Care Coordinator Resume Sample
Rebeca Bauch
338 Ward Lake,
Los Angeles,
CA
+1 (555) 132 4174
Work Experience
Senior Care Coordinator
03/2016
-
PRESENT
San Francisco, CA
- Serves as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representative’s
- Convey to patients the importance of adhering to clinical care plan when being discharged from both ER and Inpatient environment
- Interact well with ER staff so that navigator is positioned/seen as another member of clinical care team by the patient
- Develop good relationship with hospital staff so that navigator can work as part of case management team and point of contact for the outpatient environment
- Develop trusted relationship with outpatient physicians in order to improve appointment scheduling and communication between post-acute care providers and the hospital
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Documents members’ service benefits by contacting the appropriate health plans as needed
Care Coordinator
06/2010
-
10/2015
New York, NY
- Provides communication and education regarding available services and community resources in a mode and manner that is culturally and developmentally appropriate and considers the member’s physical and cognitive abilities and level of literacy; assists member in developing self-management skills to effectively access and use services
- Completes relevant screening and assessment tools to determine member readiness, level
- O Completes referrals for patients and coordinates with referring and receiving practices and/or departments
- Conduct a thorough and objective evaluation of the client’s current status including physical, psychosocial, environmental, financial, and health status expectation
- Compare the client’s disease course to established pathways to determine variances and then intervene as indicated
- Routinely assess client’s status and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments in the care plan, providers and/or services to promote better outcomes
- Experience: Experience in psychiatric social work is desirable
- Medical, dental, vision, life and short-term disability coverage
- Paid vacation, sick days and holidaysAPPLY NOW
Junior Contractor Care Coordinator
04/2003
-
03/2010
Dallas, TX
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Customer Service & Satisfaction
- Provide outreach, disease management, education and other clinically based activities to patients managing various chronic health conditions
- Assess and identify participant’s readiness, identify educational needs, develop interventions and set goals for behavioral modifications within the scope of nursing practice
- Monitor and document patient’s progress towards goals
- This job opening (# 136141) replaces RN job opening # 135244
- Develop good relationship with hospital staff
- This job opening (# 136610) replaces RN job opening # 134211
- Assists with orientation and mentoring of new team members as appropriate
Education
Keiser University - Pembroke Pines Campus
1998 - 2003
Bachelor's Degree in Nursing
Professional Skills
- Demonstrates strong leadership qualities including communication skills, organizational skills, problem solving and decision-making skills
- Strong organizational skills, ability to prioritize and multi task. Strong communication, interpersonal, and customer service skills
- Excellent verbal/writtern communication skills with an emphasis on account support to include strong grammar, spelling, and writing skills
- Excellent organizational and time management skills, ability to multitask and excellent analytical, problem solving skills
- Have excellent spoken and written English, good IT skills, competence in Microsoft Office and possess strong leadership skills
- Strong communication, documentation, clinical and critical thinking skills and problem solving skills are essential
- Excellent written, verbal and listening communications skills. Proficient computer skills - data entry, retrieval and report generation
How to write Care Coordinator Resume
Care Coordinator role is responsible for computer, interpersonal, clinical, patient, organizational, health, customer, basic, leadership, telephone.
To write great resume for care coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Care Coordinator Resume
The section contact information is important in your care coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Care Coordinator Resume
The section work experience is an essential part of your care coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous care coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular care coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Care Coordinator resume experience can include:
- Conduct thorough and objective face-to-face assessments of the member to determine current status and needs, including physical, behavioral, functional, psychosocial, and financial, and health status expectation
- Demonstrated abilities to apply analytical and problem-solving skills and to manage multiple tasks or projects effectively required
- 7)Demonstrated leadership, effective communicator, and excellent critical thinking skills
- Excellent oral and written communication skills in addition to presentation skills
- Demonstrated team leadership of training/mentoring and/or project management experience and skills
- Excellent time management, prioritization, multi-tasking and organizational skills.Ability to work in multiple computer systems
Education on a Care Coordinator Resume
Make sure to make education a priority on your care coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Care Coordinator Resume
When listing skills on your care coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical care coordinator skills:
- Demonstrates excellent written, verbal, and listening, positive communication skills, positive relationship building skills, and critical analysis skills
- Demonstrates skills in effectively coordinating and monitoring care to promote quality and cost effective outcomes
- Strong organizational and problem solving skills Excellent oral, written and interpersonal skills are required
- Excellent assessment and care coordination skills. Experience with an EMR. Keyboarding/computer skills
- Demonstrated excellence in critical thinking skills and problem solving skills in daily practice: assessment, planning, intervention and evaluation of care
- Speak, read, write, and communicate effectively, including good telephone and interpersonal skills
List of Typical Experience For a Care Coordinator Resume
1
Experience For Customer Care Coordinator Resume
- 2)Excellent computer technical skills, especially smartphones and other mobile devices and prior experience with electronic medical record systems
- 5)Excellent oral and written communication skills
- 6)Have strong organizational skills
- Basic computer skills with database entry experience
- Excellent patient assessment and health teach skills
- Skilled in establishing and maintaining effective working relationships with patients/families, medical staff, and internal and external customers
- Efficient data entry ability and problem-solving skills to ensure accurate records
- Related business experience or up to three years LTC experience
- Coordinating customer service requirements (refund requests and/or charge backs) with other departments as necessary to ensure effective customer service
2
Experience For Clinical Care Coordinator Resume
- Review incoming electronic consults to the service. Prioritizing and facilitating access for urgent needs
- Reviews incoming electronic consults to the service. Prioritizing and facilitating access for urgent needs
- Follow up with each patient immediately prior to surgery to reinforce the teaching and to communicate instructions for reporting to the medical center
- Customer Services experience in Social/affordable Housing sites, Private Spec Housing, Extra care accommodation
- Experience of working with private housing sales teams
- Experienced in analysing problems and delivering solutions
- 7) Evaluate outcomes of Care Coordination efforts by measuring intervention effectiveness and fostering a continuous improvement mentality
3
Experience For RN Care Coordinator Resume
- Review activities that take place in a home or community setting to include review of evidence that care is being delivered at the appropriate level
- 8)Demonstrated ability to use data for trend analysis and decision-making
- Provides input into the yearly budget process providing cost-effective and quality care coordination and case management services
- Ensure all materials and labour required is available prior to starting works
- Liaise with Site Managers, Contracts Managers and Construction Director prior to arranging any meetings with customers for the Customer Care Manager
4
Experience For Managed Care Coordinator Resume
- Maintain an efficient, effective filing system
- Experience of Customer Services functions within a major construction or house building company
- 6) Assesses the effectiveness of patient programs/work flows regarding the high risk populations
- Nursing experience within specialty area
- Pediatric Cardiac Clinical experience is required
- Travel is 75% based upon business needs with a valid driver’s license
- 1)Experience working in a care-team environment
5
Experience For Point of Care Coordinator Resume
- Assist with follow-up on prior authorizations and other pending approvals for services
- Review and prioritize all EPIC in basket tasks and address urgent tasks as appropriate
- Review and prioritize all faxes and address urgent faxes as appropriate
- Follows up with each patient immediately prior to surgery to reinforce the teaching and to communicate instructions for reporting tot he medical center
- Prioritize and/or multi-task required
- Participate in performance improvement initiatives in order to improve the efficiency and effectiveness of their clinic and of the peri-operative process
- Identifies and communicates patient care priorities based on accurate patient assessment
- Assists assessing the effectiveness of current service providers through member satisfaction reports and/or follow up home visits, telephone calls
- Insures validity of data and ensure all patient related activities are documented appropriately
6
Experience For Care Coordinator RN Resume
- Initiates request for assessments through health plans/external providers when indicated and prior to annual due dates
- Provides supervision and direction to the Discharge Planner(s) and Care Coordination Assistant(s) in the prioritization of patient care and patient progression
- Directing and answering patient and physician questions about the patient’s inpatient stay to the appropriate providers in the hospital
- Educating patients and patients'' families regarding Medicare regulations and issues, and notices of non-coverage when appropriate
- Updating patients’ case management plans and on-going activities
7
Experience For Quality Care Coordinator Resume
- Identifying patient needs, current services, and available resources, then connecting the patient to services and resources to meet established goals
- Facilitating and verifying that interventions are completed, in order to meet patient’s needs and treatment goals
- Assessing and working on the patient’ readiness to change, the importance of change, and confidence in ability to change
- Clearing of daily task list for assigned shipments
- Scheduling appointments with established PCP
- Following patients for the appropriate time period (30 days) in order to confirm that the patient is compliant with the appropriate care plan
- Providing new customers with welcome kit information
- Identifying patients‘ insurance coverage or other sources of payment for services
8
Experience For Transition Care Coordinator Resume
- Finalizing and issuance of client documentation requirements
- Conducting face to face assessments in the member’s home
- Applying State guidelines to requests for services
- Ongoing education on BCBST Enterprise Quality Strategy as it relates to the PCMH clinical measures and established targets
- Confirming patient arrival at specialist appointments and tracking the patient’s care direction after the appointment
- Marketing the Care Continuity program to the affiliated provider network with the assistance and direction of the business development team
- Responding to physician requests for patient charts, labs, referral documents, etc
9
Experience For Referral Management Care Coordinator Resume
- Process outgoing and incoming phone calls, mail, and faxes on a daily basis. Some copying and collating, and ordering of supplies for Field Associates
- In some cases, participates as part of the inpatient interdisciplinary team, including participating in discharge planning
- In some cases, participate as part of the inpatient interdisciplinary team, including participating in discharge planning
- Conducts health and wellness coaching sessions to assist participants in making lasting changes to their health and wellness
- Monitor patient compliance regarding preventative care using Care Vantage and payer reporting
- Ensure smooth patient referral and scheduling processes by monitoring and addressing physician process issues as needed
- Perform a range of nursing procedures, including dressing changes, suture removal, oxygen administration, wound irrigations and catheterizations
- Teach patients and/or families proper home health care activities, such as giving injections, taking blood pressures, changing would dressings, etc
- Assist with meeting scheduling and set up including accommodations and
10
Experience For Inpatient Care Coordinator Resume
- 3)Fluent in speaking and reading Spanish
- Answers all incoming warranty telephone lines; asks probing questions to gather facts; troubleshoots to resolve customer issues
- If patient does not have a PCP, finding a PCP that accepts the patients insurance and scheduling an appointment in the appropriate time frame
- Coordinates OR scheduling with administrative team, clinical team, and OR scheduling office
- Assist with referral logging, distribution and scheduling as needed
- Responsible for updating reporting system / database in a timely and efficient manner to ensure accuracy of customer database
- Track record of achieving & sustaining high customer satisfaction results
- Familiar with developing and monitoring Customer Services defect management software
- Maintain patient charting as needed and perform medical record review during HEDIS and MRA projects
List of Typical Skills For a Care Coordinator Resume
1
Skills For Customer Care Coordinator Resume
- Demonstrated effective interpersonal relationship and customer service skills
- Good experience/skills in MS Office and basic administrative tasks,
- Demonstrated excellent written and verbal communication skills, as well as organizational abilities
- Experience Prior experience working as a Medical Assistant and/or working in a medical setting interacting with patients and clinical information
- Excellent knowledge of English grammar, spelling, punctuation and sentence structure/formats, demonstrated skill in composing correspondence
- Experience Prior experience working as a Medical Assistant and/or Medical Front desk interacting with patients
2
Skills For Clinical Care Coordinator Resume
- Effective critical thinking skills and the ability to solve problems independently
- Strong focus in solution finding with clear communication skills
- Time management, priority setting, delegation and work organization skills
- Evidence of essential leadership, communication, education, and counseling skills
- Strong data analytic skills to prepare and monitor management reports regarding the performance of the areas assigned and the department
- Superior ability to prioritize with outstanding time management and follow through skills
- CWC or CWOCN-Prior experience as a wound ostomy nurse -Previous experience in working with both adult and pediatric populations
- Excellent interpersonal, oral and written communication skills, including diplomacy, tact, and flexibility
3
Skills For RN Care Coordinator Resume
- Organize tasks, prioritize and work effectively in an environment with multiple interruptions, while maintaining an organized work space
- Demonstrated ability to 1 apply analytical and problem solving skills
- Excellent organizational, decision making, communication, and relationship building skills, both written and verbal
- Strong computer skills in MS Word, MS Access, MS Excel, and MS PowerPoint required
- Strong algebraic and problem solving skills
4
Skills For Managed Care Coordinator Resume
- Possess excellent organizational and detail-oriented skills
- Strong computer skills and knowledge and proficiency with Microsoft Word, Excel and PowerPoint
- Strong oral and written communication skills, working knowledge of MS Office Suite
- Demonstrated problem solving skills in a complex environment
- Good working knowledge of local social service resources or skills to acquire and use this knowledge and information expeditiously
- Experience in a hospital setting, acute care, direct care experience or experience as a Home Health Case Manager
- Effective verbal and written communication skills in a fast-paced setting
- Basic clinical knowledge and strong interpersonal skills
5
Skills For Point of Care Coordinator Resume
- Excellent organizational and time management skills, ability to multitask
- Strong interpersonal and communication skills, ability to work in a team environment, as well as ability to work independently
- Excellent communications and phone skills
- Excellent customer service and presentation skills required
- Strong computer skills necessary to handle a number of different routines and to understand complex patient accounts
- Good communications skills to be able to interact with physicians, patients, insurance representatives, administrative contacts, etc
6
Skills For Care Coordinator RN Resume
- Excellent customer service skills and ability to interact well with all patients
- Proven ability to interact with all organizational levels and to communicate effectively and professionally both in person and via phone
- Counseling and advising skills
- Typing skills, computer literate
- Demonstrates effective teaching techniques, applying adult learning principles
7
Skills For Quality Care Coordinator Resume
- Experience of planning, organising and prioritising workload
- Demonstrated knowledge and experience in planning, developing, and implementing complex Continuous Quality Improvement activities
- Participates effectively as a team member in the clinic being accountable, helpful and welcoming to coworkers, providers and patients
- Provide quality case management and activities of daily living skills training to clients
- Clinical nursing experience and/or2 years' experience in clinic setting, Population Health Management or Patient Centered Medical Home
- Intermediate personal computer skills including electronic mail, routine database activity, word processing, spreadsheets, and work with graphics
- Recent employment experience in a Doctor's office or Hospital doing insurance verification, prior authorization etc
- Acute medical-surgical nursing experience or CHHA experience
- Affect change, work as a productive and effective team member. Able to adapt to changing needs and priorities
8
Skills For Transition Care Coordinator Resume
- Apply critical thinking skills for conflict resolution
- Work Experience: 5 years of work experience in a healthcare setting
- Experience as an RN in an acute care setting in the last 5 years or recent utilization management experience
- Basic computer word processing skills
- Proven leadership ability including: initiative and creativity as evidenced by previous employment reference
- Demonstrated management of multiple priorities utilizing acuity and urgency as predictors
- Previous experience with MiChart (Epic EMR), experience training other research staff in MiChart
9
Skills For Referral Management Care Coordinator Resume
- Basic LVN nursing skills
- PC skills including Outlook
- 1-2 prior years of experience in customer service or medical support position
- Experience in Case Management Care Coordination in an HMO environment or other equivalent experience
10
Skills For Inpatient Care Coordinator Resume
- Critical thinking skills, with an aptitude for solving problems
- Capable of handling conflict with the ability to effectively diffuse negative customer sentiment
- Prior case management or leadership experience
- Work effectively with people from diverse cultures and diverse socioeconomic situations
- Intermediate computer skills, specifically in Microsoft Outlook, Word, and Excel
- Demonstrated ability to articulate in an effective and clear manner, the pertinent clinical issues to the team
- Demonstrated ability to prioritize assignments and manage busy work environment
List of Typical Responsibilities For a Care Coordinator Resume
1
Responsibilities For Customer Care Coordinator Resume
- Proficiency in computer and keyboarding skills, using an electronic medical record, and Microsoft Office and calendaring experience
- Excellent negotiation, boundary setting, and influencing skills
- Demonstrated ability to apply critical thinking skills in daily practice, assessment, planning and evaluation
- Computer profiency, including strong working knowledge of Microsoft Office, particularly Microsoft Excel, as well as math skills
- Possesses strong problem solving skills with the ability to bring resolution and customer satisfaction
- Effective, demonstrable computer skills (beyond basic keyboarding) and understanding of telephone etiquette
- 3)Have strong organizational skills
2
Responsibilities For Clinical Care Coordinator Resume
- Outstanding patient/customer relations skills
- Working knowledge of 3rd party requirements; impeccable communication skills; computer literate and adept
- Demonstrated skill of problem-solving, multi-tasking and handling a substantial work load
- Technologically savvy; Advanced computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint
- Outstanding interpersonal communication and coordination skills
- Training and/ or experience in cognitive programming
- Working knowledge of computer programs and demonstrated proficiency
3
Responsibilities For RN Care Coordinator Resume
- Including direct oncology experience
- Ensuring day-to-day care services are operated in accordance with health and safety legislation
- Building effective relationships through trust, respect and communication with your colleagues, beneficiaries, and clinical care teams
- Responsible for managing case load of patients that include facilitating care during stay, planning and expediting plans for safe and effective discharge
- Experience in working in a large complex healthcare setting; handling appointment scheduling, registration and authorization
- Experience with editing and proofreading documents, as well as writing clear, accurate correspondence, meeting minutes, and/or reports
- Experience conducting data entry, sorting and filtering, and creating reports in Microsoft Excel
- Experience facilitating or managing OR scheduling
- Demonstrated proficiency using electronic organization methods and software, including electronic calendaring, Excel and Microsoft Word
4
Responsibilities For Managed Care Coordinator Resume
- Experience coordinating, maintaining and arranging complex calendars for meetings, events, programs and appointments
- Experience producing marketing materials, letters, correspondence and/or reports containing tables, slides, graphs, etc
- Demonstrated ability to network and connect system pieces/ players on challenging access issues and sustaining collaborative partnerships
- Recent experience with providing patient/family preoperative teaching in the Cardiac Surgery population
- Experience in planning and organizing functions, meetings and special events
- Experience training and mentoring other Research Coordinators
5
Responsibilities For Point of Care Coordinator Resume
- Recent (in the past three years) direct care nursing experience with Infertility/ART patients in a clinic setting
- Demonstrated flexibility in accepting changing clinical assignments on short notice
- Experience working with persons that have co-occurring mental illness and substance use disorders
- Experience using Microsoft Access (writing SQL queries)
- Experience in long-term care, home health, hospice, public health, or assisted living, and or working with the elderly and physically disabled
- Experience performing food challenge testing
- Knowledge of HIPPA, complex scheduling, and Community Referrals. Experience working with Pediatric patients
6
Responsibilities For Care Coordinator RN Resume
- Experience in long-term care, home health, hospice, public health, assisted living and or working with the elderly and physically disabled
- Experience working directly with clinical staff, supervisors, managers and physicians in a hospital setting
- Nursing experience in an acute hospital setting
- Experience working with Non-English speaking patients and interpreters
- Demonstrated ability of having a sense of urgency and getting back to customers in a timely fashion
- Excellent follow-up and follow through, not letting anything slip through the cracks
- Two (2) or more years of work experience directly related to supporting Managed Care functions for acute care, medical group, or other managed care setting
- Culturally effective capabilities, demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs
- Demonstrate respect for the privacy and confidentiality of patient’s medical records and visits
7
Responsibilities For Quality Care Coordinator Resume
- Fice related experience with an emphasis on customer service preferablly in a hospital or clinic setting
- Assists in the development, interpretation, and implementation of evidence base nursing standards of practice
- Interprets implements and enforces hospital policies and procedures. Makes recommendations using evidence base practice for change as needed
- ASCP certified with 3 years of clinical laboratory experience
- Assist with development and implementation of patient education and evidence based nursing protocols for procedural patients and patients with chronic pain
- LTC experience would be helpful
8
Responsibilities For Transition Care Coordinator Resume
- Organise priorities and direct local team where required
- Valid driver's license with state of Michigan and active auto insurance
- Skill in immediate problem resolution
- Position requires an understanding of patient’s mental health benefits and third party payer prior approval requirements for all levels of care
- Obtaining, issuing and reviewing operational documentation for Stock Management activity
- Working with and providing guidance to CHW supervisors and their teams to ensure they are maintaining appropriate contact with
- Managing and resolving customer queries (life cycle, billing/moves, technical)
9
Responsibilities For Referral Management Care Coordinator Resume
- Working knowledge of IDX Managed Care Applications including OnBAse and
- Transitioning from institutional care to home and community-based care/Community Living Supports,
- Training in resource navigation, motivational interviewing, or as a health coach
- Understanding of the ICD-10 and CPT coding
- Invoicing Training Sales
- Working knowledge of computer applications, word processing, spreadsheets, LIS, and HIS
- Participating as required in multi-disciplinary assessment of service user needs and planning service user care
- Liaising with external organisations in respect of developing a total package of care for a service user
- Defining any special care needs and liaising with external organisations (CPN’s, chiropodists, GPs etc.) to develop a total package of care
10
Responsibilities For Inpatient Care Coordinator Resume
- Working knowledge and understanding of process and system improvement
- Processing Ad-Hoc financial transactions and billing
- Initiating and managing credit control rules as per contractual and personal arrangements
- Assisting in reporting of performance
- Becoming an expert in the processes and systems that impact the contractor including but not limited to, timesheet error, expenses and holiday
- Understanding the existing customer service model deployed to major clients
- Responding to queries from contractors, clients, visitors, suppliers, ensuring solutions and answers are given in an efficient, timely manner
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