CASE MANAGEMENT SPECIALIST RESUME EXAMPLE
Updated: July 24, 2024 - The Case Management Specialist manages the intricate process of reviewing, triaging, and escalating information security and insider threat-related events. This role involves coordinating with senior members of the firm to formulate swift response strategies and improve incident handling procedures. Essential duties also include tuning monitoring systems for optimal performance and providing advisory services on information security across various departments.


Tips for Case Management Specialist Skills and Responsibilities on a Resume
1. Case Management Specialist, Beacon Behavioral Health, Reno, NV
Job Summary:
- Calculate all support levels and communicates changes to providers, case managers, and other pertinent staff
- Review/approve/manage Home Health PARs
- Coordinate/manage request for proposal process
- Help obtain signed medical documentation from medical staff
- Develop/maintain tracking systems for various case management and program functions
- Develop and use formats for information sharing
- Perform database maintenance related to assigned aspects of Program Quality Department
- Enter data accurately and punctually, generates database reports
- Establish and maintain well organized filing/e-filing systems, including financial records
Skills on Resume:
- Support Level Communication (Soft Skills)
- PAR Management (Hard Skills)
- RFP Coordination (Soft Skills)
- Documentation Collection (Hard Skills)
- Tracking System Development (Hard Skills)
- Information Management (Hard Skills)
- Database Maintenance (Hard Skills)
- Financial Recordkeeping (Hard Skills)
2. MEA Case Management Specialist, Horizon Health Services, Boise, ID
Job Summary:
- Responsible for receiving / downloading information from Email/SharePoint/E-fax, receiving voice calls for reporting safety information
- Route information/safety reports to appropriate AbbVie department (e.g. Medical Information, Quality Assurance)
- Monitor mailbox, triage safety reports and emails.
- Maintain and archive emails/source documents and update SharePoint/folders.
- Handle source documents and enter data in AbbVie tracking system as per triage criteria.
- Acknowledge receipt of information
- Obtain consent from reporter to FU on safety reports
- Assess cases for missing information and follow up query requirement
- Initiate follow up Queries using the relevant letter
- Tracking follow up attempts till the closure of follow up.
Skills on Resume:
- Information Reception (Hard Skills)
- Report Routing (Hard Skills)
- Mailbox Monitoring (Hard Skills)
- Document Archiving (Hard Skills)
- Data Entry (Hard Skills)
- Consent Management (Soft Skills)
- Information Assessment (Hard Skills)
- Follow-Up Tracking (Hard Skills)
3. MEA Case Management Specialist, Prairie Health Systems, Lincoln, NE
Job Summary:
- Perform initial checks, search database to prevent duplicate entries.
- Ensure up front clarification requests in case of data discrepancy identified in source document/s.
- Evaluate the safety information for case seriousness and including potential for upgrade /downgrade of FU cases.
- Responsible for receiving, reviewing, and archiving source data records for any missing/discrepant safety information
- Identify discrepancy/ies and maintain email clarifications of discrepancies for SDV.
- Perform Health Authority extraction to retrieve ICSRs which are directly submitted to
- Submit ICSR to RA, Investigators and EC.
- Translation, back translation & vendor translation QC of patient safety reports.
- Work with functional lead to improve case quality.
- Assists in the training and mentorship of new joiners
- Back-up for Case processing and follow-up
Skills on Resume:
- Duplicate Entry Checks (Hard Skills)
- Data Clarification (Hard Skills)
- Safety Evaluation (Hard Skills)
- Data Archiving (Hard Skills)
- Discrepancy Identification (Hard Skills)
- ICSR Submission (Hard Skills)
- Translation Quality Control (Hard Skills)
- Mentorship Assistance (Soft Skills)
4. Case Management Specialist, Gateway Community Health, Fargo, ND
Job Summary:
- Conduct review, triage and escalation of detected and user reported information security and insider threat related events
- Collect supporting information and relevant artifacts, investigate and assess the severit
- Escalate to the relevant stakeholders and coordinate and record remediation actions
- Host meetings with senior members of the Firm to develop quick response plans to information security events
- Work closely with other team members to test and document new monitoring tools and/or enhance the existing incident handling procedures
- Work with relevant stakeholders to tune monitoring platforms and data sources to high fidelity alert signals and risk scores
- Provide general Information Security advisory services to key stakeholders across the Firm
- Participate in various projects related to operational improvements and tooling
- Provide on call and out of hours support
Skills on Resume:
- Event Triage (Hard Skills)
- Incident Investigation (Hard Skills)
- Stakeholder Coordination (Soft Skills)
- Response Planning (Soft Skills)
- Tool Documentation (Hard Skills)
- Monitoring Tuning (Hard Skills)
- Security Advisory (Soft Skills)
- Project Participation (Soft Skills)
5. Case Management Specialist, Peak Wellness Clinics, Little Rock, AR
Job Summary:
- Develop, distribute, and manage service plan (SP) and billing data for service providers
- Support and resolve billing issues
- Research participants' service utilization and previously-provided services and supports and follow up
- Ensure timely initiation and implementation of the SP process
- Ensure timely completion of documentation needed for the provision of services and funding
- Perform and document targeted case management activities within established timelines
- Complete annual SPs and revisions for the plans of individuals in service
- Check/review all annual SPs and SP revisions to ensure all requirements are met and all data is accurate
- Ensure the accuracy and timely entry and distribution of written SPs and addendums
- Enter documentation into state-held billing systems
Skills on Resume:
- Service Plan Management (Hard Skills)
- Billing Issue Support (Hard Skills)
- Utilization Research (Hard Skills)
- SP Process Initiation (Hard Skills)
- Documentation Completion (Hard Skills)
- Case Management (Hard Skills)
- Plan Revisions (Hard Skills)
- Data Accuracy Checks (Hard Skills)