Resume Cover Letter

Field Case Manager Resume


The applicant, a nurse/case manager, was competing for a position in another state. The writer presented the individual's experience in a chronological format and highlighted her quantifiable accomplishments. The result landed her an interview and job offer over numerous other candidates (she was told) because her document displayed her leadership strengths and showed how she had saved the organization money without sacrificing patient care.

Sample Field Case Manager Resume

Mary Johnson Gray
27 Happy colony, Dallas, Texas 75326 • Tel. No: 123-649-88877 • Email Address:maryjohnsongray@hotmail.com


PROFESSIONAL SUMMARY
Certified Case Manager and Certified Critical Care Nurse with demonstrated accomplishments in medical case management, critical care and utilization management in managed and acute care environments. Proven clinical proficiency in performing thorough patient assessments and caring for a broad range of acute and chronically ill adults. Proven leadership and administrative qualifications include program development, staff supervision and management. Well versed in Medicare regulations and managed care.
  • Extensive background in patient/family education, discharge planning and community resources.
  • Sensitive and responsive to patients' needs with a strong commitment to ensuring cost-effective care while optimizing quality.
  • Strong interpersonal and organizational skills; effective communicator with patients, families, physicians, agency and other healthcare professionals.
  • Recognized as an excellent trainer/preceptor with the ability to lead and motivate others to higher levels of performance.

CAREER HISTORY


BLUE CROSS BLUE SHIELD OF NEW JERSEY, Ridgewood, NJ (1996-present)
Field Case Manager

Manage large caseload with up to 90 clients for a leading HMO with 35,000 Medicare and 100,000 commercial members, representing 25% of the New Jersey market. Coordinate all care/services and discharge planning for acute and chronically ill patients and average 30 visits each day in skilled nursing, rehab and home health environments. Accountable for cost-effective utilization and management of resources while maximizing quality care, provider/vendor negotiations and precepting field case managers. Present bimonthly utilization management reports to Network Advisory Board and represent healthcare management department at multidisciplinary task force as well as corporate/regional planning meetings.

Accomplishments

  • Recognized for leadership of the Utilization Management Department, saving $125 million in medical care costs in 1998.
  • Selected by management to serve on Standard Operation Procedures Committee (SOP) to develop and implement procedures on quality management.
  • Named Most Valuable Team Player in 1996 for contributions to SOP Committee, including procedural documentation, streamlining grievance process and internal communications.
  • Initiated and designed skilled nursing facility tracking mechanism for field case managers that facilitated time management and efficiency.
  • Managed multiple special projects involving reconciliation of claims and other documents, ensuring regulatory compliance in a timely manner.

WILDER HOSPITAL, Ridgewood, NJ (1993-1996)
Case Manager (1994-1996), ICU Nurse (1993-1994)

Managed and provided skilled nursing care to a caseload of 18 patients daily and 50-75 patients on weekends as the only case manager in 100-bed facility. Coordinated patient education, quality management and cost-effective utilization of community services. Served as preceptor and trainer to nursing staff. Developed and implemented patient discharge plans.

WILDER HOSPITAL

  • Designated by management as 1 of only 3 nursing professionals to plan and launch new inpatient care-management program, which included development of policies, procedures, social services resource manual and staff training.
  • Won support from all departments for new critical-care program, which was created in just 6 months and received an "outstanding" review from JCAHO.
  • Commended by senior management for role in saving $200,000 by reducing average patient stay from 9 to 5.5 days and contributing to 98% patient satisfaction rating.

SIMMONS HOSPITAL, New York, NY (1990-1997)
Coronary Care Charge Nurse

Provided skilled nursing care to critical cardiac patients and supervised/mentored nursing staff as well as patient care technicians at 400-bed medical center. Chosen to participate on Acuities Committee to determine appropriate staffing levels.

MEMORIAL HOSPITAL, Springfield, MA (1988-1990)
ICU Nurse

Coordinated and delivered nursing care to critically ill patients in ICU, collaborated with medical staff and precepted new nursing professionals at 400-bed medical facilities.

EDUCATIONAL CREDENTIALS


M.S., Health Care Administration, New Jersey University, New Jersey, NY
B.S., Nursing, Columbia University, New York, NY


CONTINUING EDUCATION

Completed seminars in Critical Care, Case Management and Cardiology
Domestic Violence HIV IV Therapy Flight Nursing Training


CERTIFICATIONS & LICENSES

Critical Care Nursing (CCRN)
Medical Case Management (CMC)
Advanced Cardiac Life Support (ACLS)
IABP and IV Therapy
Registered Nurse, State of New Jersey


ASSOCIATIONS

American Association of Critical Care Nurses Case Management Association

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