CASE MANAGEMENT COORDINATOR RESUME EXAMPLE
Updated: July 23, 2024 - The Case Management Coordinator provides direct pediatric high-tech nursing care following an established plan. Conducts ongoing assessments of patients' physical and psycho/social health status, including ventilator and tracheostomy care. Prepares clinical and administrative documentation while ensuring adherence to legal regulations and professional standards.


Tips for Case Management Coordinator Skills and Responsibilities on a Resume
1. Case Management Coordinator, Sunrise Health Services, Springfield, IL
Job Summary:
- Serve as first point of contact on product specific inquiries by utilizing surgical techniques and product brochures.
- Process new customer registrations and maintain existing customer profiles in Product Lifecycle Management system.
- Educate sales associates and health care professionals with product offerings and troubleshoot technical challenges in navigating the surgeon web portal.
- Reviews and evaluates patient caseload for appropriateness of setting, necessity, quality of care, continuum of care needs and completion of documentation.
- Coordinates care delivery in consultation with the healthcare team and revises plan of care to assure progress toward defined outcomes.
- Identifies cases requiring physician advisor review, refers cases in a timely manner
- Assists physician advisors with reviews and communications with attending physicians, government agencies, and third party payers
- Anticipates aftercare needs & assists w/the plan in collaboration healthcare team.
- Creates a communication mechanism that is efficient for all members of the healthcare team.
- Provides pertinent education to other staff and physicians.
- Understands and utilizes the EMR/ CERNER systems to perform daily tasks
- Assists with delivery & appeal process regarding Important Message from Medicare.
Skills on Resume:
- Product Inquiry (Soft Skills)
- Customer Registration (Hard Skills)
- Sales Education (Soft Skills)
- Caseload Evaluation (Hard Skills)
- Care Coordination (Soft Skills)
- Case Referral (Hard Skills)
- Aftercare Planning (Soft Skills)
- EMR Utilization (Hard Skills)
2. Case Management Coordinator, Green Valley Medical Center, Boulder, CO
Job Summary:
- Responsible for facilitating and coordinating client transfers.
- Receive client referrals and confirm care level based on provincial guidelines and clinical judgment
- Responsible for maintaining waitlists, negotiating space offers with clients, and coordinating admissions
- Support the client and family to navigate the healthcare system.
- Responsible for addressing delays related to system, client or family, and/or government or community programs
- Required to operate within provincial policy and procedures
- Maintaining a client-centered approach in consideration of system resources
- Demonstrates an in-depth knowledge of individual regulations relating to third party payers, Federal/State governments, and the peer review organizations
- Arranges and participates in third party payer hearings and appeals
- Communicates the results to the medical staff in a timely manner
- Assists Medical staff in denial management.
- Applies discharge screens appropriately to identify potential premature discharges or inappropriate utilization of hospital services & refers cases for physician advisor review
- Facilitates interdisciplinary care conferences.
Skills on Resume:
- Client Transfer Facilitation (Soft Skills)
- Referral Confirmation (Hard Skills)
- Waitlist Management (Hard Skills)
- System Navigation Support (Soft Skills)
- Delay Resolution (Soft Skills)
- Policy Compliance (Hard Skills)
- Client-Centered Approach (Soft Skills)
- Discharge Screening (Hard Skills)
3. Case Management Coordinator, Harmony Health Clinic, Madison, WI
Job Summary:
- Provides skilled pediatric high tech nursing care to technology-dependent infants and children in a home care setting, under minimal clinical supervision, in accordance with established nursing plan of care.
- Provide direct pediatric high tech nursing care to patients under minimal personal and procedural clinical supervision, following an established nursing plan of care
- Provide ongoing assessments of patient’s physical and family’s psycho/social health status including ventilator monitoring and care, tracheostomy care, use and care of feeding tubes, and other technical procedures
- Administrate medications, assisting with general exercise and specific physical therapy regimens
- Discuss patients’ status, problems and needs with family members and other care providers, and educate them similarly about patients’ illnesses, treatment and care
- Confer regularly with case manager and other clinical staff (nurses, physical/occupational speech therapist, etc.)
- Prepare all required clinical and administrative documentation related to assigned activities, adhering to all relevant legal regulations, technical requirements of government agencies, internal procedures, and professional standards
- Responsible for the overall coordination of comprehensive pain management care for patients consulted to the Acute Pain Service at the QEII in collaboration and consultation with anesthesiologists, nurses and other health team members.
- Serves as an educational and clinical resource on pain management issues by supporting evidenced informed standards of care.
Skills on Resume:
- Pediatric Care (Hard Skills)
- Patient Assessment (Hard Skills)
- Medication Administration (Hard Skills)
- Family Education (Soft Skills)
- Team Collaboration (Soft Skills)
- Documentation (Hard Skills)
- Pain Management (Hard Skills)
- Educational Resource (Soft Skills)