Case Manager Specialty RN Resume Samples

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1

Case Manager Specialty RN Resume Examples & Samples

  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families
  • Acts as a clinical liaison, per their specialty, with outside agencies such as County CCS, non-plan facilities, outside providers, employers and/or workers' compensation carriers and third party administrators
  • Experience with Lung Transplant and Pulmonary Arterial Hypertension preferred
  • Must be able to work well with internal and external departments, providers and vendors
2

Case Manager Specialty RN Resume Examples & Samples

  • Two (2) year's experience working with chronic conditions such as DM, HTN, CAV, CVD, Asthma, Dyslipidemia, Osteopororis, Depression
  • Able to work independently and problem solve; able to work well in teams and other disciplines
  • Class presentation and curriculum building skills
  • Strong assessment, care planning, intervention and evaluation skills
3

Case Manager Specialty RN Resume Examples & Samples

  • Clinical knowledge and experience working with patients with chronic conditions, specifically diabetes, heart disease and hypertension, in an ambulatory/outpatient setting
  • Certified Diabetes Educator
  • Experience working under standardized procedure
4

Case Manager Specialty Rn-pd Resume Examples & Samples

  • Develops and updates training and educational materials and presents to appropriate staff, members and families
  • Bachelor's degree in nursing or healthcare related field preferred
  • Clinical knowledge and experience in working with chronic conditions, specifically diabetes, heart failure, heart disease, and hypertension, in the ambulatory / outpatient setting
5

Case Manager Specialty RN Resume Examples & Samples

  • Notes
  • This is a position supporting our Diabetes Care Management
  • This employee will need to start between 8:30 am - 10:00 am to allow us to have later shifts. Also open to a 9/80 schedule to meet patient demands
  • This position will be based on our Sunset campus
  • Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program
6

Case Manager Specialty RN Resume Examples & Samples

  • Bilingual English/Spanish Level II preferred
  • Adult Weight Management Program experience preferred
  • Bariatric Surgery experience preferred
7

Case Manager Specialty RN Resume Examples & Samples

  • Prior experience (1 year within the last 3 years) in Case management
  • Prior experience (1 year within the last 3 years) in Cardiology or Critical Care
  • Prior experience with Heart Failure case management
  • Computer skills to include Word and KPHC
8

Case Manager Specialty RN Resume Examples & Samples

  • Strong assessment and care planning skills, with knowledge of case management standards
  • Ability to multi-tasks and be able to work independently with challenging medical complex cases and be able to demonstrate problem solving skills
  • Knowledge of Medi-Cal and Medicare benefits and understands Managed Care
  • Experienced in the use of Excel to record and track members in CCM to meet regulatory requirements
  • Able to work well in a team environment with good interpersonal skills
  • Flexible to changes as regulatory requirement changed continuously
9

Case Manager Specialty RN Resume Examples & Samples

  • Two (2) years of clinical experience in Oncology
  • OCN required within one (1) year of hire
  • Case Management Certification or certification in the area of specialty
10

Case Manager Specialty RN Resume Examples & Samples

  • Experience working with Transgender care specifically or LGBT care strongly preferred
  • Strong service recovery skills and experience
  • Ability to relay difficult information in a sensitive manner
  • Ability to partner with a cross functional team locally as well as regionally
11

Case Manager Specialty RN Resume Examples & Samples

  • RN case management experience with Pediatric Cystic Fibrosis population
  • RN case management experience with Adult Cystic Fibrosis population
  • Pediatric /Adult pulmonology experience
  • Preferred Bilingual Spanish/English Speaker
12

Case Manager Specialty Rn-pediatrics Resume Examples & Samples

  • Pediatric Cardiac experience
  • Organizational Skills (including scheduling appointments follow up on referrals, etc)
  • Ability to work with outside organizations including, but not limited to CHLA, UCLA, CCS, etc
  • Ability to work in collaboration with both inpatient/outpatient services
  • Ability to anticipate needs of the Cardiac Clinic and strategize in partnership with administration to improve patient outcomes
  • Maintain a Cardiac Data Base
  • Ability to create and present information as needed
  • Public Speaking
13

Case Manager Specialty Rn-peds Resume Examples & Samples

  • Prepares reports, communicates program changes to appropriate staff and develops protocols in accordance with state regulations
  • Valid California Driver's license and good driving record for the past 2 years required
  • Proof of automobile insurance required
14

Case Manager Specialty RN Resume Examples & Samples

  • Transplant experience (preferably heart)
  • Great people skills
  • Hard working/diligent/organized
15

Case Manager Specialty RN Resume Examples & Samples

  • In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans
  • Develops individualized patient/family education plan focused on self-management
  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies
16

Case Manager Specialty Rn-oncology Care Management Resume Examples & Samples

  • Acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care
  • May need to facilitate transportation and housing arrangements for patient. Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies
  • Experience with oncology care (inpatient or outpatient)
17

Case Manager Specialty Rn-cardiology Resume Examples & Samples

  • Monitors and evaluates the effectiveness of the case management plans and modifies as necessary
  • Develops and updates training and educational materials and presents to appropriate staff, members and families. Facilitates patients' return to normal daily activities by teaching and making appropriate referrals for outside services/continued care
  • Adult congenital Experience
  • Cardiology Experience
  • Case Managment Experience
  • Critical Care Experience
18

Case Manager Specialty RN Resume Examples & Samples

  • Ability to create reports, graphs, & presentations utilizing Word,Powerpoint, & Excel
  • Have skill set to track,trend, educate and present initiatives to all stakeholders and back office staff
  • Will support KP Member fair care gap closure and fair set up, lap top / computer presentations, carry up to 35 pounds
19

Case Manager Specialty RN Resume Examples & Samples

  • Three (3) years (within the past 5 years) knowledge and "hands on" clinical skills/experience with chronic conditions specifically Asthma, Diabetes, Hypertension, and Heart Failure
  • Asthma certification (AE-C) within 2 years of hire
  • Knowledge of Word, Excel, Access and Powerpoint
  • Telephone Case Management experience preferred
  • Leadership and education skills confirmed through project management or lead roles are highly desired
  • Skill in data collection and analysis with strategic implementation
  • Proficient with developing and delivering creative teaching/presentations for patients/families, staff, and others integrating goals and outcomes
  • Experience following RN standardized procedures
  • Other assignments in PCM programs
  • Partners with Primary Care, Peds and Allergy & regional leaders
  • Spanish bilingual preferred
20

Case Manager Specialty Rn-electrophysiology Resume Examples & Samples

  • Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement
  • Strong background in Cardiology, advance arrhythmia
  • Electrophysiology background preferred
21

Case Manager Specialty RN Resume Examples & Samples

  • Minimum one (1) year clinical experience in Orthopedics required
  • At least one (1) year of weight management experience preferred
  • One (1) year of experience in Total Joint Replacement preferred
  • Demonstrates strong communication skills, strong computer skills and ability to work independently under direction and supervision
22

Case Manager Specialty Rn-pd Resume Examples & Samples

  • Two (2) years recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care
  • Advanced Fetal Monitoring Certificate required
  • Ultrasound Certificate within 6 months of hire
23

Case Manager Specialty RN Resume Examples & Samples

  • Have at least two years experience working in Oncology, ONS chemotherapy provider card and experience giving chemotherapy
  • OCN within 1 year of hire
  • Excellent communication and teaching skills
  • Able to work with Excel databases
24

Case Manager Specialty RN Resume Examples & Samples

  • Previous history in OB/GYN Labor and Delivery post partum preferred
  • Previous history /knowledge of patient out reach and development of out reach and educational programs preferred
  • Previous history in GYN Oncology follow up
  • Strong interpersonal skills and customer service skills preferred
25

Case Manager Specialty Rn-pd Resume Examples & Samples

  • For positions in High Risk Infant Program: Two (2) years experience in a Regional or Community NICU; one (1) year of which should be in an HRIF program or as a discharge planner for an NICU and/or in a community-based Medically Vulnerable Infant Program
  • For positions in High Risk Infant Program: Master's degree and PHN preferred
  • NICU Experience
26

Case Manager Specialty RN Resume Examples & Samples

  • Expert Health Connect skills
  • Strong MS Office skills
  • Previous Utilization Management experience a plus
27

Case Manager Specialty, Rn-pd Resume Examples & Samples

  • Facilitates patients' return to normal daily activities by teaching and making appropriate referrals for outside services/continued care
  • Participates in data collection and analysis of clinical outcomes of care and customer satisfaction standards
  • For positions in Neonatal Intensive Care Unit:Two (2) years clinical experience in a Level III NICU
  • This experience may have been at a comparable out-of-state facility
  • Total Joint Replacement Travel Surgery Program (OC): One (1) year experience in Total Joint Replacement preferred
28

Case Manager Specialty Rn-pd Resume Examples & Samples

  • For positions in OB/Gyn:Two (2) years recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care
  • For positions in High Risk Infant Program:Two (2) years experience in a Regional or Community NICU; one (1) year of which should be in an HRIF program or as a discharge planner for an NICU and/or in a community-based Medically Vulnerable Infant Program
  • Total Joint Replacement Travel Surgery Program (OC):One (1) year clinical experience in Orthopedics
  • Background in asthma and COPD preferred