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A Nurse Case Manager Resume

A Nurse Case Manager Resume

Nurse Case Manager Resume

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While this is certainly not a point-form resume, this CV is meant to capture the essential information that a potential employer is looking for in the first few seconds of reading your CV.

Work

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Conducted prior authorization and concurrent review for 20– 45 shared risk facility inpatient admissions, and maintained essential relationships with contracted providers, IPAs and internal departmental staff. Provided onsite acute inpatient concurrent review for 22-30 charts each day, and served as liaison between plan and hospital for 3 medical centers. Performed onsite visits reviewing charts per Milliman guidelines and discussed special cases with Medical Director. Fostered and strengthened working relationships with internal and external clients including medical groups, hospital-based personnel, and wide scope of internal decision-makers. Provided essential training of nursing staff and mentorship that garnered improved utilization reviews and achievement of 100% chart audit accuracy over 3- to 6-month period. Reduced bed days by strategic collaboration with team members addressing outliers, and negotiated cost effective case rates with non-contracted providers. Efficiently processed standard appeals within 30-day TAT.

www.ziprecruiter.com)Are you interested in improving your job outlook and increasing your salary? How can you demonstrate that you are the most qualified candidate for a Nurse Case Manager position? Of course continuing to gain experience working as a Nurse Case Manager may be your best qualification, but there are other ways you can also develop your skills, like continuing education or volunteer opportunities. More immediately, however, you can be ready for your next opportunity or promotion by educating yourself about the duties, responsibilities, and required skills of a Nurse Case Manager and making sure your resume reflects your experience properly. We designed the ZipRecruiter Career Keyword Mapper to help you solve this problem and hopefully improve your resume. Using machine learning tools paired with industry research, our Marketplace Research Team helped analyze millions of job postings and resumes to identify the most important keywords related to Nurse Case Manager jobs. Our goal is to help you discover opportunities to improve your resume or to help you understand what skills and qualifications you need to be a Nurse Case Manager or to advance your career into beyond this role. (Source:

Health

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Resourceful, dedicated, and extremely proficient Registered Nursing professional with more than 20 years experience, demonstrating expertise in case management, utilization review, catastrophic care, relationship management, and cost containment strategies in clinical and hospital environments. Compassionate RN professional exhibiting excellent patient-centric care and oversight with proven ability to communicate and negotiate the healthcare industry with professionalism and efficiency. Foster positive and profitable relationships with clients including HMOs, PPOs, IPAs, and home health providers. Provide critical training and management of personnel with strong and comprehensive knowledge of managed care structures and systems.

resume.io)Passionate and experienced Case Manager specializing in assessing the needs of clients and working closely with them to access needed services and start on their way to a renewed and transformed life. Coordinate care among multiple service providers to best serve the client and serve as a driven advocate for each and every one of my clients. Ensure that a family's comprehensive health needs are met by creating effective plans of treatment and recovery. A commitment to privacy, well-being, and quality care. (Source:

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