Manager Registered Nurse Resume Samples

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JK
J Keeling
Joanne
Keeling
837 Runte Mountains
Philadelphia
PA
+1 (555) 258 4329
837 Runte Mountains
Philadelphia
PA
Phone
p +1 (555) 258 4329
Experience Experience
San Francisco, CA
Case Manager Registered Nurse
San Francisco, CA
Denesik and Sons
San Francisco, CA
Case Manager Registered Nurse
  • Makes suggestions for improvement of current processes and practice trends based on research
  • Collaborates with the performance improvement program by gathering sentinel events and target diagnosis data
  • Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan
  • Negotiates with payors concerning continued access to care, authorization, level of care and/or other arrangements to facilitate the patient's timely transition through the care continuum
  • Participates in providing education support for newly hired staff persons within the department
  • Collaborates with social worker to educate patients, families on discharge planning processes
  • Performs other duties as assigned
New York, NY
RN Case Manager / Registered Nurse
New York, NY
Jakubowski Group
New York, NY
RN Case Manager / Registered Nurse
  • Develop patient goals and discharge plans and make revisions based on the changes in patient condition
  • Remain flexible and responsive when changes occur in patient activity and workload
  • Promotes a safe and efficient working environment by adhering to agency policies and procedures
  • Strives to make a difference in the lives of our employees, patients, and community
  • Adheres to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty
  • Maintains confidentiality of all agency and patient related information. Protects patient rights as defined in the patient Bill of Rights
  • Maintains proper attendance and punctuality to ensure that the department is operated in an efficient and cost effective manner
present
Philadelphia, PA
Case Manager Registered Nurse / Days
Philadelphia, PA
Casper Inc
present
Philadelphia, PA
Case Manager Registered Nurse / Days
present
  • Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities
  • Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals
  • Utilization Review, Quality and Compliance Monitoring
  • Conducts concurrent medical record review using specific quality indicators and clinical decision support criteria as approved by the medical staff, TJC, CMS and other regulatory agencies and document findings
  • Serves as liaison with Physician Performance Improvement (PPI) to ensure the reporting of quality indicators and care concerns
  • Reviews all new admissions daily against inpatient screening criteria and communicates necessary changes in status designation to ordering physician and Patient Access
  • Identifies all observation patients with observation alert sticker, reviews status no less frequently than daily, and communicates directly with the attending physician if severity of illness and intensity of service meet criteria for inpatient admission or when observation hours threaten to exceed 48 hrs
Education Education
Bachelor’s Degree in Nursing
Bachelor’s Degree in Nursing
Northern Illinois University
Bachelor’s Degree in Nursing
Skills Skills
  • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment
  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly
  • Maintains ongoing member case load for regular outreach and management
  • Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members
  • Facilitates interdisciplinary care team meetings and informal ICT collaboration
  • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts
  • Assesses for barriers to care, provides care coordination and assistance to member to address concerns
  • RNs provide consultation, recommendations and education as appropriate to non-RN case managers
  • RNs are assigned cases with members who have complex medical conditions and medication regimens
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11 Manager Registered Nurse resume templates

1

Case Manager Registered Nurse / Days Resume Examples & Samples

  • Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals
  • Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identify post-hospital needs
  • . Refers to social work cases where patients and/or family would benefit from counseling required to complete complex discharge plans
  • Conducts concurrent medical record review using specific quality indicators and clinical decision support criteria as approved by the medical staff, TJC, CMS and other regulatory agencies and document findings
  • Serves as liaison with Physician Performance Improvement (PPI) to ensure the reporting of quality indicators and care concerns
  • Initiates delivery of notices of non-coverage as appropriate
  • Ensures physician documentation supports medical necessity and LOC for each inpatient day, educates physicians by aggressively discussing additional documentation needs as identified or discharge plans and conferring with Case Management Director and Physician Advisor as needed for intervention
  • Facilitates delivery of CMS discharge appeals rights communication to applicable Medicare patients within indicated time frame required by law
  • Provides retrospective chart review for short stay inpatients under Medicare for medical necessity and level of care prior to billing
  • Collaborates with interdisciplinary care team, service liaisons, patient and family in the assessment and coordination of discharge planning needs, delivery of post-discharge services and transition of the patient from an acute level of care to the discharge setting
  • Facilitates delivery of Patient Information and Choice Letter to assure documentation of patient/family involvement with discharge planning and choice of post-discharge service providers
  • Attends twice weekly outlier meeting with Case Management Director and Medicaid Eligibility Vendor personnel to review observation admissions, extended LOS, unfunded and underfunded, and anticipated difficult discharges
  • Attends and actively participates in monthly staff meetings, and attends called departmental meetings when necessary
  • Attends and participates in facility committees, employee forums and departmental meetings as requested
  • Maintains compliance with required licensure, ethics and compliance training, annual mandatory TB screening and mandatory education as required
  • Performs other duties as required
  • Prefer three-five years clinical experience within an acute health care setting with recent work history in acute care case management role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual® or other clinical decision support criteria, discharge planning, and reimbursement structures (i.e. Government and non-governmental payers)
2

Case Manager / Registered Nurse Resume Examples & Samples

  • In conjunction with other members of the interdisciplinary care team, coordinates effective and efficient patient care during the hospital stay from admission to discharge
  • Utilization review of patient charts to ensure appropriate utilization of hospital resources and facilities
  • Follow-up visits and phone calls with patients and/or families as needed
  • Solid understanding of reimbursement structures
  • Understanding of CMS regulations in the acute care setting
  • Ability to read and comprehend complex clinical and financial data
3

Emergency Services Manager Registered Nurse Resume Examples & Samples

  • Graduate of an accredited School of Nursing with a current GA RN license, prefer BSN degree
  • Basic Healthcare Provider (BLS) Certification required within 90 days of hire
  • ACLS required, PALS, ENPC, TNCC, CEN preferred
  • Previous 2 years prior nursing experience, previous management experience preferred
4

Clinical Nurse Manager / Registered Nurse Resume Examples & Samples

  • Minimum of 12 months' clinical nursing experience
  • Minimum of 6 months' experience in providing nursing care to patients on maintenance dialysis required
  • Supervisory experience preferred; willingness, desire, and ability to supervise required
5

RN Clinical Manager / Registered Nurse Resume Examples & Samples

  • Previous management experience
  • Minimum 2 years current home care experience
  • Current knowledge of OASIS
  • Oversees the assignment of appropriate staff to all cases
  • Assures all staff are appropriately oriented for the cases assigned
  • Assures compliance with state, federal, and local laws
  • Assists in the recruitment, interviewing, and hiring of field staff as necessary
  • Coordinates and assists the interdisciplinary team in the development and implementation of patient care policies
  • Assures accuracy of visit delivery in conjunction with order frequencies
  • Reviews patient medical files on a regular basis and addresses any discrepancies noted
  • Assists the QA Manager in identifying educational activities for staff including in-services, based on employee needs and promotes staff development
  • Supervises day-to-day patient care activities and is available to field staff for assistance with problems or concerns
  • Supervises Clinical Supervisors for the agency’s services
  • Supervises Service Coordinators/Schedulers and scheduling activities for the agency’s services
  • Functions as the HIPAA and Red Flag Compliance Officer
  • Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
  • Mentor employees, provided input for performance evaluations, counsel and provide disciplinary actions to assigned personnel in conjunction with Supervisor, and works to facilitate individual and team development that drives positive results
  • One (1) year of home health care experience
  • One (1) year of supervisory experience preferred
  • Good interpersonal, and organizational skills
  • Good communication skills both written and verbal
  • Ability to problem solve
6

RN Case Manager / Registered Nurse Resume Examples & Samples

  • Takes initiative and responsibility for decisions as an individual and as a company. Exhibits commitment to personal and company-wide goals
  • Places needs of the patient first at all times. Care management and service delivery are developed with the goals of the patient’s healing and support in mind. Strives to deliver lasting value to our patients in the comfort of their home
  • One (1) year experience in medical / surgical nursing required
  • Demonstrate leadership, organization and communication expertise
  • Excellent verbal and written communication skills
  • Requirement for Pediatric and IV cases only
7

RN Case Manager / Registered Nurse Resume Examples & Samples

  • Active Registered Nurse with an Ohio license without restrictions
  • Has at least one year of experience as a professional nurse
  • Preferred worked as a registered nurse at least one year within the last 3 years or completion of a refresher course in the last year
8

Clinical Manager, Registered Nurse Resume Examples & Samples

  • Manages and coordinates the provision of quality home care services to patients from admission to discharge
  • Participates with the physician, referral sources, Clinical/Branch Director and professional staff in decisions regarding patient eligibility and suitability for home care services
  • Coordinates regular case/team conferences and promotes communication of information relevant to the patient care process to ensure quality of care and coordination of services
  • Minimum of three (3) years of clinical experience as a registered nurse (RN). One of those years must consist of full-time experience in providing direct patient care in the home health setting*
9

Case Manager Registered Nurse Resume Examples & Samples

  • Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively
  • Current CPR/BLS certification required upon hire
  • Minimum of 2 years of acute care Case Management experience, preferably in ICU or ED
  • Recent with needs assessment, utilization review and discharge planning
  • CCM highly desired
10

Case Manager Registered Nurse Resume Examples & Samples

  • Current California Registered Nurse ( RN ) License
  • LA City Fire Card within 30 days of hire
  • Knowledge of Medicare, Medi-cal regulations
  • Knowledge of InterQual criteria
  • Bachelor's Degree in Nursing ( BSN )
  • 1-3 years of clinical nursing experience
  • 1-3 years of Case Management experience in an acute care facility
11

Case Manager Registered Nurse Resume Examples & Samples

  • Bachelor's Degree
  • 2-3 year’s acute hospital experience, including one year of supervisory experience
  • Strong knowledge base or experience in specialty area assigned
  • Master's Degree in health care related field
  • Critical Care or Medical/Surgical experience
12

Case Manager / Registered Nurse Navigator Resume Examples & Samples

  • Graduate of an accredited/approved school of Nursing. Associates Degree in Nursing
  • Three (3) years of clinical nursing experience
  • Licensed as a Registered Nurse in the State of Alaska by start date
  • BLS or the ability to obtain certification within ninety (90) days of date of hire
  • Current Alaska driver’s license with a clean driving record and proof of current vehicle insurance
  • Compass training to be completed within one (1) year from date of hire
  • Bachelor degree
  • Minimum of one (1) year of experience as an RN in Utilization Management-review, Case Management and/or Discharge-planning experience
  • Experience with InterQual criteria, Medicare and Medicaid regulations
  • Case Management certification
  • Prior experience using Microsoft Office Suite
13

Manager Registered Nurse Resume Examples & Samples

  • Bachelor of Science in Nursing or degree in a health related field
  • Current license to practice as a Registered Nurse in the state of Washington
  • Experience in Case Management and supervisory/management experience
  • Previous nursing experience within a variety of complex client care areas
  • Knowledge of utilization management, case management, discharge planning, and care coordination practices and the outcomes/impact of these functions within the hospital
  • Master’s degree in Nursing or a healthcare related field
  • Case Management and supervisory/management experience in an acute care hospital
14

Senior Case Manager Registered Nurse Resume Examples & Samples

  • Case Management certification required within two (2) years of assuming role
  • Minimum of ten (10) year’s experience as an RN and five (5 )year’s experience in acute hospital setting as Case Manager; including Utilization, Clinical QA, and Discharge Planning, required
  • Good organizational skills and the ability to plan and meet deadlines required
  • Basic coding and computer skills required
15

Clinical Manager Registered Nurse Resume Examples & Samples

  • Evaluates, and regularly re-evaluates the needs of the patient; initiates, develops, implements and makes necessary revisions to the patient’s plan of care. Assesses the patient’s continual care needs
  • Works cooperatively with the operational leader on staffing, referral sources, physician and client concerns/needs
  • Assists with and coordinates training of appropriate staff and conducts performance evaluations of team to ensure quality care, compliance, and fiscal responsibility
  • Participates in agency quality assurance activities designed to improve quality and continuity of patient care
  • Applies knowledge of Federal/State rules and regulations, ACHC standards, and other regulatory requirements to ensure compliance and quality standards for the patients
  • some states have specific requirements related to education and experience beyond the listed general requirement
16

Case Manager, Registered Nurse Resume Examples & Samples

  • Current Registered Nurse licensure
  • Licensed as Registered Nurse in the State of Alaska at time of hire
  • Two (2) years experience as a Registered Nurse
  • Bachelors of Science in Nursing (BSN.)
  • One (1) year of experience as an RN in Utilization Management-review, Case Management and Discharge-planning experience
  • Prior experience with provider requirements for admissions, transfers and discharges
  • Experience with InterQual criteria, Medicare standards and COBRA regulations
  • Prior experience using Electronic Medical Records (EMR) such as EPIC
17

Palliative Care Unit Nurse Manager Registered Nurse Resume Examples & Samples

  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor’s degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required
  • Current Supervisory Reference - Must be from immediate reporting official/annual evaluator
  • Completed Online Occupational Questionnaire
  • VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available at: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search)
18

Patient Case Manager Registered Nurse Resume Examples & Samples

  • Current Registered Nurse (RN) license in the state of CA
  • Current CPR certification required
  • Minimum of 3 years’ experience in clinical nursing preferred
  • Experienced with lab values and outcomes
  • Case management and /or patient education experience is required
  • Communication and Customer Service Skills
  • Computer skills and proficiency in MS Word and Outlook required
  • Functional proficiency with DaVita specific clinical software programs, including required within 90 days of employment
19

Case Manager, Registered Nurse Resume Examples & Samples

  • Graduate of an accredited school of professional nursing. Bachelor's of Science in Nursing preferred
  • Working knowledge InterQual criteria
  • Assertive and persuasive communication skills, action oriented
20

Research Manager, Registered Nurse Code Resume Examples & Samples

  • Manages a Practices clinical research program and operations in accordance with USON SOP and ICH GCP guidelines. Responsible for ensuring at the administrative level that all research activities are coordinated with affected departments within the practice
  • Collaborates with the Site Research Leader (SRL), physicians of the practice and research committee in the process of study selection for the research program. Develops and implements research budgets that include accrual targets and financial objectives for each research location, in collaboration with practice management. Responsible for promoting or marketing research programs to the practice, community and referring physicians. Coordinates research activities with other (non-USOR) bases or sponsors
  • Develops research accountability standards, metrics, and reports and identifies areas for improvement. Collaborates with site research leader (SRL) and research staff in the implementation of action plans designed to improve practice research operations and quality assurance functions
  • Leads meetings and facilitates groups to achieve desired results. Utilizes facilitation tools to ensure participation, innovation and decision-making among group; effectively uses group process techniques
  • Develops and implements short term goals that align with the companys vision and business goals. Cascades goals down to staffs’ annual objectives
  • Develops and maintains current policy and procedural manual and communicates plans appropriately throughout the organization. Coaches and develops staff. Provides on-going job related education and training of staff. May develop training materials
  • Responsible for the recruitment, interviewing, recommending hires, assessing performance, recommending salary changes, progressive discipline, and retention of staff. Enforces adherence to USON policies
  • Other duties as requested or assigned
  • Bachelors degree in a clinical or scientific related discipline desired, Bachelors degree nursing preferred
  • Minimum of seven years nursing experience, clinical or scientific related discipline, preferably in oncology
  • Minimum of two years of supervisory experience preferred
  • Current BCLS or ACLS certification required for nurses
  • SoCRA or ARCP certification preferred
21

Case Manager, Registered Nurse Resume Examples & Samples

  • Completes a comprehensive case management assessment and gathers pertinent information about the M/C’s needs by interviewing the M/C, appropriate family members, physicians, ancillary health professionals and others as necessary
  • Is responsible for the development of the M/C’s interdisciplinary individualized plan of care including short term and long term goals in collaboration with the M/C. Monitors and evaluates the M/C’s progress towards meeting goals and initiates appropriate interventions as necessary
  • Serves as an advocate for the member and acts as a liaison between the M/C and other community based agencies, facilities, providers, and practitioners in coordinating the M/C’s care
  • Refers M/C as appropriate for other services such as Special Needs and Pharmacy
  • Works closely with the assigned Case Management Technician, to manage the M/C’s care needs
  • Assumes a leadership role in monitoring appropriate utilization of the M/C’s benefits and in coordinating with other payor sources
  • Understands, supports, and practices within the scope of the State of Pennsylvania Nurse Practice Act and the Case Management Practice Standards established by the Case Management Society of America (CMSA)
  • Offering Sign-on Bonus!!!!
  • Required Bachelors, Associates,Diploma in Nursing
  • Required specialty: Psych, Pediatrics, Adults, Mother/Baby, NICU
  • Required Washington District of Columbia RN licensure and three (3) years clinical practice experience
  • Eligible for Certification in Case Management within one year of accepting position
  • Required 3 to 5 years of Case Management experience
  • Required strong written and verbal communication skills
  • Required ability to perform multiple tasks
  • Required excellent interpersonal and organizational skills
  • Required ability to work effectively in a team environment
  • Required knowledge with MS Office PC Skills(Outlook, Word, Excel)
  • Required experience utilizing electronic Charting (McKesson, Cerner, Epic, Sunrise)
  • Highly Preferred successful attainment of Case Management certification
  • Preferred telephonic case management experience
  • Solid consideration will be given to experienced Licensed Social Workers!
22

Complex Care Case Manager Registered Nurse Resume Examples & Samples

  • RN graduate of an accredited school of nursing required
  • Strong clinical background preferably in acute care or home health
  • American Heart Association BLS for Health Care Providers
  • Must possess excellent customer service and communication skills
  • Must be organized and a self-starter, be able to utilize multiple resources to determine health plan requirements and benefits as applied to the utilization and case management process and clinical decision making
  • Must have working understanding of MS Outlook, Word and Excel and be capable of being trained in referral processing software
  • Bachelor's degree
  • Three to five years experience in a managed care setting/utilization review/discharge planning/case management
23

Case Manager Registered Nurse Resume Examples & Samples

  • Monitors patient care through assessments, evaluations and/or patient records
  • Advocates for resources and removal of barriers
  • Negotiates with payors concerning continued access to care, authorization, level of care and/or other arrangements to facilitate the patient's timely transition through the care continuum
24

Clinical Care Manager Registered Nurse Resume Examples & Samples

  • 10-25% of travel is required around Detroit, MI
  • An active and good standing RN license for the state of Michigan is required
  • 3 years minimum of clinical practice experience is required
  • Case management experience is highly preferred
  • Discharge planning experience is preferred
  • Managed Care experience is preferred
  • Crisis intervention skills are preferred
25

Case Manager Registered Nurse Resume Examples & Samples

  • Participates in providing education support for newly hired staff persons within the department
  • Mentors interdisciplinary healthcare team in critical thinking processes essential to continuum of care issues
  • Collaborates with social worker to educate patients, families on discharge planning processes
  • Facilitates appropriate lengths of stay and reimbursement for all hospital admissions
  • Facilitates patient movement to the appropriate (acuity) level of care including observation status through collaboration with patient/family, multidisciplinary team and third party payors
26

Clinic Clinical Manager Registered Nurse Resume Examples & Samples

  • Ensures compliance with regulatory and accreditation requirements
  • Conducts hiring, training, directing, development and evaluating of staff
  • Identifies and resolves issues affecting the delivery of patient care services for the assigned unit(s)
  • Monitors and adheres to budget
  • Approves or monitors expenditures, purchases and other actions to ensure compliance with budget guidelines
27

Care Manager Registered Nurse Resume Examples & Samples

  • Planning: The Care Manager will identify specific objectives, goals and actions, as identified during the assessment process. Acting as a patient advocate the Care Manager will collaborate with the physician, the patient & family, and members of the healthcare team, to formulate a shared plan of care. Goals and time frames for goals, appropriate to the patient, will be set
  • Knowledge of managed care principles, utilization management, case management and healthcare provided throughout the continuum
  • Knowledge of physical and psychological characteristics of disease processes, recognizes potential clinical problems, and recommends intervention in a preventative, pro-active way
  • Excellent interpersonal, verbal and written communication skills
  • Ability to handle multiple tasks at a time and remain organized
  • Ability to work autonomously but demonstrates the ability to work collaboratively on a team
  • Ability to work in an ambiguous environment; work effectively under pressure due to changes in priorities
  • Excellent computer and IT system knowledge
  • Possesses the knowledge and skills necessary to communicate with third party payers
  • Establishes and maintains a good rapport with physicians and interacts well with all internal and external customers in a professional and courteous manner
28

Emergency Room Care Manager, Registered Nurse Resume Examples & Samples

  • Assessment: The Care Manager will collect in-depth information about a persons’ situation and functional status to identify individual needs in order to develop a comprehensive plan of care that will address the patient’s needs. The Care Manager will identify both present and possible future needs of the patient and family, which may affect the plan of care and the patient’s well-being. This assessment will include age-specific physical, psychosocial, environmental, financial, and health status expectations
  • Implementation: Executes specific interventions that will lead to accomplishing the goals and timeframes of the shared plan of care, Works effectively with the healthcare team to determine the necessary steps to achieve the plan of care. Problem solving techniques will be applied to the implementation process
  • Coordination: Organizes, coordinates, provides, modifies or obtains appropriate authorizations, utilizing appropriate utilization review and evidence of coverage guidelines, to accomplish the patient’s goals. Initiates and communicates with the patient and family, physicians, healthcare members, community and payor representatives. Facilitates continuity of care throughout all access points involving Health Plan, discharge planners, physicians and other appropriate staff
  • Monitoring: Obtains sufficient information from all relevant resources in order to determine the effectiveness of the plan of care, and services provided. Manages a caseload of high risk, complex needs and/or catastrophic patients
  • Evaluation: At appropriate and repeated intervals, assesses and reassesses the patients’ progress. If progress is static or regressive, determines the reason and encourages the appropriate interventions to obtain optimal outcomes. The Care Manager will modify the plan of care, as necessary, in coordination with the healthcare team, family members, and providers
  • Communication: Communicates both verbally and electronically with the patient and the healthcare team. Appropriately documents of the plan of care, outcomes, statistical reporting, logs, and files abiding to departmental, legal and regulatory requirements
29

Lead Care Manager, Registered Nurse Resume Examples & Samples

  • Is utilized as the regional resource to patients, Physicians, Medical Directors, CM Staff, the OON CM staff, and Care Integration CM Leadership, for the management of day to day OON activities. (25%)
  • Work closely with the Access to Care management staff to create efficient, patient centric workflow processes for repatriating our OON members. (25%)
  • Provides guidance and direction to the OON staff in the prioritization of work. Adjust workflow and responsibilities according to patient needs. (10%)
  • Is utilized as a resource when supervisor in unavailable. Responsible for problem solving and staffing / scheduling changes as needed. Displays leadership skills, mentoring staff to achieve success. (15%)
  • Communicates effectively with internal and external customers of all levels, providing accurate and concise information in a timely manner including but not limited to patient/family education and clinical knowledge to non-licensed staff while maintaining optimal confidentiality. (5%)
  • Able to accurately navigate, chart and document in EMR. (5%)
  • Consistently demonstrates efficient use of time and resources within established budget parameters, while actively participating in identification and implementation of cost saving strategies. (5%)
  • Anticipates provider and/or patient needs and responds appropriately. (5%)
  • Maintains current knowledge of SJHMG policies and procedures. (2%)
  • Attends and participates in all mandatory meetings/in-services. (1%)
  • Maintains an active California nursing license, CPR card and renews timely. (1%)
  • Participates in preparation for and assists during state/agency audits. (1%)
  • Work closely with Care Integration Leadership and Medical Directors to make OON process improvements as identified
  • Other leadership duties may also be assigned as needed
  • Requires 3 years of OON CM experience
  • Previous experience in a leadership role preferred
  • High level of customer services skills with a genuine caring approach to helping people
  • Maintain a positive attitude with changing conditions
  • Demonstrates organizational abilities
  • Demonstrates dependability
  • Requires good written and verbal communications skills to communicate effectively with individuals at all levels of the organization
  • Must be able to work under general supervision
  • Must have a professional and mature demeanor
  • Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information
30

Clinical Care Manager Registered Nurse Resume Examples & Samples

  • 3-5 years clinical practice experience, e.g., hospital setting,home health or managed care
  • RN license required in NJ
  • Case management and discharge planning experience preferred
  • Crisis intervention skills preferred
  • Assessment of Members
  • Strong computer skills!
  • Microsoft office is needed
  • Medicaid experience is a huge plus!
31

Clinical Care Manager Registered Nurse Resume Examples & Samples

  • 5+ years of clinical practice experience as a Registered Nurse (RN) (e.g., hospital setting, alternative care setting such as home health or ambulatory care required.)
  • 1-3+ years of Case Management and Discharge Planning experience preferred, but not required. (managed care a plus!)
  • Proficient computer skills preferred including Microsoft office!
32

Hospice Clinical Manager Registered Nurse Hackensack Hospice Bonus Eligible Resume Examples & Samples

  • Coordinates regular interdisciplinary team conferences and promotes communication of information relevant to the patient care process to ensure quality of care and coordination of services
  • Participates in agency quality assurance activities designed to improve quality and continuity of patient care which includes reviews of medical records, ensure adequate staffing, training and evaluating staff
  • Some states have specific requirements related to education, clinical or supervisory experience beyond the listed general requirement and may require up to 3-5 years of experience
33

Case Manager / Registered Nurse Navigator Resume Examples & Samples

  • Basic Life Support (BLS) or the ability to obtain certification within 90 days of hire
  • Compass training to be completed within 1 year from date of hire
  • Minimum of 1 year of experience as an RN in Utilization Management-review, Case Management and/or Discharge-planning experience
34

Field Case Manager Registered Nurse Resume Examples & Samples

  • 3-5 years clinical practice experience (Required)
  • 2 years of case management experience (Required)
  • 2 years of home care/hospice experience (Preferred)
  • RN (Required)
  • CCM (Preferred)
  • Ability to travel within a designated geographic area for in-person case management activities (Required)
  • Bilingual (Preferred)