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Case Management Manager

Location:
Warren, OH
Salary:
85000
Posted:
January 29, 2025

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Resume:

QUALIFICATIONS SUMMARY

Case Management for

Medicare/Medicaid

Experience in Home Care, Long Term Care, and Short-Term Rehabilitation. Wound

Care, Restorative, Wound

VACs, Suprapubic

Catheters, Accurate and Thorough Assessments,

Dedicated to providing excellent case management to members and their families.

Proven communication skills and ability to work with various levels of healthcare organizations to achieve common goals.

Self-motivated, able to set priorities to achieve goals.

Function well independently and as an integral team member.

Excellent time management skills

WORK EXPERIENCE

CARE SOURCE JULY 2019- January 2025

Cleveland, OH 44124

216-***-****

RN Case Manager

Managing member cases per Medicare and Medicaid guidelines

Single Point of contact for members

Ensuring members close gaps in care for preventative measures

Networking with outside providers such as DME carriers for member needs

Ensuring member cases are compliant with state and federal guidelines.

Active teamwork to ensure proper member care.

Building trusting relationships with members, members families and medical staff for the express goal of providing the best quality medical care for members while managing costs to ensure they are as low as possible

GREAT LAKES HOME HEALTH JANUARY 2018-JULY 2019

5830 Heisley Rd, Mentor

OH 44060

888-***-****

RN On Call/After Hours

Triage and assess prn visits during afterhours.

Wound care and healing using effective wound care techniques and products.

Infection control

Problem solving

Risk Management

Skilled assessments

Overseeing LPNs and HHAs

Building trusting relationships between employees, residents, and residents’ families

GREAT LAKES HOME HEALTH MARCH 2016- JANUARY 2018

5830 Heisley Rd, Mentor,

OH 44060

888-***-****

RN Case Manager

Oversee and manage patients skilled nursing needs in the home setting.

Wound care and healing using effective wound care techniques and products.

Infection control

Problem solving

Risk Management

Skilled assessments

Overseeing LPNs and HHAs

Building trusting relationships between employees, residents, and residents’ families

P INE VALLEY CARE CENTER AUGUST 2015- MARCH 2016

4360 Brecksville Road

Richfield, Oh 44286

330-***-****

Unit Manager

Oversee and manage RNs, LPNs, STNAs

Problem solving

Risk Management

Skilled assessments

Wound care and infection control

eMAR usage and teaching

Employee education and training

Building trusting relationships between employees, residents, and residents’ families

Specializing in geriatric and gero-psych patients

MAPLEWOOD CARE CENTER AUGUST 2014- AUGUST 2015

1645 Maplewood Drive Streetsboro, OH 44241

330-***-****

RN Supervisor in charge of skilled nursing unit

Duties include skilled assessment, PICC/Central Lines operation, Wound Vac, Wound assessment and treatment, managing staff, treating residents and family with respect and kindness while delivering the best care possible.

VA patient care

Washington Square Healthcare

202 Washington St NW May 2014- August 2014 Warren, OH 44483 330-***-****

Charge RN for the 3:00- 11:00 shift.

In charge of skilled nursing assessments, technical nursing skills and using the nursing process to maintain resident health and safety Supervisor of VA resident’s care

ACADEMIC BACKGROUND

University of Akron College of Health Professions – Akron, Ohio. (August 2013)

Accelerated BSN Program

Kent State University – Kent, Ohio (December 2001) Bachelor of Arts – Biology

LICENSURE / CERTIFICATIONS

CPR/ BLS – AHA (January 2025)



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