Manager Case
Resume:
Denise Fuchs
Wayne, New Jersey 07470
*************@*****.***
PROFESSIONAL PROFILE
Compassionate nursing professional with extensive experience in the healthcare industry
Managed complex patient cases in diverse healthcare settings, as well as sales and marketing
Reputable for outstanding communication skills.
Forged meaningful business relationships and understanding with clients, families, physicians,
Insurance providers, and hospital personnel for sub-acute and long-term skilled nursing facilities
Experienced in field case management services for workman’s compensation/disability and auto
Insurance carriers.
Background in Geriatric Care
Field Nurse Case Management/Disability/Auto
Sub-acute and Long-term Care
Medicare/Medicaid
Relationship Building & Management
Patient Assessments/Screenings
Client Relations
Interpersonal Communication Skills
Professional Experience
Census Growth
Experienced in Workman’s Compensation/Disability Claims
Problem Solving
Client/Patient Advocacy
PROFESSIONAL EXPERIENCE
Jan 2012 to February 2013 Llanfair House Care and Rehabilitation Center Wayne, New
Jersey
Nurse Case Manager
Evaluated medical records and performed assessments on potential patient referrals to determine
cost effectiveness, potential revenue generation, and appropriateness of admissions to sub-acute
rehabilitation and long-term care for skilled nursing facilities
September 2009 to December 2011 Oakland Care Center Oakland, New
Jersey
Nurse Case Manager
Drove efforts to consistently grow census of skilled nursing facility by establishing alliances with
hospital personnel; physicians, social workers and case managers.
Ensured clarity regarding cost of medications and short-term care and long term placement
November 2007 to May 2009 Care One at Morris Parsippany, New
Jersey
Nurse Case Manager
Consistently achieved census growth and boosted revenue for sub-acute rehab and assisted living
facilities. Achievement of exceeding census quota by developing professional relationships with
physicians and hospital personnel through direct sales and marketing, thereby earning monthly
bonuses for delivering results.
Screening patient referrals for potential admission to sub-acute rehab and assisted living facilities
March 2004 to November 2007 Genesis Health Care Denville/Morristown/Chester New
Jersey
Nurse Case Manager
Consistently achieved census growth and boosted revenue for sub-acute and long term care
skilled nursing facilities. Earned quarterly bonuses for delivering results.
Contained costs for skilled nursing facilities and maintained a safe environment for facility staff
and residents through careful review of cases in order to avoid ones that potentially required a
higher level of nursing care.
May 1990 to June 2003 Concentra Integrated Services Cranford, New
Jersey
FIELD NURSE Case Manager
Handled all aspects of services for individuals rehabilitating under worker’s
compensation/disability and auto insurance claims.
Optimized recovery and health of clients by providing expertise on clinical matters and guidance
regarding financial aspects of their cases.
Served as point of contact with physicians, patients, families, and insurance carriers.
Negotiated treatments and care with all parties, driving focus on reaching a positive state of
health for clients and achieving return to work status as well as cost containment.
Served as patient advocate while driving cost containment for insurance companies.
Partnered closely with multidisciplinary groups, as well as families, to achieve maximum medical
improvements while controlling costs.
Created trusting relationships with clients while guiding them through treatment process
overcame resistance and encouraged attendance at independent medical exams and return to work
when feasible.
Collaborated closely with insurance carrier adjusters and risk managers, as well as with clients
and attorneys to advance case management services.
Significantly improved outcome for a young client with an above-the-knee amputation and severe
limp that made work difficult.
As patient advocate, provided detailed information illustrating that a more expensive prosthetic
leg provided a better fit, improved ambulation, and was more cost-effective in the long run.
Played key role in helping a man with a fractured leg whose livelihood depended on
Independent ambulation and whose housing was tied to his employment.
Guided patient to appropriate medical treatment, temporary living arrangements, and eventual
Recovery that enabled him to return to work.
Recognized for treating all clients with kindness, dignity, and professionalism, and for respecting
their individuality while planning care and treatment.
CAREER NOTE: Earlier positions as a Nursing Supervisor for Omna Health Care and Always Care, and
as a Staff Nurse for Mount Sinai Medical Center and Hackensack Medical Center.
Education & Certification
Bachelor of Science in Nursing – The College of New Jersey, Ewing, New Jersey
Previously held Certified Case Manager designation – sitting for exam for recertification August 2013.
Contact this candidate