FIELD CASE MANAGER SKILLS, EXPERIENCE, AND JOB REQUIREMENTS

Published: Mar 11, 2025 - The Field Case Manager has expertise in Microsoft Office and the ability to deliver effective presentations. This position demonstrates strong communication skills for collaboration with medical professionals and community partners and efficiently manages case loads with precise attention to detail under strict deadlines. Knowledge of Medicare and Medicaid regulations is essential, alongside the capacity to conduct face-to-face visits to ensure thorough engagement in the case management program.

Essential Hard and Soft Skills for a Standout Field Case Manager Resume
  • Case Management
  • Disease State Education
  • Reimbursement Coordination
  • Program Customization
  • Report Completion
  • Case Coordination
  • Documentation
  • Adverse Event Reporting
  • Program Training
  • Rehabilitation Planning
  • Patient Advocacy
  • Relationship Building
  • Professional Development
  • Communication
  • Quality Improvement
  • Vendor Negotiation
  • Computer Proficiency
  • Needs Assessment
  • Communication
  • Vocational Planning

Summary of Field Case Manager Knowledge and Qualifications on Resume

1. BS in Nursing with 6 years of Experience

  • Knowledge of private and public reimbursement structure, systems, and process
  • Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
  • Strong analytical skills including interpretation of regulation and legislation
  • Fluency in French and/or English depending on program and geographic location.
  • Knowledge of pharmaceutical distribution industry
  • Strong customer service skills
  • Strong analytical and mathematical skills
  • Strong critical thinking skills
  • Ability to communicate effectively both orally and in writing
  • Effective interpersonal and leadership skills
  • Effective organizational skills

2. BA in Psychology with 4 years of Experience

  • Experience in critical care, emergency, acute care inpatient/outpatient or homecare setting are considered assets
  • Knowledge of private and public reimbursement structure, systems, and process.
  • Experience with reimbursement billing, special access, appeals process and conducting field-based reimbursement support and consultation is an asset.
  • Ability to access a home computer with an internet connection, printer, fax machine, and cell phone for making and confirming appointments/assignments
  • Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
  • Excellent customer service skills in dealing with patients, physicians, and clients
  • Strong written and verbal communication skills
  • Strong analytical skills including interpretation of regulation and legislation
  • Excellent time management and organizational skills.
  • Proficient grammar, sentence structure and written communication skills
  • Excellent problem-solving skills
  • Ability to resolve issues effectively and efficiently

3. BS in Social Work with 5 years of Experience

  • Experience using Care Management software applications
  • Knowledge of, and experience with, community resources (i.e. Regional Centers, Washington State Medicaid mental health and substance abuse services) preferred
  • Knowledge of regulatory and certification requirements and impact on the organization (for example, HEDIS, CAHPS, and NCQA).
  • Strong analytical skills and the ability to interpret, evaluate and formulate action plans based upon data
  • Experience in care management workflow systems
  • Effective verbal and written communication skills
  • Flexibility and willingness to work in a matrix-management environment
  • Demonstrated organizational, time management, and project management skills
  • Ability to handle multiple priorities in a fast-paced environment
  • Ability to multi-task and deal with complex assignments on a frequent basis

4. BA in Sociology with 4 years of Experience

  • Demonstrated proficiency and experience with Microsoft Office products
  • Ability to present in a group setting
  • Ability to collaborate with others in a respectful manner
  • Ability to perform all functions of the job with accuracy, attention to detail and within established timeframes.
  • Knowledge of Medicare and Medicaid regulations
  • Able to provide face-to-face visits to members when barriers to telephonic case management are identified for effective outreach and engagement in case management program
  • Strong written and verbal communication skills
  • Able to communicate and collaborate effectively with physicians, allied health care providers, community partners and other staff members
  • Ability to consistently meet deadlines
  • Excellent presentation skills
  • Intermediate knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

5. BS in Public Health with 5 years of Experience

  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills.
  • Ability to work independently (may require working from home).
  • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
  • Strong clinical knowledge base.
  • Excellent communication skills
  • Ability to work independently under general management direction to complete all assignments.
  • Ability to prioritize and organize tasks.
  • Experience in typing and computer skills, working knowledge of Windows.
  • Ability to meet Company adjudication standards.
  • Ability to adhere to Company attendance policy.
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