CASE MANAGEMENT NURSE SKILLS, EXPERIENCE, AND JOB REQUIREMENTS
The Case Management Nurse excels in negotiation and communication with a broad range of stakeholders. Armed with advanced medical documentation skills and substantial experience in occupational health and case management, this professional consistently ensures top-tier patient care. Holding valid nursing credentials, their expertise is critical in upholding state and national healthcare standards.
Essential Hard and Soft Skills for a Standout Case Management Nurse Resume
- Clinical Assessment
- Documentation Proficiency
- Regulatory Knowledge
- Software Skills
- Insurance Understanding
- Medical Terminology
- Care Planning
- Data Analysis
- Telehealth Skills
- Utilization Review
- Empathy
- Communication
- Problem Solving
- Adaptability
- Interpersonal Skills
- Team Collaboration
- Leadership
- Conflict Resolution
- Critical Thinking
- Organizational Skills
Summary of Case Management Nurse Knowledge and Qualifications on Resume
1. BA in Public Health with 2 years of Experience
- Experience doing clinical case management
- Experience working with the elderly
- Clinical training experience
- Case management certification
- Strong organizational skills
- Exemplary communication skills
- Naturally empathetic and a good listener
- Quick and resourceful problem solver
- Passionate about population health and working with the elderly
- Ability to efficiently facilitate referrals for members
2. BS in Health Administration with 4 years of Experience
- Demonstrate compassionate behavior
- Exceptional communication skills/counseling skills
- Works well as part of the interdisciplinary team
- Able to plan activities, including therapeutic treatments, and carry them through effectively
- A positive attitude about working with families of diverse cultural and religious backgrounds
- Knowledge of Nursing techniques as they relate to the care of Hospice patient
- Ability to communicate effectively with patients, families, and coworkers
- Able to cope with the stress of continual losses
- Possession of a valid and current NY State professional Registered Nurse’s license and registration.
- Experience of home care and/or acute care experience as a professional nurse
3. BS in Health Sciences with 5 years of Experience
- Experience with acute inpatient nursing
- Experience working in a managed care environment
- Experience working in utilization or case management
- Knowledge of Medicare, Medi-Cal, DHS, and NCQA regulations helpful
- Ability to enter data into the computer and extract information from the same
- Ability to use a personal computer
- Excellent oral and written communication skills
- Experience of home health experience or experience as a Case Manager
- Excellent management and communication skills,
- Detail-orientated and Organized
- Able to join the on-call rotation (6 months after completing training program)
4. BA in Social Work with 7 years of Experience
- Strong negotiation skills and the ability to effectively convey and communicate information with a wide audience of medical and non-medical personnel.
- Advanced knowledge of medical documentation.
- Positive, energetic and results oriented skills to convey passion for excellence.
- Excellent interpersonal communication skills.
- Experience of medical advisory experience in occupational health, worker compensation or disability case management.
- Experience as a Nurse Case Manager, Nurse Practitioner, or Physician Assistant.
- Professional nursing skills, working knowledge of disability, client processes and case management experience.
- A valid state nursing license, professional registrations and certifications current and in compliance with state and national requirements.
5. BA in Psychology with 6 years of Experience
- Requires current active unrestricted USRN license to practice as a health professional within the scope of practice in applicable state(s) or territory
- Cumulative clinical experience in a hospital / clinical setting is required for this position.
- Experience in other clinical line of work (private duty, company / school, ambulance / emergency, etc.) may be considered, as long as with valid inpatient prior authorization experience.
- Previous experience in a bpo / healthcare information management account experience in an Inpatient Prior Authorization setting and/or Anthem experienced is required for this position
- Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
- Nursing or Vocational Rehabilitation background
- Experience in non-occupational disability management desirable
- Good conflict management skills and case management experience
- Ability to handle a constantly changing series of priorities
- Strong interpersonal skills, professional ethics, sound judgment, exceptional verbal and written communication skills
- Knowledge of office methods, equipment and practices, PC software packages, and network systems