) + Skills & Job Descriptions

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Rn case manager: resume samples & writing guide, professional summary, employment history.

• Coordinating patient care services and resources
• Facilitating referrals to other healthcare providers and community resources
• Developing and implementing quality improvement initiatives
• Assessing and evaluating patient care needs
• Developing care plans, ensuring continuity of care, and monitoring outcomes
• Collaborating with other healthcare providers to ensure quality and cost-effective care
• Assisting with discharge planning and coordinating follow-up care
• Ensuring compliance with all applicable laws and regulations

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• Monitoring patient progress and adjusting care plans as needed
• Participating in interdisciplinary team meetings
• Providing patient and family education
• Maintaining current knowledge of healthcare regulations, trends, and best practices
• Communicating with patients and families to provide education and support
• Documenting patient progress and care plans
• Assessing patient needs and developing individualized care plans

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Table of Content

• Introduction
• Resume Samples & Writing Guide
• Resume Example 1
• Resume Example 2
• Resume Example 3
• Resume Example 4
• Resume Example 5
• Jobs Description
• Jobs Skills
• Technical Skills
• Soft Skills
• How to Improve Your Resume
• How to Optimize Your Resume
• Cover Letter Example

rn case manager Job Descriptions; Explained

If you're applying for an rn case manager position, it's important to tailor your resume to the specific job requirements in order to differentiate yourself from other candidates. Including accurate and relevant information that directly aligns with the job description can greatly increase your chances of securing an interview with potential employers. When crafting your resume, be sure to use action verbs and a clear, concise format to highlight your relevant skills and experience. Remember, the job description is your first opportunity to make an impression on recruiters, so pay close attention to the details and make sure you're presenting yourself in the best possible light.

rn case manager

• Inform physician of patient’s condition 
• Administer by mouth, inhalation, intravenous medications
• Provide medical and emotional care for terminal patients. 
• Analyze and interpret patients’ histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses. Display self motivated initiative under minimal supervision.
• Case management for approximately 50-60 clients with intellectual developmental disabilities, physical disabilities, and mental illness 
• Complete comprehensive nursing assessments and create care plans at least annually for clients 
• Complete weekly calls to client’s to assess current status and inquire of any changes in health
• Research resources available within the community to enhance care plans 
• Coordinate with outside vendors, home health agencies, DME, and insurance companies to maintain treatment plans for clients
• Provide initial visits to hospitalized client’s, follow up visits before discharge to participate in planning with social worker and medical team, and post visits to ensure overall health and well being 
• Attend meetings at various nursing homes to participate in discharge planning for incoming clients 
• Coordinated health care for terminal patients in the last 12 months of life.  
• Provided emotional, physical, and spiritual support to families.  
• Educated families on End of life care and the grieving process.
• Visited patients to develop the patient’s plan of care, excellent
• Keeping in constant contact with the patient, family, and physician. 
• Responsible to make sure that the whole team was in place, from the social worker, hospice aide and volunteer, if needed.
• Assure that medical equipment is ordered and in home.
• Assure needed medication is ordered by attending MD or Hospice medical director, for comfort needs. 
• Along with the hospice team, preparing the patient, family, emotionally, psychologically and spiritually for loved one’s end of life.
• Keeping in contact with hospice administrator, director of nursing attending MD and hospice medical director.
• Uses established medical necessity criteria to conduct screening for medically appropriate admissions. Escalates cases to Care Management Direc-tor/Manager and utilizes information obtained from information systems to accurately assess patient clinical needs.
• Communicates effectively with the ED and Observation Clinical Team to achieve optimal patient flow to enhance continuity of care, smooth and safe transition, patient satisfaction, and patient safety.
• Provides information related to physician resource utilization, medical necessity, and federal regulation. 
• Worked as a Hospice Case Manager— received excellent training and was further able to expand my knowledge and level of critical thinking.

rn case manager Job Skills

For an rn case manager position, your job skills are a key factor in demonstrating your value to the company and showing recruiters that you're the ight fit for the role. It's important to be specific when highlighting your skills and ensure that they are directly aligned with the job requirements, as this can greatly improve your chances of being hired. By showcasing your relevant skills and experience, you can make a compelling case for why you're the best candidate for the job.

How to include technical skills in your resume:

Technical skills are a set of specialized abilities and knowledge required to perform a particular job effectively. Some examples of technical skills are data analysis, project management, software proficiency, and programming languages, to name a few. Add the technical skills that will get hired in your career field with our simple-to-use resume builder. Select your desired resume template, once you reach the skills section of the builder, manually write in the skill or simply click on "Add more skills". This will automatically generate the best skills for your career field, choose your skill level, and hit "Save & Next."

• Data Mining
• Medical Terminology
• Electronic Medical Records
• Clinical Documentation
• HIPAA Compliance
• ICD-10 Coding
• Regulatory Compliance
• Quality Control
• Chart Auditing
• Nursing Assessment
• Patient Education
• Clinical Protocols
• Case Management
• Medication Administration
• Medical Billing
• Medical Coding
• Health Insurance
• Medicare/Medicaid

How to include soft skills in your resume:

Soft skills are non-technical skills that relate to how you work and that can be used in any job. Including soft skills such as time management, creative thinking, teamwork, and conflict resolution demonstrate your problem-solving abilities and show that you navigate challenges and changes in the workplace efficiently. Add competitive soft skills to make your resume stand-out to recruiters! Simply select your preferred resume template in the skills section, enter the skills manually or use the "Add more skills" option. Our resume builder will generate the most relevant soft skills for your career path. Choose your proficiency level for each skill, and then click "Save & Next" to proceed to the next section.

• Communication
• Interpersonal
• Time Management
• Problem Solving
• Decision Making
• Critical Thinking
• Adaptability
• Organization
• Public Speaking
• Negotiation
• Conflict Resolution
• Attention to Detail
• Self-Motivation
• Stress Management
• Collaboration
• Strategic Thinking
• Emotional Intelligence
• Flexibility
• Reliability
• Professionalism
• Computer Literacy
• Data Analysis
• Project Management
• Customer Service
• Presentation
• Written Communication
• Social Media
• Troubleshooting
• Quality Assurance
• Supervisory
• Risk Management
• Database Management
• Documentation
• Financial Management
• Visualization
• Business Acumen
• Process Improvement
• Relationship Management.

How to Improve Your rn case manager Resume

Navigating resume pitfalls can mean the difference between landing an interview or not. Missing job descriptions or unexplained work history gaps can cause recruiters to hesitate. Let's not even talk about the impact of bad grammar, and forgetting your contact info could leave your potential employer hanging. Aim to be comprehensive, concise, and accurate.

Unexplained Year Gaps and Missing Job Experiences are a No-no

Gaps in your resume can prevent recruiters from hiring you if you don't explain them..

• It's okay to have gaps in your work experience but always offer a valid explanation instead of just hiding it.
• Use the gap to talk about positive attributes or additional skills you've learned.
• Be honest and straightforward about the gap and explain it using a professional summary.

How to Optimize Your rn case manager Resume

Keep an eye out for these resume traps. Neglecting to detail your job roles or explain gaps in your career can lead to unnecessary doubts. Grammar blunders can reflect negatively on you, and without contact information, how can employers reach you? Be meticulous and complete.

• Assisting with discharge plannin, and coordinating follow-up care
• Assesing and evaluating patient care needs
• Communicating with patients and familes to provide eduction and support
• Developing care plans, ensurin continuity of care, and monitorin outcomes
• Monitoring patient progress and adjustin care plans as needed
• Providin patient and family education
• Providin patiënt an family educatiön
• Developin an implementin qualitee improvement initiativës
• Collabörating with öther healthcare providërs tö ensurë qualitee an cost-effectivë carë

Avoid Spelling Mistakes and Include your Contact Information

Missing contact information prevents recruiters from understanding you're the best fit for the position..

• Make sure you're not missing contact information on your resume. That should include your full name, telephone number and email address.
• Make sure to use a professional email address as part of your contact information.
• Highlight your contact information and double check that everything is accurate to help recruiters get in touch with you.

rn case manager Cover Letter Example

A cover letter can be a valuable addition to your job application when applying for an rn case manager position. Cover letters provide a concise summary of your qualifications, skills, and experience, also it also gives you an opportunity to explain why you're the best fit for the job. Crafting a cover letter that showcases your relevant experience and enthusiasm for the Accounts Payable role can significantly improve your chances of securing an interview.

Esteemed Ascension Health Hiring Team

I am a passionate Rn Case Manager with 12 years of experience in Healthcare & Pharmacy. I am excited to submit my application for the Chief Rn Case Manager position at Ascension Health, where I believe my skills and expertise would be a great asset to your team.

Throughout my life, I have pursued my passion for Epidemiology and sought out opportunities to learn and grow. My experience in Healthcare & Pharmacy has given me valuable skills such as Emotional Intelligence and Analytical that have allowed me to improve professionally and personally. I am excited to bring these skills and my passion as a Rn Case Manager to the position and work with a team of like-minded individuals to achieve our common goals.

I appreciate the time and consideration you have given my application. I am confident that if we work together we could achieve great things and so I look forward to the opportunity to join your team.

Showcase your most significant accomplishments and qualifications with this cover letter. Personalize this cover letter in just few minutes with our user-friendly tool!

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RN Case Manager: Job Description, Salary, and How to Become One

Dive into the dynamic world of Registered nurse (RN) case managers and learn about their responsibilities, salary expectations, and the steps to becoming one. Careers

• Rn Case Manager
• Table of Contents:
• Job Description
• Responsibilities
• Salary Expectations
• Becoming an RN Case Manager

Registered nurse (RN) case managers are dedicated healthcare professionals who work behind the scenes to ensure patients receive the best care possible. With their expertise in care coordination, resource utilization, and patient advocacy, they are the guiding hands that navigate the complex healthcare maze.

RN Case Manager Job Description

In healthcare, an RN case manager is pivotal in managing and coordinating the care of individuals with complex or chronic medical conditions. They are dedicated advocates, ensuring patients receive the most appropriate and timely healthcare services and resources. 

Through close collaboration with healthcare teams, patients, and their families, case managers develop and execute comprehensive care plans , schedule appointments and services, facilitate communication between healthcare team members, and closely monitor patient progress.

Care management involves four critical steps. First, there's the intake process, where the case manager gathers information about the client. Then comes the needs assessment stage, where the case manager digs deeper into the client's challenges and goals. Next is the service planning stage, which involves setting patient goals and creating an individualized treatment plan. Finally, the case manager monitors and evaluates the client's progress to ensure they are on track toward success. These steps help provide the appropriate support and achieve positive outcomes in care management.

The primary objective of an RN case manager is to promote optimal patient outcomes and ensure the highest quality of care through effective care coordination, resource utilization, and patient education.

Related: 11 Best Online RN to BSN Programs in 2023

Where Do RN Case Managers Work?

RN case managers work in both inpatient and outpatient settings. You can find these dedicated team members working in an array of healthcare venues, including:

• Long-term care facilities (LTACH)
• Assisted living facilities (ALF)
• Skilled nursing facilities (SNF)
• Insurance companies
• Community organizations

RN Case Manager Responsibilities

Case managers are essential in organizing and overseeing the care of individuals with medical or social needs. Their duties involve:

• Assess patient needs and develop individualized care plans
• Conduct assessments to determine patient eligibility for community resources, programs, or services
• Identify and address social determinants of health that may impact patient well-being
• Collaborate with healthcare teams; M.D.s, RNs, therapists, and social workers. 
• Participate in patient rounding and care conferences
• Coordinating healthcare services, appointments, and referrals
• Coordinating care transitions and discharge planning
• Providing patient education on treatment options, self-care, and preventive measures
• Ensuring accurate and up-to-date documentation of patient information and care plans
• Monitoring and evaluating patient progress and outcomes
• Managing and coordinating medication adherence and reconciliation
• Managing, ordering, and coordinating durable medical equipment (DME) patient needs.
• Assisting with insurance authorization and claims processes
• Monitoring and managing healthcare utilization and costs
• Advocating for patients and ensuring their rights and preferences are respected

Each case management position will look slightly different depending on the patient population and healthcare setting. The many responsibilities of a case manager showcase their diverse and crucial role in providing comprehensive and patient-centered care.

Benefits of Working as an RN Case Manager

Choosing a career as an RN case manager has many advantages. It allows you to impact people's lives positively by coordinating and enhancing their healthcare outcomes. As a case manager, you can experience personal satisfaction by advocating for patients, safeguarding their rights, and guiding them through the complicated healthcare system.

RN Case Manager Salary

As with any nursing position, the salary of a case manager in nursing will depend on various factors, such as your location, the healthcare facility you work for, the healthcare setting you work in, and your experience. 

As per recent findings from Ziprecruiter and Glassdoor , the standard annual income for case managers across the country is approximately $45,136 - $47,765.

Annual case management salary based on experience:

• 1-3 years CM experience: $48,927
• 4-6 years CM experience: $52,783
• 7-9 years CM experience: $55,867
• 10-14 years CM experience: $64,339
• 15+ years CM experience: $74,637

Annual Highest paying states for case managers:

• New York: $55,130
• Hawaii: $47,126
• Washington: $45,593
• New Hampshire: $45,315
• Indiana: $45, 254

Annual Lowest paying states for case managers:

• Illinois: $35,125
• Michigan: $35,058
• South Carolina: $34,332
• Texas: $34,332
• Louisiana: $33,351

Unfortunately, the  Bureau of Labor Statistics (BLS)  does not provide a detailed breakdown of RN salaries by specialty; thus, the data was sourced elsewhere.  

How to Become an RN Case Manager

If you aspire to become an RN case manager, here is a step-by-step guide on achieving your goal.

Step 1: Complete an Undergraduate Nursing Program

Obtain a BSN, Bachelor of Science in Nursing degree , to provide a strong foundation in nursing knowledge and skills. Technically, an associate degree-prepared RN may be eligible for case management positions, but most case management positions prefer RNs to have a bachelor's degree. This preference stems from the additional leadership and management training that comes with a bachelor's degree, making candidates more equipped to excel in the complexities of case management.

Related: 10 Best RN to BSN Programs in 2023

Step 2: Obtain Your RN License

After graduating from nursing school, you must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become a licensed registered nurse (RN).

Step 3: Gain RN Experience 

One way to gain valuable experience in a care management role is to work as an RN in a healthcare setting like a hospital, clinic, or nursing home. This experience will give you a better understanding of patient care and healthcare systems, which is essential for a case manager. Nursing experience may only be required for some nurse case management positions, but it is a solid foundation necessary for the role.

Step 4: Apply for an RN Case Management Position 

Look for case management job openings in healthcare organizations or insurance companies. Showcase your nursing experience and highlight your skills relevant to case management in your application.

Step 5: Advanced Education as an RN Case Manager 

Various certifications are available for RN case managers, including the Nursing Case Management Certification (CMGT-BC) through the American Nurses Credentialing Center (ANCC) or the Certified Case Manager (CCM) through the Commission for Case Manager Certification . Certification is not required for a case management position, but it does validate your knowledge and expertise in the specialty. 

If you're passionate about advanced education and case management, RN Case Managers also have the option to pursue an MSN with a concentration in care management. 

As an RN case manager, you hold the power to make a lasting impact on the lives of patients by coordinating their care with compassion and excellence. Embrace the opportunity to be a guiding hand, advocate for their needs, and navigate the complex healthcare system, knowing that your dedication and expertise can make a difference.

About Erin Lee , BSN, RN

Erin Lee has 12 years experience as a BSN, RN and specializes in Critical Care, Procedural, Care Coordination, LNC.

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Top 16 Nurse Case Manager Resume Objective Examples

Updated July 18, 2023 14 min read

A resume objective is a short statement that outlines your professional goals and highlights your qualifications for a specific job. When writing a resume objective for a nurse case manager position, it’s important to focus on your skills, experience and accomplishments related to the role. Begin by emphasizing your ability to provide quality care, manage complex cases and coordinate with other healthcare professionals. You should also include any certifications or qualifications you possess that make you an ideal candidate for the job. For example: “Dedicated RN with 5+ years of experience in providing patient-centered care and managing complex cases seeking Nurse Case Manager role at ABC Hospital to utilize expertise in coordinating with other healthcare professionals, ensuring timely delivery of services and advocating for patients.” Additionally, describe how the role fits into your overall career goals; this will demonstrate your commitment to the profession and show employers that you are motivated by more than just compensation. For example: “Seeking Nurse Case Manager role at ABC Hospital to contribute clinical expertise while developing long-term relationships with patients, families and other healthcare professionals in order to advance career growth within the field of nursing.”

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Top 16 Nurse Case Manager Resume Objective Samples

• To obtain a Nurse Case Manager position where I can utilize my nursing experience and knowledge to improve patient outcomes.
• To leverage my expertise in healthcare management, patient care, and clinical decision making as a Nurse Case Manager.
• Seeking a challenging position as a Nurse Case Manager to contribute to the success of an organization through my skills and knowledge.
• To apply my experience in case management and medical terminology to provide quality care as a Nurse Case Manager.
• To secure a position as a Nurse Case Manager that will allow me to use my excellent communication and organizational skills.
• Looking for an opportunity as a Nurse Case Manager to use my extensive experience in patient assessment, diagnosis, and treatment planning.
• Seeking an entry-level position as a Nurse Case Manager with the goal of providing quality care while utilizing evidence-based practice guidelines.
• To gain employment as a Nurse Case Manager where I can utilize my strong clinical background and problem solving skills.
• Desire to become part of an organization that values excellence in healthcare delivery by taking on the role of Nurse Case Manager.
• To obtain a position as a Nurse Case Manager that will enable me to utilize my strong interpersonal skills while providing quality care for patients.
• Aiming for an opportunity as a Nurse Case Manager where I can apply my expertise in health promotion, disease prevention, and patient education.
• Looking for an opportunity to work with diverse populations in order to make positive contributions towards their health outcomes through the role of Nursing Case Management.
• Achieving professional growth by taking on the role of Nursing Case Management and utilizing my knowledge base in chronic illness management, discharge planning, and patient advocacy.
• Applying for the position of Nursing Care Management so I can use my experience in risk assessment, resource coordination, and interdisciplinary collaboration for improved patient outcomes.
• Seeking employment as a Nursing Care Management where I can use my strong leadership abilities along with evidence-based practice guidelines for optimal healthcare delivery services.
• Utilizing my exceptional communication skills along with comprehensive knowledge in healthcare policy development towards becoming successful at the job of Nursing Care Management.

How to Write a Nurse Case Manager Resume Objective

A nurse case manager resume objective is an important tool for any nursing professional looking to stand out in a competitive job market. It serves as an introduction to the rest of your resume and should highlight your unique qualifications and experiences that make you the perfect candidate for the position. When crafting your nurse case manager resume objective, it’s important to remember that employers are looking for candidates with the right combination of experience, education, and skills. Here are a few tips on how to write an effective nurse case manager resume objective:

1. Highlight Your Qualifications: Begin by highlighting your qualifications and experience that are most relevant to the specific job you’re applying for. For example, if you have experience working in a hospital setting, be sure to include that information in your objective statement. Additionally, if you have specialized training or certifications related to case management, be sure to mention those as well.

2. Demonstrate Your Ability To Handle Complex Cases: Employers want nurses who can handle complex cases with ease and efficiency. Be sure to emphasize any previous experience you have working with difficult cases or managing multiple patients simultaneously. This will show employers that you’re up for the challenge of taking on a new role as a nurse case manager.

3. Showcase Your Communication Skills: Nurse case managers must be able to communicate effectively with patients, families, doctors, and other staff members in order to ensure everyone is on the same page regarding care plans and treatments. Make sure your objective statement highlights your ability to communicate clearly and effectively with all stakeholders involved in each patient’s care plan.

4. Use Specific Examples: Whenever possible, use specific examples from previous positions or volunteer work that demonstrate why you’re qualified for this particular job opening. For instance, if you have successfully managed multiple patient caseloads in the past or implemented innovative strategies for improving patient outcomes, these are great topics to include in your resume objective statement!

By following these simple tips when crafting your nurse case manager resume objective statement, you can show potential employers why they should consider hiring you over other applicants vying for the same position!

Related : What does a Nurse Case Manager do?

Key Skills to Highlight in Your Nurse Case Manager Resume Objective

As a Nurse Case Manager, your resume objective should not only reflect your qualifications and experience in the nursing field, but also showcase specific skills that make you an effective case manager. This section will guide you through the key skills to highlight in your resume objective. These skills can range from clinical knowledge to communication abilities, leadership qualities, and problem-solving capabilities. Emphasizing these attributes can help potential employers quickly understand your strengths and how they align with their needs, thereby increasing your chances of landing the job.

1. Assessment

A Nurse Case Manager needs the skill of assessment as they are responsible for evaluating a patient's health status, including physical and mental wellness. This skill is crucial in determining the appropriate care plan for each individual patient. In a resume objective, showcasing this skill can highlight the candidate's ability to make informed decisions regarding patient care, effectively coordinate with other healthcare professionals, and ensure that patients receive the necessary treatments or interventions. It demonstrates their competence in providing holistic and patient-centered care.

2. Care coordination

A Nurse Case Manager needs the skill of care coordination as they are responsible for organizing and overseeing a patient's healthcare plan. This involves working with doctors, other nurses, and various healthcare professionals to ensure that a patient receives the necessary treatments in a timely manner. It also includes educating and communicating effectively with the patient and their family about their care. Having this skill in a resume objective demonstrates the ability to efficiently manage multiple aspects of patient care, ensuring optimal health outcomes and patient satisfaction.

3. Patient advocacy

A Nurse Case Manager requires the skill of patient advocacy as they are responsible for ensuring that patients receive the appropriate care and treatment. They act as a liaison between patients, healthcare providers, and insurance companies, advocating for the patient's needs and rights. This skill is crucial in helping to navigate complex medical systems, making informed decisions about care options, and ensuring that patients' voices are heard. Including this skill in a resume objective demonstrates a commitment to patient-centered care and can make a candidate more attractive to potential employers.

4. Time management

A Nurse Case Manager often handles multiple patients, each with different health conditions and needs. They are responsible for planning, coordinating, and implementing care plans for each patient. This requires effective time management skills to ensure that all tasks are completed in a timely manner and no patient is neglected. Including this skill in a resume objective would highlight the candidate's ability to efficiently juggle multiple responsibilities, prioritize tasks, and ensure smooth operations in a healthcare setting.

5. Communication

A Nurse Case Manager needs strong communication skills because they are responsible for coordinating patient care, interacting with various healthcare professionals, patients and their families. They need to clearly convey complex medical information and instructions, listen effectively to concerns or issues, and provide emotional support. This skill is crucial in ensuring that all parties involved understand the treatment plan and any changes that may occur. In a resume objective, showcasing this skill can highlight the candidate's ability to successfully navigate patient care in a compassionate and efficient manner.

6. Decision-making

A Nurse Case Manager needs strong decision-making skills as they are responsible for coordinating patient care, assessing health status, and developing nursing care plans. They must make crucial decisions regarding the best course of action for a patient's healthcare journey. This involves evaluating different options and choosing the most effective one based on their professional judgment and evidence-based practices. Therefore, highlighting this skill in a resume objective can demonstrate their ability to take charge, prioritize tasks, and make sound judgments in high-pressure situations, which are critical for success in this role.

7. Problem-solving

A Nurse Case Manager needs problem-solving skills as they are responsible for assessing, planning, implementing and evaluating patient care plans. They need to be able to address and resolve any issues or complications that arise effectively. This skill is crucial in ensuring the best possible health outcomes for patients and improving the efficiency of healthcare services. Including this skill in a resume objective can demonstrate a candidate's ability to handle complex situations and make sound decisions, which is vital in this role.

8. Documentation

A Nurse Case Manager needs strong documentation skills to accurately record patient information, treatment plans, and progress notes. This skill is crucial for maintaining organized and precise medical records, ensuring effective communication among healthcare professionals, and providing the best possible patient care. Including this skill in a resume objective demonstrates attention to detail, professionalism, and a commitment to maintaining high standards of healthcare practice.

9. Team collaboration

A Nurse Case Manager's role often involves coordinating with a team of healthcare professionals, including doctors, therapists, and social workers, to develop and implement patient care plans. Therefore, the ability to collaborate effectively with a team is crucial. This skill ensures that all aspects of patient care are addressed and that communication between different departments is smooth and efficient. Including this skill in a resume objective demonstrates the candidate's ability to work cohesively within a multidisciplinary team environment, leading to better patient outcomes.

10. Resource utilization

A Nurse Case Manager needs the skill of resource utilization to effectively manage and allocate resources for patient care. This includes coordinating medical services, medications, therapies, and other healthcare resources to ensure optimal patient outcomes. Demonstrating this skill in a resume objective shows potential employers that the candidate can efficiently use available resources to provide high-quality patient care, reduce unnecessary costs, and improve overall healthcare service delivery.

In conclusion, your nurse case manager resume objective should effectively showcase the key skills that make you an outstanding candidate for the role. It's essential to tailor these skills according to the specific requirements of the job you're applying for. Remember, this section of your resume is your first opportunity to impress potential employers and demonstrate how your unique skill set aligns with their needs. Therefore, it's crucial to present a compelling narrative that highlights your professional competencies and sets the stage for further exploration of your qualifications in the rest of your resume.

Related : Nurse Case Manager Skills: Definition and Examples

Common Mistakes When Writing a Nurse Case Manager Resume Objective

A nurse case manager resume objective is an important part of a nurse case manager's resume. It should be well-crafted and concisely written to make the best impression on potential employers. Unfortunately, many job seekers make common mistakes when writing their resume objectives that can prevent them from being considered for the position.

One of the most common mistakes is writing a generic or overly broad objective. A generic objective states nothing specific about the applicant's qualifications or goals, and often reads something like "Seeking a challenging position in nursing". This type of statement does not show how you are uniquely qualified for the job or why you are interested in it. Instead, focus on what makes you stand out from other candidates by mentioning your experience, skills, and accomplishments.

Another mistake is failing to tailor your resume objective to the specific job description. Many applicants will copy-paste the same general objective onto every application they submit, regardless of the requirements listed in each job description. Doing this fails to demonstrate that you understand what is required for the position and how your qualifications match those needs. Take time to read through each job posting carefully and adjust your resume objective accordingly to show employers that you have done your research and are a good fit for their team.

Finally, some applicants will write an overly long or wordy objective that takes up too much space on their resume page. When writing an effective nurse case manager resume objective, keep it short and concise while still conveying all of your relevant qualifications and career goals. Make sure that it fits within two sentences or less so that employers can quickly skim through it without getting bored or overwhelmed by unnecessary details.

By avoiding these common mistakes when crafting a nurse case manager resume objective, you can ensure that potential employers take notice of your application materials and consider you for the position more seriously. Keep these tips in mind as you prepare to submit your own resume so that you can give yourself the best chance at success!

Related : Nurse Case Manager Resume Examples

A right resume objective for a nurse case manager would focus on the candidate's ability to provide excellent patient care and improve overall outcomes, while a wrong resume objective would focus solely on the candidate's desire for career advancement or financial gain.

Editorial staff

Brenna Goyette

Brenna is a certified professional resume writer, career expert, and the content manager of the ResumeCat team. She has a background in corporate recruiting and human resources and has been writing resumes for over 10 years. Brenna has experience in recruiting for tech, finance, and marketing roles and has a passion for helping people find their dream jobs. She creates expert resources to help job seekers write the best resumes and cover letters, land the job, and succeed in the workplace.

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Media shows consequences of intelligence strike on ammunition storage point in Russia's Voronezh Oblast – photo

Radio Liberty's Russian service released a satellite image taken on 25 June showing a fire at a storage point in Voronezh Oblast, Russia.

Source: Radio Liberty's Russian service

Details: The photo shows a fire at an ammunition depot with at least two fire outbreaks, which corresponds to local residents' reports of two drones attacking the storage point on the night of 25 June.

Photo: Radio Liberty's Russian service

In a video shot by local residents, the sounds of secondary detonation are clearly heard. Based on data from the Wikimapia service, the storage point was set up on the territory of a former farm.

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