Care Management Associate Resume Sample
Aubree Gerhold
5519 Gutkowski Vista,
Chicago,
IL
+1 (555) 191 5032
Work Experience
Care Management Associate
02/2017
-
PRESENT
New York, NY
- Experience as a medical assistant, office assistant, or in another medical or healthcare related role required
- Office setting on a phone queue
- Working in an office setting on a phone queue
- Computer skills (Microsoft Office suite) required
- Familiarity with basic medical terminology
- Proficient computer skills including functional knowledge of Microsoft Office products (Word, Excel, Outlook)
- Demonstrated attention to detail and accuracy with data entry
Care Management Associate
10/2010
-
01/2017
San Francisco, CA
- Works independently, with supervision as needed, to assist Social Work and Nurse Care Coordinator in arranging resources, to support patient/family transition planning according to team identified timelines
- Using professional interpersonal skills, proactively participates in planning, using knowledge of community resources and patient/family needs
- Makes initial and follow-up contacts with community resources and is available to receive calls in order to expedite transitions from hospital to community care. Is readily accessible to patients/family and community agencies
- Completes required paperwork and transmissions – assures proper signatures as needed
- Demonstrates effective problem solving and fact finding activities in support of transitions
- Functional - Medical Management/Medical Management - Direct patient care/1-3 Years
- Functional - Administration / Operations/Document production & distribution/1-3 Years
- Functional - Administration / Operations/File Maintenance/1-3 Years
Education
Ohio University - Proctorville Center
2005 - 2009
School's Degree in Health Services
Professional Skills
- Prior telephonic customer support experience with strong keyboarding skills; Required
- Prior telephonic customer support/call center required with strong keyboarding skills
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues,
- Strong customer service skills and clear phone presentation required
- Read and communicate effectively in English. Basic computer skills necessary
- Experience working in a medical office or acute care setting with medical forms experience or processing medical paperwork; Required
- Balance multiple tasks at once and prioritize effectively and efficiently
How to write Care Management Associate Resume
Care Management Associate role is responsible for medical, computer, customer, assistant, terminology, basic, proactive, microsoft, literacy, sensitivity.
To write great resume for care management associate job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Care Management Associate Resume
The section contact information is important in your care management associate 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 Management Associate Resume
The section work experience is an essential part of your care management associate 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 management associate 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 management associate position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Care Management Associate resume experience can include:
- Experience as a medical assistant, office assistant or other clinical experience is REQUIRED
- Experience as a medical assistant, office assistant or equivalent experience is required
- Experience as a medical assistant, office assistant, or related experience required
- Be proficient with computers and key board skills, to include Word, Outlook and Excel
- Experience as a medical assistant, office assistant, or customer service representative experience; Required
- Superb ability to multitask, problem solve and a strong desire to provide the highest customer service experience possible; Required
Education on a Care Management Associate Resume
Make sure to make education a priority on your care management associate resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care management associate 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 Management Associate Resume
When listing skills on your care management associate 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 management associate skills:
- Effective Interpersonal skills (accessible, accountable, professional)
- Strong PC skills with proficient knowledge of excel, word, and outlook
- Time management skills and ability to manage multiple priorities needed
- Effectively participate in a multi-disciplinary team including internal and external participants is required
- Prior experience in an office environment; Required
- 5-4 years experience as a medical assistant or healthcare experience is required
List of Typical Experience For a Care Management Associate Resume
1
Experience For Care Management Associate Resume
- Demonstrates effective verbal and written communication skills and ability to work well with people
- Effectively seeks out and uses approved and available resources to problem solve and meet deliverables
- Experience as a medical assistant, office assistant, or customer service representative experience is REQUIRED
- Experience as a medical assistant, office assistant OR Customer Service experience within the healthcare field
- Prior Medicaid/Medicare experience
- Experience as a medical assistant or office assistant; Required
- Call center experience required
- Member/customer service experience required
- Experience as a medical assistant or office assistant
2
Experience For Care Management Associate Resume
- Functional - Administration / Operations/Data Entry/1-3 Years
- Functional - Clinical / Medical/Direct patient care (hospital, private practice)/1-3 Years
- Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
- Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User
- Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
3
Experience For Care Management Associate Resume
- Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
- Functional - Administration / Operations/Telephone / Receptionist/1-3 Years
- Experience as a medical assistant, office assistant, or customer service representative experience, computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible
- Acts as a liaison and coordinates workflow and communication for the care teams, as well as, with internal and external entities e.g. provider offices, vendors and program partners
- Conducts health support calls upon request, e.g. appointment confirmations
- Adheres to care management, privacy and confidentiality, and quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures
- Flex work hours at times to meet business needs
- Telephonic customer service experience, computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible
- Experience as a medical assistant, office assistant. Technology Experience Technical - Desktop Tools/Microsoft Word/1-3 Years/End User Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User Required Skills General Business/Maximizing Work Practices/ADVANCED Technology/Leveraging Technology/FOUNDATION
4
Experience For Care Management Associate Resume
- Care Management Associates with an interest in Disease Management for the Aetna Health Connections Disease Management Programs
- Manage inbound call activity
- Initial review of tasks and other administrative type activities that support the unit
- Telephonic customer service experience, computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible
- Experience as a medical assistant, office assistant, or customer service representative experience, computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible
- Task to the Social and Behavioral Health Staff, documentation of team meeting notes, handling logistics for scheduling and coordinating meetings, assist Manager with time and attendance, new hire onboarding and other administrative functions
- Utilizes effective communication skills to accurately complete work
- Collaborates effectively with all department staff to achieve goals and objectives
5
Experience For Care Management Associate Resume
- Generates required reports, spreadsheets and documents as requested to meet program outcomes and deliverables
- Acts as a liaison and coordinates workflow and communication for the care teams, as well as, with internal and external entities e.g. community based programs, vendors and program partners
- Experience as a medical assistant, office assistant
- Knowledge of Care Management Software system and the ability to generate reports for meetings and program planning purposes
- Thrives in a fast paced work environment
- Utilizes case management software to generate work lists
6
Experience For Care Management Associate Resume
- Submits clinical information per third party payer requirements
- Upon identification of possible concurrent denial, forwards the information to the appropriate case manager
- Notifies third party payer of patient discharge and secures all days
- Assists with non clinical functions to coordinate care transitions
- Experience as a medical assistant, office assistant or customer service representative experience, computer literacy, basic knowledge of Microsoft Word/ Excel/ Outlook, superb ability to multitask and problem solve, knowledge of medical terminology and a strong desire to provide the highest level of customer service experience possible
- Experience in a customer service environment, preferably candidates with demonstrable insurance or medical office exposure. Exposure or current usage of Aetna Total Clinical View (ATV) and Aetna Strategic Desktop (ASD) is desired but not required
- Manage inbound call activity -Initial review of tasks and other administrative type activities that support the unit REQUIRED SKILLS
- Experience in community resource research and delivery, linkage of community resources to members
7
Experience For Care Management Associate Resume
- Complete annual audit of community resources in the directory
- Coordinate with team members to research member specific resources
- Resource delivery and linkage to members
- Maintains accurate and complete documentation of required information that meets risk management, regulatory and accreditation requirements
- Familiarity with community resources, social determinants of health, basic medical terminology and concepts used in care management
- Willingness to work flexible hours desired
- Screens patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan. ( )
- Experience as a medical assistant, office assistant. Superior interpersonal skills, effective verbal and written communication abilities and strong teamwork skills are essential. Computer literacy and typing skills are required
8
Experience For Care Management Associate Resume
- Experience as a medical assistant or medical office assistant
- Customer Service experience is REQUIRED
- Experience as a medical assistant, office assistant, health care support
- Conducts Outreach Questionnaire (ORQ)
- Sends educational and resource information to members
- Initial review and triage of Care Team tasks,
- Uses Aetna systems (i.e. ATC, ASD, etc.) to build, research and enter member information, as needed
- Identifies and refers outlier cases (e.g., Length of Stay) to clinical staff. Identifies triggers for referral into Aetna's In Touch Care, Mixed Services, and other Specialty Programs
- Utilizes ATV and other Aetna systems to build, research and enter member information, as needed
9
Experience For Care Management Associate Resume
- Responsible for initial review and triage of Care Team tasks. ( )
- Monitors non-targeted cases for entry of appropriate discharge date and disposition. ( )
- Identifies and refers outlier cases (e.g., Length of Stay) to clinical staff. ( )
- ADDITIONAL JOB INFORMATION
- Specialty Programs. ( )
- Utilizes eTUMS and other Aetna systems to build, research and enter member information, as needed. ( )
- (e.g.,health care providers, and health care team members respectively) ( )
10
Experience For Care Management Associate Resume
- Accreditation requirements. ( )
- Process any referrals needed
- Be able to fax out paperwork to designated locations
- Proficient with navigation thru multiple systems and dual monitors ability to touch type at efficient speed
- Customer service required
List of Typical Skills For a Care Management Associate Resume
1
Skills For Care Management Associate Resume
- Experience in a medical setting or customer service setting
- Provide excellent customer service to patients entering the facility
- Experience preferably in customer service, telemarketing and/or sales
- Healthcare experience including but not limited to medical assistant or office assistant; Required
- Previous experience as a medical assistant or office assistant
- Or more experience as a medical assistant, office assistant; Required
- Experience as a medical assistant, office assistant is required
- Experience as a medical or office assistant
2
Skills For Care Management Associate Resume
- Or more customer service experience; Required
- Experience as a medical assistant, office assistant, or with MLTSS population
- Experience with heavy call volume and computer usage is desired
- Experience as a medical assistant, office assistant; Required
- Experience as customer service rep,a medical assistant, office assistant
- Experience as a medical assistant, office assistant is REQUIRED
- Experience as a medical assistant, office assistant
- Timely documentation in on-line systems is a required skill, to meet internal deadlines, as well as applicable Federal and State laws
3
Skills For Care Management Associate Resume
- Customer service experience is required
- Experience as a medical assistant and/or office assistant
- Electronic documentation experience required
- Strong MS Office to include Word, Excel and Outlook
- Experience with Medical Terminology CPT/DX codes
4
Skills For Care Management Associate Resume
- Experience as a medical/office assistant
- Experience as a medical assistant, healthcare office assistant/call center
- Medical Insurance experience desired, but not required
- Experience as a medical assistant, or medical office assistant
- Experience as a medical assistant, office assistant, health care support is required
- Answering incoming calls from providers or members regarding precertification or registration for surgical procedures
- Retrieving, sorting tasking electronic clinical records to appropriate resource
5
Skills For Care Management Associate Resume
- Answering incoming calls from providers regarding precertification or registration for surgical procedures
- Receiving and entering resources obtained from all other team members
- Working Conditions, Mental and Physical Requirements
- Coordinating care with nurses
- Sedentary work involving significant periods of sitting, talking, hearing and keying
- High Stress, fast moving environment requiring flexibility and adaptability in multiple environments
- Desirable completion of training as a Medical Assistant or other specific training in patient care
- And assisting in solving problems. ( )
6
Skills For Care Management Associate Resume
- Responsible for researching community resources and services and entering them into the community resource directory
- Work settings include but are not limited to: cubicles, nursing units, or other healthcare settings
- Frequent movement, walking and relocation
- Benefits Management/Interacting with Medical Professionals/FOUNDATION
- Benefits Management/Promoting Health Information Technology/ADVANCED
- Computer literacy in order to navigate through internal/external computer systems, including Microsoft Excel and Word required.
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality. ( )
- Service/Demonstrating Service Discipline/FOUNDATION
- General knowledge of disability, aging process, and disease process
7
Skills For Care Management Associate Resume
- Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word is required
- Send out letters to patients involving their Medicare or insurance information
- We are looking for Care Management Associate to join our Team in High Point NC
- Works efficiently, independently and accurately with manual and systems generated logs, task lists, and reports, meeting deliverables and deadlines
- Generates required reports, spreadsheets and documents, working from multiple sources and/or systems
- Resolution focused with high attention to detail, accuracy, problem solving and follow up
8
Skills For Care Management Associate Resume
- Willingness to work flexible hours desired. Work hours 8:00-4:30 ET 3 day shifts, 2 evening shifts 12:30-9:00 ET
- Works efficiently, independently, task lists, and reports, meeting deliverables and deadlines
- Care Management Associates with an interest in Aetna's Lifestyle and Condition Coaching Program
- Concentrate in areas of high activity
- Equipment used: routine office equipment, laptop or desktop computer, copy machines, fax machines, telephones and cell phones
9
Skills For Care Management Associate Resume
- Medical terminology knowledge or clinical exposure; Required
- Use multiple screens and toggle in Windows
- Responsible for initial review and triage of Care Team tasks. -Identifies principle reason for admission, facility, and member product to correctly apply intervention assessment tools
- Adheres to Compliance with PM Policies and Regulatory Standards. -Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
- The Care Management Associate also speaks with members, with the goal of connecting each member with the Aetna resource that can help them achieve their optimal level of health
- Collaboration with the member and provider as well as existing
- Supports the administration of the hospital care, case management and quality management processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case Management Society of
- Six months experience desirable
10
Skills For Care Management Associate Resume
- America (CMSA) standards where applicable, while adhering to company policy and procedure
- Understands and can apply care management concepts, methods and tasks
- Apply eligibility requirements, regulations, and policies and procedures to care coordination activities
- Expert knowledge of community resources
- Customer service is required
- Experience as a medical assistant, office assistant. proficient with navigation thru multiple systems and dual monitors ability to touch type at efficient speed
List of Typical Responsibilities For a Care Management Associate Resume
1
Responsibilities For Care Management Associate Resume
- Experience as a medical assistant, office assistant. Strong customer service skills to coordinate service delivery, including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for customers Computer literacy Familiar with basic medical terminology
- Experience in customer service is required
- Experience in MHR services
- Knowledge of medical terminology and or managed care
- Medical assistant/office assistant
- Computer literacy, basic knowledge of Microsoft Word / Excel / Outlook; Required
- Knowledge of medical terminology; Required
2
Responsibilities For Care Management Associate Resume
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members is required
- Effective communication, telephonic and organizational skills are required
- Familiarity with Medicaid is desired
- In a similar hospital role, or customer service related field
- Knowledge of Microsoft Windows, proficiency in Word
- Uccessful experience in Pharmacy Operations, Reimbursement or Quality. Strong background in reviewing medical and pharmacy benefits Excellent customer service and communication skills Advanced system skills - Aetna applications and desktop Enthusiastic team player Results-oriented and driven to succeed
3
Responsibilities For Care Management Associate Resume
- Timely documentation in on-line system
- Support comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services
- Promotes/supports quality effectiveness of Healthcare Services
- Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor. Working environment includes typical office conditions
- Evenings 1:30 PM -10:00 PM 1-2 rotations a month
4
Responsibilities For Care Management Associate Resume
- Plan. ( )
- Experience as a medical assistant, office assistant, or customer service representative experience within healthcare. Computer literacy, basic knowledge of Microsoft Word / Excel / Outlook, superb ability to multitask and problem solve, knowledge of medical terminology, and a strong desire to provide the highest customer service experience possible
- Experience as a medical assistant, office assistant with strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word
- Experience as a medical assistant, office assistant. Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word
Related to Care Management Associate Resume Samples
Care Management Resume Sample
Work Experience
• Understands and self-manages to support facility/CIN-level success goals, including improvements in quality, cost of care and member experience for the facility/CIN’s population
• Maintains current knowledge of care management topics and acts as the unit’s subject matter expert (SME) on care manage...
Professional Skills
• Strong interpersonal, oral and written com...
• Strong leadership skills to identify oppor...
• Strong organizational skills with the abil...
Care Senior Associate Resume Sample
Work Experience
• Use your own initiative to find new solutions for unusual or problematic situations regarding the customer’s order to ensure the best experience with Dell
• Initiating tasks in order to make improvements to current workflows that parallel with CBH’s mission
• Maintaining a hi...
Professional Skills
• Experience working in a contact center and...
• Intermediate skills in word processing, da...
• Demonstrate professionalism when working o...
Customer Care Associate Resume Sample
Work Experience
• Work as part of a team and demonstrate customer service excellence
• Make recommendations according to customer’s needs
• Consistent and regular attendance is mandatory
• Verify/Collect demographics and update as necessary in CRM system
•&nb...
Professional Skills
• Excellent communication and effective nego...
• Excellent organizational, time-management,...
• Strong organizational, priority and time-m...
Health & Medical Resume Sample
Work Experience
• Obtains Virtual Care consent from the patient upon admission, under the direction of the Virtual Nurse, and places in the patient’s record
• Maintain EMT certification/active RN education program/current CNA certificate
• Actively seeks to expand knowledge through In-services...
Professional Skills
• Exhibits high-level communication skills a...
• Experience in organized healthcare system ...
• Women’s Health experience including
Vision Care Resume Sample
Work Experience
• Designing and/or implementing insights-based marketing and communications programs for eye care professionals, customers and/or consumers
• Demonstrated ability to understand customer’s and companies financial data, business models & profit drivers, and can evaluate sales strategies in light of...
Professional Skills
• Winning attitude, Customer focus, Team pla...
• Strong skills analyzing data using Cognos,...
• Excellent time management, critical thinki...
Health Director Resume Sample
Work Experience
• Work usually performed in an office setting
• Significant time engaging customers in OR theatre and hospital or lab settings
• Develops, along with the Medical Director, departmental and team member goals and meets with team members on a periodic basis to review and assess as...
Professional Skills
• Strong consulting skills and ability to sh...
• Experience in current case or utilization ...
• + Proven ability to operate in a matrix or...