Complex Manager Resume Samples

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MA
M Auer
Marilie
Auer
25189 Rowe Mountain
Detroit
MI
+1 (555) 151 2899
25189 Rowe Mountain
Detroit
MI
Phone
p +1 (555) 151 2899
Experience Experience
Houston, TX
Manager Complex Issues
Houston, TX
Johnston Inc
Houston, TX
Manager Complex Issues
  • Attending product strategy and planning meetings to prepare for support of new features
  • Joining client calls to deescalate issues as necessary
  • Ensuring your team is up to speed with all current functionality and development tools/processes
  • Ensuring escalations are managed quickly and effectively
  • Working with peers to ensure resources are being effectively distributed across multiple queues
  • Facilitating and advocating for effective prioritization; identifying the highest value tasks and driving their resolution
  • Leading partnership with Agile scrum teams; forming working relationships with relevant Product Owners and Scrum Masters
Los Angeles, CA
Complex General Manager
Los Angeles, CA
Wilkinson Inc
Los Angeles, CA
Complex General Manager
  • Interviewing, hiring, coaching and developing associates to maximize the effectiveness of the operation of their respective areas
  • Active participation in the sales and marketing process, budgeting and forecasting; profit maximization
  • Meet clients on the property, including meeting contacts and potential clients touring the property, to assist in the sales effort
  • Conduct monthly reward and recognition meeting celebrating goal and associate achievements
  • Ensure complete processing of invoices daily by using the A/P process
  • Ensure procedures for handling of the hotel safe specifically with regard to security and monthly safe audits are followed and occur
  • Interview all prospective final candidates for any vacant management position within the hotel prior to any offer being extended
present
Boston, MA
Complex General Manager Hotel Diva & Union Square
Boston, MA
Koepp Inc
present
Boston, MA
Complex General Manager Hotel Diva & Union Square
present
  • In conjunction with the Director of Sales, conduct a daily HHBR meeting focusing on the number of prospecting and existing account calls each person will make and the potential business results of these calls
  • Play a pivotal role in hotel sales efforts, including calling on top ten accounts, meeting clients, hosting luncheons and receptions, and meeting with on-site contacts on a daily, weekly and monthly basis
  • Conduct weekly staff meetings, including weekly training sessions presented by managers and self using the steps to effective training according to Highgate Hotel standards, and the review of previous and future sales and operations efforts
  • Maximize efforts towards productivity, identify problem areas and assist in implementing solutions
  • Ensure that all department heads maintain budgeted productivity levels and Highgate Hotel standard checkbook accounting procedures
  • Develop managers for future advancement through competency training and corporate sponsored training programs
  • Maintain high standards of personal appearance and grooming, which include wearing nametags
Education Education
Bachelor’s Degree in Nursing
Bachelor’s Degree in Nursing
Colorado State University
Bachelor’s Degree in Nursing
Skills Skills
  • Strong attention to detail
  • Knowledge and technical skills in a variety of production jobs
  • Ability to manage a team
  • Strong analytical skills & problem solving
  • Ability to own projects at a Complex level
  • Ability to organize and prioritize work, meet deadlines, and complete projects
  • Strong multi-tasking skills are necessary
  • Ability to think critically
  • Ability to handle conflict; interpersonal skills
  • Preparing and delivering clear, effective, and professional presentations
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15 Complex Manager resume templates

1

Complex Manager Resume Examples & Samples

  • Possesses a strong understanding of the firm’s resources; able to direct the sales force to the right resources in an efficient manner as to make the sales process more efficient
  • Responsible for the complex’s sales performance and financial performance
  • Responsible for regulatory, legal and compliance issues including: Risk management for their Branch and complex in regards to monitoring sales, human resources, and legal and regulatory practices
  • Responsible for establishing a core compliance model in offices under supervision
  • Responsible for following supervisory procedures as outlined in the Branch Manager’s Supervisory Manual
  • Responsible for delegating supervisory review/duties to the Complex Risk Officer
  • Responsible for the creation of an Annual Supervisory Plan
  • Responsible for effectively communicating the status of performance and issues to the Regional Director
  • 5 or more years of related experience and/or training including demonstrated success managing a complex or a large branch office, or equivalent
  • Ability to own projects at a Complex level
2

Complex Case Manager Resume Examples & Samples

  • Manage network participation, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design
  • Assist with discharge planning and post-discharge calls
  • At least 1-3 years of Case Managment experience
  • Certified Case Manager (CCM)
  • Managed Care or Health Plan experience
  • Previous Medicare/Medicaid experience a plus
  • Previous experience in case management and discharge planning
3

Complex Case Manager Resume Examples & Samples

  • Conduct admission review, post-discharge calls and discharge planning
  • 3 years or clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
  • Health Plan experience
4

Complex Manager Resume Examples & Samples

  • Assists Resident Manager at each branch with the following activities
  • Economic and accounting principles and practices, the financial markets, banking, and analysis and reporting of financial data
  • Preparing and delivering clear, effective, and professional presentations
  • Continuously learn investment products, industry rules and regulations, and financial planning
  • Keep all appropriate parties up-to-date on decisions, changes, and other relevant information
  • Identify problems, gather facts, and develop solutions
  • Bachelor's degree (B.A.) from four-year college or university, and a minimum of three (3) years experience in a financial services firm
5

Senior Manager, Complex Products Resume Examples & Samples

  • Manage all aspects of the Pharmacology and Toxicology department with respect to complex product development, including staffing, supervising, providing work direction, goal setting, prioritization, etc
  • Manage the design of experiments, interpretation of data and oral and written presentation of results for preclinical pharmacology, safety pharmacology and toxicology studies performed in support of complex product development programs
  • Manage the selection contract testing facilities used for preclinical pharmacology and toxicology studies as well as the review and approval of all preclinical protocols and final reports for GLP studies in support of complex products
  • Provide and manage pre-clinical support in the research and construction of regulatory study documents for generic drugs and APIs (i.e., environmental risk assessments, safety assessments for excipient, alternate pharmaceutical salts, extractables and leachables, drug substance and drug product related impurities, relevant preclinical modules of global market eCTD applications, etc.)
  • Respond to questions from regulatory agencies in regard to preclinical programs past, present and future and represent Mylan and the Department of Pharmacology and Toxicology in meetings with regulatory agencies
  • Provide technical support to various departments within the company regarding pharmacological and toxicological issues
  • Assist in the development and maintain comprehension of relevant Mylan Standard Operating Procedures (SOPs) and compliance with Department SOPs and other relevant company policies
  • Minimum of a Bachelor's degree (or equivalent) and 4 years of experience. Bachelor’s degree and 10 years of experience or PhD in a Pharmacology, Toxicology or biomedical discipline preferred with 5 years of relevant pharmaceutical experience preferred. However, a combination of experience and/or education will be taken into consideration
  • Must possess knowledge of SOPs pertaining to Quality Control, Company policies, USP, and FDA regulations, cGMP Compliance regulations. Must also possess a thorough understanding of pharmaceutical manufacturing operations, analytical chemistry, laboratory operations, and industry trends
  • Must possess interpersonal skills, organizational skills, communication skills, time management skills, multi-tasking skills, and computer skills, including Microsoft Word, Excel, PowerPoint, and Lotus Notes. Must be able to build and maintain relationships of trust with staff and other management
  • Ability to read and interpret comprehensive and intricate research documents. Ability to write scientific reports and technical correspondence. Ability to work with executives and communicate abstract concepts. Ability to present to a high level of the organization and groups outside of the organization
  • Ability to solve equations, apply technical mathematical concepts, and perform complex computations. Ability to solve problems with complex variables through non-standardized solutions that require independent judgment and analysis. Ability to draw inferences and use deductive reasoning with no prescribed procedures to solve complex problems
  • Position functions autonomously. Position directly supervises employees. Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities may include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems
  • Proficiency in speaking, comprehending, reading and writing English is preferred
6

Complex Case Manager Resume Examples & Samples

  • Responsible for the day to day case management activities as summarized and outlined below
  • Reviews all referrals to the Complex Case Management Programs within designated timeframe per policy and procedure and evaluate for case management based on established guidelines
  • Performs a thorough and objective assessment of the member including physical, psychosocial, environmental, financial, and health status expectation through the use of provider and hospital records, contact with the member/family, significant others, caregivers and current medical caregivers (if permitted by the member)
  • Obtains consent from the member/family for participation in Complex Case Management
  • Develops a plan of care based on the assessment and in conjunction with the practitioner that identifies specific interventions, objectives and goals with anticipated targeted dates for accomplishment
  • Communicates the plan of care to the member/family and provides education to the member/family regarding the member's condition as necessary
  • Implements the plan of care and specific interventions that will lead to the accomplishment of goals as defined in the plan of care
  • Routinely assesses the member's status and progress toward the established goals and makes adjustments to the plan of care as necessary
  • Coordinates the resources necessary to accomplish the goals, and makes recommendations for modifications to the plan of care as necessary
  • Continuously monitors all activities and/or services provided through the case management plan to determine the effectiveness of the plan
  • Documents all case management interactions and interventions according to guidelines including any pertinent patient information or arrangements in the member's medical record
  • Evaluates expected outcomes and associated costs of the plan of care as well as any proposed alternative plan of care and makes the necessary revisions
  • Coordinates and participates in case conferences on a regular basis with all practitioners involved in the care and updates the plan of care as necessary
  • Continuously coordinates, monitors, tracks and evaluates all care and services rendered to ensure that quality care is being delivered in the most appropriate setting
  • Works closely with the member and practitioner to ensure that the most appropriate and cost effective services are provided to the member at all times while maintaining quality outcomes
  • Performs hospital discharge follow up on assigned population
  • Maintains effective interaction/communication with members, nursing staff, inpatient care coordinators, the transitional review team, social workers, general reviewers, referral coordinators, and Kaiser Permanente medical offices
  • Three (3) years of clinical nursing. Must possess clinical nursing experience in a area such as medical surgical or skilled nursing care
  • At least two (2) years of experience in utilization or case management, discharge planning and/or quality improvement in a managed care setting
  • Experience with managed health care delivery including Medicare
  • Complex Case Management experience and board certification for a minimum two (2) years
  • Managed Care experience preferred and/or strong UM background
  • B.S. in nursing strongly preferred
  • CCM® certification
  • Knowledge of ICD9/ ICD10 and/or CPT4 coding beneficial
7

Complex Case Manager, Applecare Resume Examples & Samples

  • Identifies, coordinates, and evaluates appropriate high - quality services, which may be delivered on an ongoing basis
  • Manages a case load of 100 to 150 complex cases
  • Oversees the population management cases that are managed by the case management assistant
  • Works collaboratively with the patient, physician, family / significant other and providers of healthcare to implement plan of care to meet the individual needs
  • Works collaboratively with discharge planners at the affiliated hospitals and case management staff at the contracted health plan offices as required
  • Identifies acceptable care options to the patient and family, utilizing the Case Management Society of America (CMSA) standards
  • Coordinates resources to reduce fragmentation of services and facilitate the achievement of realistic treatment goals
  • Promote optimal allocation of health dollars through arrangement of broad - spectrum (comprehensive) effective and efficient resources for patients
  • Provides patients with education and training regarding specific health care needs
  • Monitors care, which is easily accessible with no access barriers as related to the patient’s available benefits
  • Monitors medications for compliance and potential polypharmacy issues
  • Facilitates early and intensive treatment intervention in the least restrictive setting
  • Facilitates the scheduling of follow up services as appropriate
  • Provides counseling to members who are non-compliant with their plan of treatment
  • Applies approved decision criteria to the management of complex and chronic cases and provide immediate risk identification of potential complications information to health care practitioners
  • Complies with approved time frames and standards for timeliness of Medical Management decision - making
  • Provides accurate and up - to - date information to practitioners regarding clinical practice guideline criteria and patient information
  • Creates individualized treatment plans that
  • Associates degree in Nursing
  • Professional Certification or License
  • Active RN or LVN license in the State of California
  • Valid California Drivers license and insurance
  • 2+ years experience in managed care environment, preferably in an IPA or MSO
  • Knowledge of HMO, UM and QM Processes
  • Knowledge of and experience with the utilization of UM criteria such as Milliman & Robertson, Medicare and Medicaid guidelines, health plan criteria, etc
  • General knowledge of IPA Operations
  • Familiar with various financial risk arrangements
  • Knowledge of and experience with medical coding
  • Strong ability to work effectively with physicians and other clinical and operational staff, both written and verbally
  • Self motivated with strong organizational skills
  • Ability to look at challenges as opportunities
  • Flexible and adaptable of schedule to attend various meetings and / or promotional events
  • Ability to read quickly with excellent comprehension and retention
  • BSN
  • Other case management experience will be considered
8

Complex General Manager Resume Examples & Samples

  • Maintain compliance with Brand Properties
  • Complete all Brand Certification as may be required
  • In conjunction with the Complex Director of Sales, conduct an. daily HHBR meeting focusing on the number of prospecting and existing account calls each person will make and the potential business results of these calls
  • Play a pivotal role in the hotel sales efforts, including calling on top ten accounts, meeting clients, hosting luncheons and receptions, and meeting with on-site contacts on a daily, weekly and monthly basis
  • Tour the operating departments daily, making adjustments as needed via department heads
  • Meet all financial review dates and corporate directed programs in a timely fashion
  • Participate in required M.O.D. coverage as scheduled
  • Ensure complete processing of invoices daily by using the A/P process
  • Forecast monthly the hotel's financial position, by estimating revenues and line-by-line expenses. Analyze previous and projected data to generate an accurate reforecast
  • Interview all prospective final candidates for any vacant management position within the hotel prior to any offer being extended
  • Perform any other duties as requested by the Vice President or Regional Director of Operations
  • Ensure that all employees receive fair and equitable treatment according to Highgate Hotel S.O.P.'s
  • Ensure that all scheduled meetings take place on the property
9

Complex General Manager Resume Examples & Samples

  • In conjunction with the Director of Sales, conduct an. daily HHBR meeting focusing on the number of prospecting and existing account calls each person will make and the potential business results of these calls
  • Must have valid driver's license for the applicable state
  • Must be able to effectively communicate both verbally and written, with all level of employees and guests in an attentive, friendly, courteous and service oriented manner
  • Perform other duties as requested by management
10

Complex Convention Services Manager Resume Examples & Samples

  • Establishes rapport with and entertains meeting planners while promoting hotel facilities and services. Conduct walking site inspections throughout property
  • Advises sales staff as to ability to accommodate client demands including phone requirements, fit of available space and materials such as booths. Assist sales staff in promoting hotel, developing leads and securing repeat business
  • Communicates both verbally and in writing to provide clear direction to staff
11

Complex Manager Resume Examples & Samples

  • Directs production and/or processing at a facility with multiple plants
  • Responsible for associated facilities and live operations via oversight of those managers
  • Develops plans for efficient use of materials, machines and human resources
  • Monitors production costs and product quality
  • Modifies production and inventory control programs to maintain and enhance profitable operations
  • Prepares budget and makes recommendations to top management
  • Sets production and processing goals for plants
  • Responsible for operational compliance with safety directives
  • Evaluate and recommend improvements to productivity, labor efficiencies, and reducing plant costs
  • Identify training needs of production management and facilitate development of operational management staff
  • In concert with Plant Managers, establish accountabilities and goals used for performance evaluation
  • Experience in both processing and live operations strongly preferred
  • Proven experience managing and motivating others for maximum performance
  • Good work ethic
  • Excellent organizational, math and statistical skills
  • Understand and comply with Company policy and procedures
  • Ability to handle conflict; interpersonal skills
  • Microsoft Office. Proficiency in Excel preferred
  • Knowledge and technical skills in a variety of production jobs
  • Strong multi-tasking skills are necessary
  • Strong analytical skills & problem solving
12

Manager Complex Issues Resume Examples & Samples

  • 30% Oversight of Specific Issues Queue
  • Defines roles and responsibilities of direct reports
  • Responsible for selecting, hiring and maintaining direct reports
  • Sets and monitors annual performance goals and objectives, including responsibility for performance appraisals
  • Termination/disciplinary authority of direct reports
  • Recommends or initiates personnel action
  • Manage complex issues queue. This involves independently communicating with client leadership contacts to intake information and/or delivering updates from Athena R&D Resources
  • Building, maintaining, and delivering operational reporting to Customer Care leadership
  • Ensuring escalations are managed quickly and effectively
  • Working with peers to ensure resources are being effectively distributed across multiple queues
  • 20% Internal Collaboration with Product Owners and Developers
  • Leading partnership with Agile scrum teams; forming working relationships with relevant Product Owners and Scrum Masters
  • Facilitating and advocating for effective prioritization; identifying the highest value tasks and driving their resolution
  • Ensuring your team is up to speed with all current functionality and development tools/processes
  • Attending product strategy and planning meetings to prepare for support of new features
  • Coordinate directly with Product leadership on client issue and relationship management across multiple CRM platforms
  • 20% Partnership with Customer Facing Resources
  • Work directly with leadership in our Customer Support Center to ensure agents are trained in advanced troubleshooting
  • Provide feedback to client facing resources to identify areas of improvement in support tools or documentation
  • Coordinate with internal support teams to synthesize their feedback and weigh it against other priorities
  • Joining client calls to deescalate issues as necessary
  • 15% Known Issue Communication and Management
  • Ensure all high impact issues are quickly and effectively communicated to customers and/or customer facing teams
  • Author, edit, and facilitate delivery of known issue posts
  • Participate in reviews and retrospectives on known issues to close service gaps
  • Lead your team through build deployment, ensuring issues are quickly scoped, tracked, and prioritized effectively
  • Actively manage complex issues and escalations related to the release. This involves directly working with clients and Athena resources to resolve newly identified issues
  • 15% Management of Direct Reports
  • Conduct 1:1 meetings with direct reports to motivate and guide them in their work
  • Review queue performance and QA results with direct reports—providing coaching and training as necessary
  • Ensure your team has access to all necessary tools and research new tools to manage their work
  • Coordinate with other leaders Product & Technology Support to support our shared vision and mission
  • Present to internal teams to socialize and gain support for team goals
  • Lead efforts and initiatives within the department and drive organizational change. Run various trainings and facilitate on-boarding of resources across Product & Technology Support
  • Very strong technical aptitude and computer literacy; Proficiency in SQL and an understanding of Perl preferred
  • Bachelor degree or 4+ years equivalent professional experience required
  • Expertise and knowledge preferred regarding athenahealth products and services
  • Demonstrated competence of customer service management
  • Experience working with product managers & developers
  • Experience mentoring and coaching team members in the performance of their duties
  • Healthcare, medical group operations and/or medical billing experience or knowledge preferred or demonstrated ability to learn new industry
  • Technology experience preferred including cloud storage, database architecture, etc
  • Represent and effectively communicate with C-level executives internally, with clients, and service partner
  • Aptitude for reengineering processes, tools and role(s) to improve scalability, efficiency and quality
  • Ability to speak with a high level understanding of the Athena services lines and of the organization’s responsibility for delivering on them
  • Demonstrated ability for effective and succinct communication with technical professionals including Developers and Product Owners
  • Translating technical details into layman terms for client facing resources or clients as needed
  • Ability to keep track of numerous detail-intensive, interdependent tasks and ensure their accurate completion
  • Demonstrated ability to role model effective relationship building across departmental and company lines, hold difficult conversations with clients and internal stakeholders and to present and effectively communicate with C-level executives internally, with clients, and service partners
  • Willingness to travel as needed. Potentially including international travel to our Chennai India office
  • Demonstrated ability to listen to employees’ assumptions about the culture; supporting initiatives in line with the culture and making positive changes as needed
13

Complex Case Manager Resume Examples & Samples

  • Registered Nurse with current unrestricted license in the State of Minnesota, BSN preferred. License free of history of restrictions and/or sanctions in the past 10 years in all states with current or past licensure
  • Minimum of 3 years clinical practice experience in an acute care setting
  • Demonstrated effective, independent nursing judgment and skills
  • Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication
  • Demonstrated working knowledge of quality improvement, utilization management, benefit plans, fiscal management, and various payment methodologies preferred. Understanding of healthcare and/or HMO industry
  • Demonstrated skill in effective use and management of automated medical management systems
14

Complex Networks Programme Manager Resume Examples & Samples

  • You will be responsible for the set-up and delivery of a wide area network transformation programme including the delivery of a portfolio of projects on time, within budget, and to quality for BT Ireland’s key business customers in the Northern Ireland public sector. Therefore, you will have experience in the management of large, complex WAN / business transformation programmes and projects including end to end ownership of WAN project delivery, service transition / transformation, business change management, finance, procurement and legal work-streams
  • You will be responsible for the line management of a small team of project managers who will be assigned to manage the delivery of the projects in the WAN transformation portfolio
  • Set-up and implementation of WAN / business transformation programmes and projects to public sector and business customers within Northern Ireland
  • Ensure that your WAN / business transformation programmes and projects within Northern Ireland are completed on time, within budget and to quality
  • Engage with customers at senior levels (CxO) to ensure delivery objectives are achieved measuring quality and customer satisfaction
  • Engagement with key stakeholders in Sales and Solution Design communities ensuring that delivery sign-on and sign-off of key bids is completed, enabling proactive resource forecasting and ensuring smooth transition of bids from pre-sales to delivery
  • Ensure that all of the transition activities in respect of delivery / testing to service are completed in advance of the disengagement of the delivery / testing organisations
  • Ensure that best practice programme / project management methodology is implemented across all delivery activities within scope
  • Ensure that quality and test management processes are implemented across all delivery activities within scope
  • Ensure there are sufficient resources in place to deliver all delivery activities within scope including engagements with third party suppliers
  • Monitor and track the utilisation of resources across the programmes / projects in scope
  • Build relationships with all external and internal partners engaged in the delivery of programmes / projects in scope
  • Financial Management of all delivery budgets for programmes / projects in scope
  • Ensure revenue is generation through timely and accurate billing linked to the completion of key delivery activities
  • Generate additional revenue through change request process
  • Strong experience of delivering large, complex, WAN transformation contracts to public sector customers on time, within budget, and to quality and management of in-life service levels
  • Must have proven ability to apply relationship management skills and to be able to build and own customer and stakeholder relationships at CxO level
  • Expert understanding of concepts, procedures and application of programme / project management and an extensive knowledge in other subjects or disciplines, which are relevant to the content of the programme
  • Experience of managing the financial performance of programmes including demonstrable evidence of delivering profit improvement plans and improving the financial position of those programmes
  • Relevant experience in related areas, MBA or professional qualification as appropriate to the role
  • Experience of managing Transformation Programmes whereby a customer’s existing solution is superseded by an improved solution involving the development of new applications, new WAN infrastructure, 3rd party suppliers, business process re-engineering, training, and the set-up of service arrangements
  • Experience of managing Transition Programmes whereby people, processes, (sub)contracts, and WAN is transitioned into BT from an incumbent service provider including due diligence, discovery and truing-up activities
  • Line management of staff including coaching, performance management, recruitment, and other formal HR processes
15

Enhanced Complex Case Manager Resume Examples & Samples

  • Conduct member-facing clinical assessments that address the health and wellness needs of members using a broad set of clinical and motivational interviewing skills with the goal of impacting members’ self-management skills and positive behavior changes which will ultimately positively impact member satisfaction and care costs
  • Serve as a subject matter expert to both internal and external sources (e.g. providers, regulatory agencies, UM and policy.) to provide education, consultation and training when indicated
  • Serve as a resource to guide, mentor and counsel others in regard to understanding the drivers of health care costs to improve member outcomes related to Plan benefits and resources
  • Collaborate, coordinate and communicate with the member’s treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention
  • Develop/implement case or condition-specific plans of care and/or intervention plan, as needed, that can become a part of the member’s EMR or medical record to establish short and long-term goals
  • Establish a plan for regular contact ( face-to-face as often as possible) with each member and/or provider to monitor progress toward goals, provide additional education and evaluate the need for modification or change in the plan of care
  • Proactively incorporate lifestyle improvement opportunities and preventive care into member interactions and coaching
  • Collaborate with the appropriate individuals to offer solutions to refine and improve existing practices or participates in developing performance improvement processes that will enhance member outcomes and operational performance/excellence as well support all strategic initiatives including Health Care Reform and STARS initiatives
  • Work with providers related to performance measures and activities to educate and influence the behavior of members and providers
  • Ensure that all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards that support all lines of business
  • Current PA RN license and/or additional states as required
  • 7 years of any combination of clinical, case management and/or disease/condition management, provider operations and/or health insurance experience
  • Ability to work in a virtual environment (e.g., provider offices, facilities and/or member’s homes); accomplishing and coordinating work remotely
  • Proficiency in MS Excel and enhanced data and statistical analysis skills
  • Broad knowledge of the health care delivery system including an understanding of health care costs drivers
  • Excellent verbal and written communication skills including individual and/or group education/training
  • Experience working with the healthcare needs of diverse populations and understanding the importance of cultural competency in addressing targeted populations
  • Self-directed; self-starter; ability to work successfully with indirect supervision and moderate autonomy
  • Excellent organizational, time management and project management skills
  • Ability to work in a fast paced, high visibility, high performing team environment that requires flexibility
  • Ability to travel locally and work flexible hours in a practice or facility-based settings
  • Ability to communicate effectively in more than one language, preferred
  • Experience working directly with physicians in provider practice settings, members in a home environment or hospital discharge processes
16

Complex General Manager Hotel Diva & Union Square Resume Examples & Samples

  • In conjunction with the Director of Sales, conduct a daily HHBR meeting focusing on the number of prospecting and existing account calls each person will make and the potential business results of these calls
  • Hold a monthly financial review with all department managers, M.I.D.'s and available supervisors
  • Oversee and assist in the Highgate Hotel budget process as required
  • Ensure that training in service standards is taking place in each department using the steps to effective training according to Highgate Hotel standards, including compliance in all departments to Highgate Hotel Garden Standard of the Week training
  • Assist in creating a positive team-oriented environment which focuses on the guest, through employee development and motivation
  • Ensure that employees are at all times attentive, friendly, courteous and efficient in their interactions with guests, managers and all other employees
  • Meet clients on the property, including meeting contacts and potential clients touring the property, to assist in the sales effort
  • Ensure procedures for handling of the hotel safe specifically with regard to security and monthly safe audits are followed and occur
  • At least 6 years progressive experience in a hotel or a related field; or a 4-year college degree and at least 4 to 5 years of related experience; or a 2-year college degree and at least 5 to 6 years of related experience. Luxury and Boutique Hotel experience required
  • Maintain high standards of personal appearance and grooming, which include wearing nametags
17

Complex Manager Resume Examples & Samples

  • Manage all Complex staff including administrative, operation and Ensure staff engagement by communicating performance goals and results, developing growth opportunities. Ability and wide discretion to develop culture that promotes quality, high performance, compliance and personal recognition
  • Work with Regional Vice President to develop the overall strategy for the Complex to meet growth targets
  • Develop and recommend annual plan and budget for Manage expenses to stay within budget
  • Engage in activities necessary to execute annual Ensure Complex goals are met by monitoring the productivity (financial, sales, KPIs, and activity reports) data and various other sources of information
  • Develop and implement strategies that will drive the Complex activities toward meeting objectives
  • Evaluate processes and procedures to determine methods to improve efficiency in operational activities
  • Recruit or lead recruiting/procurement staff in developing strategies for sourcing, selecting, procuring, and licensing new Oversee the Complex specific recruitment strategies that will include job posting optimization, marketing channel development, digital and non-digital recruiting marketing, college recruiting, and local networking. Evaluate the effectiveness of various sources to determine the best use of recruiting assets, using quantitative and qualitative measures
  • Work closely with FAD OSJ to support the firm’s multifaceted supervisory platform by
18

Enhanced Complex Case Manager Resume Examples & Samples

  • Conduct member-facing clinical assessments that address the health and wellness needs of the members with the highest risk scores using a broad set of clinical and motivational interviewing skills with the goal of impacting members’ self-management skills and positive behavior changes which will ultimately positively impact member satisfaction and care costs
  • Serve as a subject matter expert to both internal and external sources (e.g. members, providers, regulatory agencies, UM and policy) to provide education, consultation, and training
  • Serve as a resource to guide, mentor, and counsel others in regard to understanding the drivers of health care costs to improve member outcomes related to Plan benefits and resources
  • Collaborate, coordinate, and communicate with the member’s treating provider(s) in more complex clinical situations requiring clinical and psychosocial intervention
  • Develop and implement case-or condition-specific plans of care and/or intervention plans, as needed, that can become a part of the member’s medical record to establish short and long-term goals
  • Establish a plan for regular contact (face-to-face as often as possible) with each member and/or provider to monitor progress toward goals, provide additional education and evaluate the need for modification or change in the plan of care
  • 5 - 7 years of Case Management Experience
  • 5 - 7 years of Clinical Practice Experience
  • 5 - 7 years of Disease/Condition Management Experience
  • Self Starter
  • Health Education
  • Healthcare Industry
  • Friendly Personality
19

Complex General Manager Resume Examples & Samples

  • Attend pre-opening construction meetings
  • Complete all tasks on pre-opening timeline/development tool through brand in timely fashion
  • Represent company to local businesses, colleges, government, and other business segments during pre and post open
  • Ensure excellence in guest service while overseeing all Sales & Marketing, Food & Beverage, Front Office, Guest Services, Housekeeping and Engineering functions
  • Requires the performance of technical and administrative duties including writing and reviewing reports (Profit and Loss statements/critiques, yield management, capital planning, payroll, etc.)
  • Regular ongoing monitoring of staff to ensure the adherence to established policies and procedures; delegation of duties; active participation in community affairs; and willingness and ability to engage in effective communication with corporate staff and property owners
  • Provide exceptional customer service to all hotel guests, making their stay as comfortable and accommodating as possible while achieving team and Brand goals
  • Leads the property in generation of revenue through sales and marketing efforts at the property level, participating in revenue management calls, sales calls and site visits in a revenue leadership role
  • Reviews financial reports and statements to understand property’s performance versus budget and expenses
  • Works to determine areas of concern and develops strategies to improve performance
  • Conduct monthly reward and recognition meeting celebrating goal and associate achievements
  • Establishes and maintains open, collaborative relationships with direct reports and team members; Fosters team member commitment to providing exceptional service
  • Ensures property is a safe and secure facility for guests and associates
  • Previous experience as Complex General Manager of a like brand highly valued
  • Strong F&B background with a focus in banquets
  • Demonstrated passion and sense of urgency in the achievement of results
  • Willingness and ability to train and develop future leaders
  • Strong budgetary, projections and cost control skills
  • Strong customer service orientation and skills
  • Must be self-motivated and results oriented
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Complex Case Manager Resume Examples & Samples

  • Conducts a comprehensive assessment for each assigned case as defined in SWHPCM policies and procedure, accreditation standards, state and federal law
  • Employs clinical knowledge, critical thinking, decision-making and problem-solving skills to develop a holistic customized goal-orientated case management plan of care for moderately complex cases. Identifies and resolves barriers to adherence to the CM plan of care
  • Coordinates services necessary to implement to the CM plan of care. Utilizes available benefits and resources judiciously to achieve quality and cost effective outcomes
  • At appropriate intervals, monitors member's progress toward goals, effectiveness of CM plan of care, member satisfaction. Revises plan and priority level of member as appropriate
  • Promptly closes cases and ensures prompt closure by team according to SWHP case closure criteria. Transitions member to most appropriate continuum of care setting/program. Evaluates impact of CM interventions on the achievement of goals. Completes required reports
  • Intermediate to advanced skills in SWHP CM software, automated systems, or other applicable technologies. Proficient in navigation and research of systems. Serves as resources for team. Able to function as super user for system enhancements and projects
  • Has acquired comprehensive knowledge and applies case management principles, SWHP policies and procedures, SWHP CM policies and procedures. Services as resource for assigned team
  • Seeks out and participates in continuing education offerings to maintain current knowledge and in case management trends and best practices
  • Has established a thorough knowledge of product lines, contracts, networks, internal and external resources, etc. Services as team resources
  • Familiar with SWHP case management programs. Guides and transitions the member to the appropriate SWHP continuum of care program(s)
  • Bachelor's degree (e.g. BA, BS, BSN, BSW) preferred
  • CCM Certification or equivalent preferred
  • More than seven years experience preferred
  • Clinical experience in medical/surgical practice areas and one to two years CM II level case management required
  • Critical care experience and CM III level health plan chronic care/case management experience preferred
  • Excellent interpersonal, verbal and written communication, analytical, and organizational skills required
  • Proficiency in PC and automated systems required
  • Advance PC and automated systems preferred
  • Maintains professionalism and objectivity in member and family interactions
  • Practices solely within the scope of state licensure and level of education and training
  • Self-starter and able to work independently with minimal supervision or equally well within a team environment. Able to effectively lead a team
  • 5 Years Experience Required
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Complex Case Manager Resume Examples & Samples

  • Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support
  • For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment
  • Ensure targeted percentage of patient goal achievement (i.e., realization of member care plan), and other patient outcomes, as applicable, are achieved
  • Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards
  • Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization
  • Broad knowledge of disease processes
  • Proficiency in MS Excel and strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data
  • Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
  • Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management and project management skills
  • Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy
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North Complex Assistant Manager Resume Examples & Samples

  • Learn all brand standards
  • Ensure a smooth transition from night to day shift
  • Identify and delegate responsibilities to shift leaders and staff to ensure objectives are met and excellent service is consistently achieved
  • Effectively manage the restaurant in the absence of the Restaurant Manager
  • Manage operations with passion, integrity, and knowledge while promoting the culture and values of Aramark
  • Implement new company policies and procedures by developing plans and instructing staff
  • Provide direction to shift leaders, and staff to achieve restaurant goals
  • Consistently review operations and staff to identify any problems, concerns, and opportunities for improvement
  • Provide coaching and feedback to managers and staff and assess performance on and ongoing basis
  • Create a positive guest experience by delivering a high level of service and ensuring all staff engage guests to understand their needs and exceed expectations
  • Manage the restaurant to meet or exceed standards in food quality, safety, and cleanliness
  • Solicit guest feedback to understand the needs and wants of customers
  • Train and coach staff on guest services principles and practices
  • Monitor and maintain the Micros POS System
  • Develop and implement creative solutions to areas of improvement
  • Assist in conducting staff and daily pre-shift meetings
  • Dedication to providing exceptional customer service
  • Good communication skills, and strong interpersonal and conflict resolution skills
  • 1 year experience preferred
  • Able to work night shift
  • Minimum experience in food service supervisory position preferred
  • Ability to manage time and people in accordance to the location manager’s request
  • High School diploma/GED