Case Management Coordinator Resume Samples

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KM
K Mitchell
Kallie
Mitchell
340 Vandervort Circles
San Francisco
CA
+1 (555) 862 3418
340 Vandervort Circles
San Francisco
CA
Phone
p +1 (555) 862 3418
Experience Experience
Chicago, IL
Case Management Coordinator
Chicago, IL
Walsh-Hermiston
Chicago, IL
Case Management Coordinator
  • Conducts InterQual initial and continued stay reviews, initial and continued stay clinical authorizations, 7 and 10 day LOS clinical and financial justifications
  • Ensures coverage for 24/7 on-call process and weekend coverage
  • Gathers data on an ongoing basis for measurement and evaluation of services provided
  • Conducts daily analysis of reports on observation status reviews, daily comparison of anticipated discharges to actual discharges by IM team and attending physician and weekly analysis of assigned tasks of each case manager to ensure completion of Allscripts/ECIN documentation necessary for clinical LOC justification and payer reimbursement
  • Distributes results of reports on the efficiency and completion of case management activities with staff for staff input, follow-up and feedback
  • Ensures InterQual and Allscripts/ECIN reports are distributed to each staff member for action to address identified issues
  • Monitors and reports to the Director of Clinical Process daily status of completion of all assigned case management responsibilities
San Francisco, CA
Case Management Coordinator MSW
San Francisco, CA
Franecki, Hickle and Fahey
San Francisco, CA
Case Management Coordinator MSW
  • Tracks and trends barriers to care; Makes recommendations and develops action plans to improve processes and systems
  • Maintains documentation on discharge planning notes and charts on patient's record as performed
  • Utilization philosophies and practices to support Patient Service Excellence, such as AIDET, rounding with purpose, and discharge calls, etc. to optimize healing environment and patient outcomes
  • Participates in interdisciplinary team meetings to ensure optimum patient care
  • Evaluates the health status of assigned patients by collecting and analyzing patient and family information. Expedites and coordinates the delivery of services to facilitate patients' progression through the healthcare system
  • Facilitate efficient case management services
  • Monitors compliance with assigned responsibilities, completes daily/weekly tasks and coordinates with patient financial services
present
Los Angeles, CA
Substance Abuse Case Management Coordinator
Los Angeles, CA
Schmitt, Schaefer and Kuphal
present
Los Angeles, CA
Substance Abuse Case Management Coordinator
present
  • Coordination of treatment referrals and placement
  • Utilizes current research to coordinate services with the treatment team
  • Client services provided are consistent with standards of care, policies and 12 Core Functions. Client response to services is evaluated and creative actions taken to meet client outcomes
  • Respect: Client individuality and uniqueness is recognized, respected and preserved and communicated through the client treatment plan. Confidentiality of clients, families and other staff is maintained at all times
  • Empathy and caring: Empathy and caring are demonstrated by involving client/family in care, active listening, providing comfort and providing care in a concerned, patient centered manner
  • Facilitates group programming consistent with SA education and MH standards
  • Serve as a resource for the treatment team as it pertains to addiction medicine/dual disorders
Education Education
Bachelor’s Degree in Social Work
Bachelor’s Degree in Social Work
The University of Kansas
Bachelor’s Degree in Social Work
Skills Skills
  • Strong attention to detail
  • Ability to be accurate, concise and detail oriented
  • Ability to speak to medical and behavioral health professionals to influence appropriate member care
  • Access to reliable transportation
  • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Ability to take direction, to navigate through multiple systemssimultaneously
  • Highly organized
  • Contacts members that are new to the IPA either by phone or mail, introducing the care coordination team and process. Initiates the care coordination care plan and schedules initial assessments for the Case Manager
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15 Case Management Coordinator resume templates

1

Substance Abuse Case Management Coordinator Temp Resume Examples & Samples

  • Complete substance abuse consultation and assessment for both the Inpatient Mental Health unit and Inpatient medical units within the hospital
  • Ability to complete DHS Rule 25 Assessment. Responsible to make recommendations for all levels of substance abuse services including treatments and detox referrals
  • Coordinate patient care with interdisciplinary team, community providers including courts
  • Facilitate substance abuse education groups
2

Case Management Coordinator Resume Examples & Samples

  • Facilitate efficient case management services
  • Monitors compliance with assigned responsibilities, completes daily/weekly tasks and coordinates with patient financial services
  • Conducts InterQual initial and continued stay reviews, initial and continued stay clinical authorizations, 7 and 10 day LOS clinical and financial justifications
  • Ensures coverage for 24/7 on-call process and weekend coverage
  • Gathers data on an ongoing basis for measurement and evaluation of services provided
  • Conducts daily analysis of reports on observation status reviews, daily comparison of anticipated discharges to actual discharges by IM team and attending physician and weekly analysis of assigned tasks of each case manager to ensure completion of Allscripts/ECIN documentation necessary for clinical LOC justification and payer reimbursement
  • Distributes results of reports on the efficiency and completion of case management activities with staff for staff input, follow-up and feedback
  • Ensures InterQual and Allscripts/ECIN reports are distributed to each staff member for action to address identified issues
  • Monitors and reports to the Director of Clinical Process daily status of completion of all assigned case management responsibilities
  • Provides daily/weekly reports to the Director of Clinical Process and Risk Management regarding actions taken to assure full compliance with staff performance expectations
  • Identifies and communicates resources needed for department including daily staffing coverage, access to software and hardware systems, materials and supplies
  • Coordinates authorizations, initial and concurrent clinical reviews, submission of data to payers and status of Kepro data entry with all assigned case managers
  • Ensures that both Case Management and Patient Financial Staff have documented authorizations in both Allscripts/ECIN and Invision to ensure Hospital payment for care provided
  • Communicates daily with on-site reviewers and local HMOs to assure full compliance with contractual obligations for payment
  • Reviews daily submission of clinical information to payer by each staff
  • Ensures unit/department is staffed to provide adequate coverage appropriate to meet service needs
  • Maintains departmental files to assure competency with all assigned tasks and compliance with applicable regulations and standards
  • Ensures policies and procedures are current and readily available to department staff
  • Ensures compliance with CMS/Medicare regulations
  • Conducts daily assessments of patient caseloads and assigns/reassigns staff as needed to ensure patient needs are met
  • Utilizes on-call and per diem staff within budget constraints to assure appropriate staffing levels
  • Explains work assignments, methods, procedures and policies in such a manner that employees understand expectations
  • Provides staff training as needed on the access and use of all IT programs including Invision, Allscripts/ECIN, Epic and KEPRO. Ensures that all personnel attend required annual educational sessions
  • Maintains departmental files to ensure competency with all assigned tasks and compliance with applicable regulations and standards
  • Disseminates revised policies to all staff as needed
  • Maintains confidentiality and ensures compliance with CMS/Medicare regulations, including: a. Patient choice for aftercare services b. Daily documentation of receipt of the Important Message c. Notices of non coverage as required by regulations
  • Ensures that written and verbal communication that is two-way is timely and appropriate
  • Coordinates regularly scheduled staff meetings; not less than 4 per year
  • Documents, circulates and maintains minutes of staff meetings. Provides appropriate and timely information to staff
  • Coordinates services effectively with other department directors, supervisors, coordinators and Administration
  • Complies with all policies and procedures including attendance
  • Ensures supplies are available and charged or expensed appropriately
  • Ensures equipment and the physical unit/department are maintained properly
  • Revises daily/weekly staffing according to unit/department needs
  • Promotes cost effective unit/department operations
  • Completes bi-weekly payroll and payroll variance reports as required
  • Performs job tasks in accordance with hospital and department policies and procedures including appropriate use of equipment, machines, wearing of physical barriers and safety equipment
  • 2 years of hospital case management experience
3

Case Management Coordinator Resume Examples & Samples

  • 1+ year of previous Case Management experience
  • Bachelor's Degree in a relate field
  • Previous experience working with the HIV population
  • Working knowledge of Soarian, Unity, and Quadramed
4

Case Management Coordinator Resume Examples & Samples

  • Contacts the member either in the hospital or at home to assist and conducts post discharge assessment after discharge to ensure that all needs have been met, coaches member to ask questions to ensure understanding of discharge instructions
  • Contacts members as directed by the Case Manager that need assistance with coordination of care
  • Contacts members that are new to the IPA either by phone or mail, introducing the care coordination team and process. Initiates the care coordination care plan and schedules initial assessments for the Case Manager
  • May initiate the initial assessment for low risk members and coordinates post discharge appointments with PCP’s and specialist. Makes timely follow up calls and assessments on all assigned that have had ER encounters
  • Assist Case Managers with planning for discharge by generating authorizations and scheduling appointments for services needed within 3-5 business days of discharge. Distributes discharge plan of care to the members of the care team
  • Retrieves medical records, HRA, Trigger reports Claims documents from Health Plan, providers, etc. Attaches documents to cases in Essette
  • Collaborates with the hospital and SNF staff to obtain daily census, discharge summaries, medication reconciliation information. Documents receipt in Essette
  • Documents activities in HP specific logs such as the transition of care logs for SNP and CMC members
  • Maintains spreadsheets as documentation for elements required in the Model of Care for SNP & CMC members
  • Refers those members with unmet needs or high risk for readmission or untoward outcomes to the Case Manager for higher level of case management and continued follow up
  • Schedules Home bound or Palliative Care visits as directed by PCP, Case Manager, or hospitalist
  • Works together with the Case Manager to support and coach member, identifying support systems, providing information and education on community based resources
  • Support the safe, continuous delivery of medically necessary care and supportive ancillary services in the inpatient and transition to home or SNF setting, utilizing the health plan ancillary grids
  • Identifies patient complaints or concerns and reports to the appropriate personnel
  • Documents all activities in Case Management system and reports monthly statistics for review
  • Fosters positive interaction and relationships with all internal departments and external contacts
  • Prevent and avoid harassment and discrimination. Respond promptly to any complaints in accordance with policy in employee handbook
  • Adhere to all Tenet Health and Coast Healthcare Management policies and procedures
  • Perform other assigned duties / special projects on an as-needed basis
  • 1+ years’ experience in an IPA or other healthcare company
  • 2 years college preferred
  • Data entry experience in a clinical setting using medical terminology, ICD9 and CPT coding
  • Knowledge of EZ-Cap information system preferred
  • Experience with computer programs (Windows, Word, Excel, Mail Merge, Fax Blast, PowerPoint)
  • Excellent communication and assessment skills
  • Willingness to learn new tasks
5

Case Management Coordinator Resume Examples & Samples

  • Coordinates patient's health care services and discharge planning
  • Identifies Medicare and Managed Care entitlement and eligibility for prospective patients
  • Monitors MDS documentation and charting requirements that support services provided to meeting billing requirements
  • Conducts daily assessments of Medicare and Managed Care patients and coordinates with therapy to develop treatment plans and conduct discharge planning
  • Ability to work cooperatively as a member of a team
  • Ability to communicate effectively with patients and their family members, and at all levels of the organization
  • Ability to be accurate, concise and detail oriented
6

Case Management Coordinator Resume Examples & Samples

  • 3-5 years of Case Management experience
  • Long Term Care Diversion Program experience is preferred
  • Florida Department of Elder Affairs 701B Comprehensive Assessment Certification required. (Candidate can complete course to receive certificate upon hire)
  • Willingness to travel within designated geographical region as required
  • Bilingual (Spanish and/or Creole) preferred
7

Substance Abuse Case Management Coordinator Resume Examples & Samples

  • Initial and on-going age appropriate SA assessment, bio-psychosocial assessment and diagnostic summary are completed and documented
  • Coordination of services in the development of an age appropriate, outcome-based treatment plan is provided to the primary counselor
  • Coordination of treatment referrals and placement
  • The ability to set priorities and proficiently perform counseling and clinical functions is demonstrated
  • Utilizes current research to coordinate services with the treatment team
  • Client services provided are consistent with standards of care, policies and 12 Core Functions. Client response to services is evaluated and creative actions taken to meet client outcomes
  • Critical thinking skills are utilized in decision-making resulting in desired outcomes
  • Interpersonal communication, organizational and prioritization skills are demonstrated and result in clear communication with team members
  • Clients/families and significant others are assisted with ethical issues through education and appropriate resources
  • Respect: Client individuality and uniqueness is recognized, respected and preserved and communicated through the client treatment plan. Confidentiality of clients, families and other staff is maintained at all times
  • Empathy and caring: Empathy and caring are demonstrated by involving client/family in care, active listening, providing comfort and providing care in a concerned, patient centered manner
  • Communication: Communication with client/family is clear, timely, understandable and responsive to patient needs and questions
  • Facilitates group programming consistent with SA education and MH standards
  • Serve as a resource for the treatment team as it pertains to addiction medicine/dual disorders
8

Zzz. Case Management Coordinator Resume Examples & Samples

  • Conducts weekly Medicare/case management meetings to review plan of care
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
  • Three years of nursing experience in a long term care environment preferred
  • Knowledge of Medicare regulations
  • Kindred Healthcare proudly supports Affirmative Action. Drug-free work environment
9

Case Management Coordinator Resume Examples & Samples

  • 50-75% of travel is required
  • Managed Care experience is preferred
  • Case management and discharge planning experience is preferred
  • 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus is required
  • Proficiency with MS Office Suite and strong keyboard navigation skills is required
  • A Bachelor's degree or non-licensed master level clinician is required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling)
  • Strong communication skills are required
  • Strong critical thinking skills are required
  • Familiarity with IPA (Independent Practice Association) is preferred
10

Inpatient Case Management Coordinator Resume Examples & Samples

  • Current, unemcumbered Oregon Nursing License
  • Ability to travel in a time-efficient manner between sites as assigned
  • Upon hire in compliance with Providence Health & Services-Oregon (OR), a criminal background check is required, in addition candidate must be able to pass the DHS background check
  • 2 years of medical/surgical experience
  • ElderPlace, hospice, home health , utilization or care management experience
  • Acute care or long term care experience
11

Case Management Coordinator Resume Examples & Samples

  • 10-25% of travel is required around Chicago, IL
  • Managed Care experience preferred
  • Case management and discharge planning experience preferred
  • 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus is preferred
12

Case Management Coordinator Resume Examples & Samples

  • General knowledge of documents and forms associated with non-immigrant visas
  • Experience supporting information technology and/or implementation of databases and issues related information systems
  • Ability to interpret data, analyze results using statistical techniques and provide ongoing reports. Maintain and manage data, analyze and summarize reports. Filter and analyze data for reports and charts
  • Strong analytical and problem-solving skills. Must be detail orientated
  • Must be a U.S. citizen or lawful permanent resident of the United States in order to meet federal regulatory requirements for professional practice as an Alternate Responsible Officer for the J Exchange Visitor Program
  • Demonstrated high-level computer proficiency in MS Office, Word, Excel, Publisher, webpage development, and email software applications
  • Effective time management and organizational skills. Ability to work in a fast-pace environment with multiple deadlines
  • Demonstrated ability to research, compile and analyze information
  • Knowledge of SEVIS reporting requirements, as well as federal laws and regulations pertaining to international scholars in J-1 status
  • Ability to type, format, proofread and edit routine and complex word processing documents
  • Experience working with international students, scholars, faculty and staff with demonstrated knowledge of their adjustment and support needs
  • Knowledge of various visa types and foreign documents
  • Demonstrated knowledge of UCR policy and procedures and the client/server systems
  • Bi-lingual, English/Mandarin is a huge plus
  • Experience with Ellucians International Student and Scholar Management (ISSM) system
  • Technical expertise regarding data models, data mining and segmentation techniques
13

Case Management Coordinator Resume Examples & Samples

  • 3 - 5 years' performing administrative support functions in an office or field setting for a healthcare organization
  • Experience utilizing customer service related skills
  • Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms and other office procedures
  • Ability to take direction, to navigate through multiple systems simultaneously
  • Ability to communicate, interact, and work effectively and cooperatively with all levels of staff and management teams
  • Ability to handle many tasks simultaneously and respond to customers and their issues promptly
  • Ability to communicate well in person, via phone and via e-mail (verbally and written)
  • Proficient computer skills, including MS Office products
14

Case Management Coordinator Resume Examples & Samples

  • Managed Care experience preferred Case management and discharge planning experience; Preferred
  • 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus; Preferred
  • Microsoft Office Proficiency; Required
15

Case Management Coordinator Resume Examples & Samples

  • A Bachelor's degree in Social Work (BSW); a Bachelor's degree with a relevant major (Psychology, Human Services, Healthcare Administration, Sociology) and related professional background; or a Master level clinician with Social Work degree (MSW) required
  • Ability to support the complexity of members needs including face-to-face visitation required
  • Ability to travel in the field (~10-25%), personal vehicle, valid drivers license, and proof of insurance is required
  • Computer proficiency with Microsoft Excel, Word, including navigating multiple systems and keyboarding required
  • Ability to multitask, prioritize, and effectively adapt to a fast paced changing environment required
  • 2 years experience in behavioral health, social services preferred
  • Previous service coordination or case management experience preferred
  • Long term (LT) services and support experience preferred
  • Waiver experience preferred
  • LT support for children and special needs children populations preferred
  • Discharge planning experience preferred
  • Experience and knowledge required in clinical guidelines, systems and tools i.e., Milliman, Interqual
  • Knowledge of community resources and provider networks preferred
  • Familiarity with local health care delivery systems preferred
16

Case Management Coordinator Resume Examples & Samples

  • Requires general management and organizational skills with an emphasis on communication, collaboration, and interpersonal skills
  • Requires intermediate computer skills using office based word processing, database, spreadsheet, and presentation software
  • Finger dexterity for writing and typing
17

Case Management Coordinator Resume Examples & Samples

  • At least 1-2 years experience in behavioral health, social services or appropriate related field equivalent to program focus. (2 or more years highly preferred!)
  • MS Office knowledge to include Word, Excel and Outlook
  • Strong organizational skills and excellent computer skills including toggling between windows!
18

Case Management Coordinator Resume Examples & Samples

  • Screen care management cases (condition management, disease management, etc.) to ensure information is complete and accurate (e.g. identify phone number if missing) and help prioritize cases for outreach; will triage cases to the appropriate person
  • Interact with providers to monitor members discharge status disposition, to confirm member activity, to set up appointments, and other provider related activities. Provide assistance to the case manager in monitoring member outcomes as a result of engagement in care management
  • Identify and effectively utilize health plan benefits and local provider / community resources to help meet the needs of members; develop expertise about available community resources in assigned geography and share knowledge across the team
  • Assist in report production, data collection and data entry for care plan management; perform process auditing activities to ensure compliance with NCQA standards and other compliance measures
  • Research information about members such as clinical history, utilization patterns, benefits, etc., and present information to the case manager and other care team members; help with documentation of member interventions
  • Arrange required services for the member; perform other condition and case management support activities as assigned, including member telephonic contact as appropriate per business unit needs
  • Act as the liaison among all the members of the care team and promote collaborative teamwork
19

Case Management Coordinator Resume Examples & Samples

  • Bachelors degree preferred, Health Care and Customer Service experience a must
  • Goal oriented with a sense of urgency and persistence
  • Must have the ability to prioritize and organize multiple cases at any given time
20

Case Management Coordinator Outpatient Resume Examples & Samples

  • Identifies patients with limited literacy levels and assists with completing complex health forms, sharing medical history with providers, locating providers and services, understanding connections between behaviors and health, etc
  • Assists patients with learning basic computer skills and in applying for assistance such as financial, food, and clothing
  • Provides patients with appropriate materials to supplement basic health education and encourages patients to be active and engaged in their health and wellness
  • Identifies barriers associated with undocumented patients while working with available support systems to transition the patient through the continuum of care
  • Provides basic health education in one-on-one or small group settings using department approved educational tools and scripts
  • Conducts transitional care visits with Nurse Case Manager to prepare the patient for a safe discharge and access to primary care
  • Identifies need for advance directive assistance and reports finding to Nurse Case Manager or Social Worker
  • May act as preceptor for newly hired Case Management Coordinators, assist with quality improvement activities, and participate in special case management projects
  • Performs delegated case management and department operational duties as assigned
  • 2 plus years experience in a patient care or public health setting or
  • 2 plus years experience as a Medical Assistant
  • 1 plus years experience in Case Management
  • American Heart Association CPR/BLS Certification (may be obtained subsequent to hire)
  • Current Driver's License in good standing
21

Case Management Coordinator PRN Resume Examples & Samples

  • Accesses, inputs, retrieve and maintain program data in the computer system (i.e. Authorization forms, data bases, etc.)
  • Collaborates with health care providers and agencies for continued services, updates, etc. to support continuity of care
  • Acts as a patient advocate and represent the department for the purposes of enhancing community awareness of home health services through sharing information and education
  • Provides education to the client/family directed towards identified process knowledge deficits
  • Documents activities that support the home care management process
  • Informs the Case managers of changes in the patient's status that could impact positive patient outcomes or achieving desired goals
  • Graduate of an accredited school of vocational nursing
  • 1 plus years of experience in home health or an acute hospital setting
  • Completion of unit specific competency based orientation program within 90 days
  • 1 plus year of working knowledge of Home Health reimbursement regulations
  • Current licensure by the Board of Nurse Examiners for the State of Texas
22

Case Management Coordinator Resume Examples & Samples

  • Validates admission and continuing stay criteria with third party payers as well as the Attending Physicians. Recommends alternative care sites where appropriate
  • Collaborates with third party payers to prevent denial of payment and proactively addresses issues contributing to a potential denial. Intervenes to prevent the denial when possible
  • Collaborates and communicates with patients/families related to reimbursement issues and to create a discharge plan. Supports the process of patient choice in establishing a discharge plan
  • Uses clinical knowledge and knowledge of anticipate response to treatment to assess patient progression towards anticipated outcomes. Communicates and coordinates with the patient/family and health care team to intervene when progression is stalled or diverted. Addresses actual/potential barriers to discharge
  • Actively contributes to, participates in, and follows through on interventions identified in care coordination and complex patient rounds
  • Maintains established department/hospital/system policies and procedures, directives, safety, environmental and infection control standards apprpriate to this position
  • Reseraches, selects and promotes adaptation of best practice findings to ensure quality patient care and optimal outcomes
  • Discharge planning or home care experience preferred
23

Case Management Coordinator Resume Examples & Samples

  • 3-5 years of Care Management experience, preferably in the community
  • Minimum of Bachelor's degree required
  • Managed care/utilization review experience preferred
  • Crisis intervention skills preferred
  • NJ Choice Certification preferred
24

Case Management Coordinator Resume Examples & Samples

  • Experience in a health care related customer service or marketing environment that would demonstrate the ability to positively impact the engagement of members in the Organization's condition and case management program
  • Basic knowledge of care management processes
  • Ability to take direction, to navigate through multiple systemssimultaneously
25

Case Management Coordinator MSW Resume Examples & Samples

  • Initiates the case management process to ensure patients receive the appropriate level of services across the continuum. Ensures plan meets patient's clinical, psychological and discharge needs in collaboration with attending physician and interdisciplinary team
  • Ensures all admission and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs and coordinates the delivery of services to meet these needs
  • Evaluates the health status of assigned patients by collecting and analyzing patient and family information. Expedites and coordinates the delivery of services to facilitate patients' progression through the healthcare system
  • Participates in interdisciplinary team meetings to ensure optimum patient care
  • Develops and maintains effective relationships with appropriate community resources , post-acute care facilities and medical-equipment providers to support patient care needs post discharge
  • Establishes rapport and works collaboratively with insurance companies to facilitate the patients transition to an appropriate level of care
  • Facilitates the discharge planning process through coordination with the interdisciplinary team and serves as a liaison to safely transition patients to the appropriate level of care. Proactively identifies and resolves issues
  • Acts as an educational resources and provides consultation to hospital medical staff regarding discharge planning process and applicable federal, state and local regulations; identifies benefits, implications and limitations of home care as appropriate
  • Evaluates patients educational needs concerning continuum of care and available services and provides information and materials regarding community resources, discharge options, and pre and post treatment options and costs to patient and patient families. provides assistance in resolving clinical, psychosocial and financial barriers
  • Maintains documentation on discharge planning notes and charts on patient's record as performed
  • Monitors and controls the use of healthcare resources to achieve desired patient outcomes, decrease length of stay, and decrease resource utilization. Identifies and documents delays in case and service and reports findings to department director
  • Utilization philosophies and practices to support Patient Service Excellence, such as AIDET, rounding with purpose, and discharge calls, etc. to optimize healing environment and patient outcomes
  • Tracks and trends barriers to care; Makes recommendations and develops action plans to improve processes and systems
  • Participates in rounding and proactively responds to patient needs to improve patient outcomes and positively impact overall patient experience
26

Prenatal Screening Case Management Coordinator Resume Examples & Samples

  • Registered nurse with obstetrical, maternal child health, or public health experience with at least a bachelor's degree and preferably a master's degree or a Board certified or board eligible Genetic Counselor OR have a health related master's degree and five years of experience with prenatal, MCH, public health or genetic services
  • Demonstrated knowledge of the principles and practices of public health administration and/or health education
  • Demonstrated general knowledge of genetics and birth defects
  • Demonstrated experience in at least one specialty field relating to genetics, maternal-child health or public health
  • Demonstrated knowledge of chromosomal anomalies and neural tube defects and associated clinical features. Knowledge of current developments in the field of genetics. Knowledge of the modes of inheritance of the defects involved
  • Demonstrated ability to communicate in a clear and understandable way by phone with prenatal care providers and their staff, laboratory personnel, Genetic Disease Screening Program staff and patients. Knowledge of or willingness to acquire knowledge of current prenatal screening tests including AFP, HCG, uE3, inhibin and future prenatal screening tests
  • Ability to apply clinical judgement and management concepts to the day to day operations of the program
  • Ability to enter patient data and clinical information critical to the interpretation of test results into the computer accurately and in a timely manner