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Nurse case manager skills for your resume and career

15 nurse case manager skills for your resume and career
1. Care Management
- Conducted assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Collaborated with Medical Directors across the nation during monthly round to troubleshoot unconventional infertility health care management and education.
2. Discharge Planning
- Coordinate matters involving Medicare reimbursement, oversee Quality Assurance and Utilization Review issues, and coordinate discharge planning.
- Ensured admissions, utilization review, and discharge planning were executed according to hospital and regulatory standards.
3. Patients
- Assist patients with establishment of care with specialty providers ensuring all medical/clinical notes and approved referrals are provided to gaining specialist.
- Implement and incorporate a proactive approach to help facilitate timely movement of patients through the rehabilitative process.
4. Home Health
- Performed utilization reviews by authorizing home health visits for members recently discharged from a facility.
- Managed home health benefits and coordinated with Medicare-Medicaid for eligibility of services.
5. Rehabilitation
- Coordinated rehabilitation care for cardiac populations after various cardiac procedures/hospitalization.
- Provided rehabilitation nursing coordination and care supervision for the home care team caring for individuals with catastrophic injuries and chronic illnesses.
6. Medical Care
- Advocated for patients with respect to approval for coverage for necessary medical care and advised state care-providers regarding appropriate medical decisions.
- Provided short-term medical care/monitoring and educated patient, family, and private caregivers in care at home and disease management.
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Build a professional nurse case manager resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your nurse case manager resume.7. Diabetes
Diabetes refers to a disease of uncontrolled sugar levels in the body.
- Worked collaboratively with local diabetes team, health professionals and community agencies.
- Provided group diabetes education classes at community centers and physician offices.
9. Excellent Interpersonal
- Dedicated patient advocate with excellent interpersonal/communication skills.
- Focused on patient satisfaction through excellent interpersonal skills and hospitality initiatives.
10. ICU
ICU means intensive care units. It also has a name known as the critical care unit or intensive therapy unit. The ICU handles patients experiencing acute diseases or severe injuries that need specialized treatment procedures by specific professionals.
- Nurse Case Manager/Discharge planner for NICU, ICU, and Step-Down Units.
- Moved into nurse manager role for ICU and Skilled Nursing.
11. Excellent Organizational
- Required excellent organizational and communication skills.
- Obtain patient history, analyze reports while displaying excellent organizational skills in patient charting and record keeping.
12. URAC
- Participated in the use of quality indicators such as predictive modeling and inter-rater reliability and assisted in URAC accreditation standards.
- Assisted with successful company URAC certification.
13. Utilization Review
Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.
- Managed patient's length-of-stay through collaboration with physicians and utilization review staff with additional focus on patients in observation status.
- Work with facilities, utilization review departments and case managers to acquire medical documentation, assist with locating contracted providers.
14. Community Resources
Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.
- Completed initial and periodic follow up assessments and coordinated community resources, referrals, and medication management programs for clients.
- Managed a caseload of patients to achieve optimum patient outcomes while utilizing community resources and community agencies as needed.
15. Care Coordination
- Collaborated with internal/external clients to promote care coordination, appropriate use of plan benefits and effective utilization of services.
- Collaborated with providers and community agencies to provide complex case management and care coordination services.
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What skills help Nurse Case Managers find jobs?
Tell us what job you are looking for, we’ll show you what skills employers want.
What skills stand out on nurse case manager resumes?
-Evidence of critical thinking skills - the ability to solve complex problems.
-Customer service skills - experience working with the public and dealing with difficult people.
Helpful on a resume or in interviews:
-Enthusiasm - Evidence of interest in the job and in the company for which the person is applying.
-Humility - Even if you are the best student, you do not know everything. As a new graduate, you are just entering a new profession. You have a good foundation, but you look forward to improving by gaining experience and working with other professionals.
-Evidence of stability or a plan for stability - No one wants to hear that you only plan to work here for a year or two.
What soft skills should all nurse case managers possess?
Terrica Durbin Ph.D.
Associate Professor, Director, School of Nursing, Western Carolina University
What hard/technical skills are most important for nurse case managers?
Dr. Catherine Stubin Ph.D.
Assistant Professor, Rutgers University - Camden
Priority consideration must be given to the psychosocial needs of nurses, as preparing nurses to persevere through adversities is essential for maintaining their physical, mental, and emotional health throughout their careers. We need skilled, caring, competent nurses who can cope with the physical and psychological demands of the nursing profession. Resilience is a core value and fundamental theme that must be addressed in the nursing workforce. Research demonstrates that there is a correlation between a healthcare professional's resilience and well-being in the workplace. Access to or engagement with social resources can activate self-care and resilient attributes, and resilience training can positively impact nurse stress, mindfulness, and resilience. Resilient nurses can better manage their response to stress and adversity, which will contribute to patient safety and promote positive patient outcomes.
What nurse case manager skills would you recommend for someone trying to advance their career?
Associate Professor, San Jose State University
Clinical sites weren't accepting students for several months, and now that they are again, they have significantly limited the number of students allowed at one time and the number of hours they can train. When a staff member or patient tests positive, students are pulled from the site for some time, and students are struggling to get the minimum number of hours required to continue progressing in the nursing program. Some schools have even suspended admission for new groups of students instead choosing to focus on getting the current students through the program.
What type of skills will young nurse case managers need?
Building relationships with patients is vital for patient education and teaching. So much of nursing is teaching. If the nurse does not have the skill of relationship building, many opportunities to truly create change in the patient's life will be lost. When we (the nursing profession) truly see and understand what our patient's lives look like, then we put ourselves and our patients in the best possible position to create life-long change.
Life-long learning - nursing is based on Evidence-Based Practice. What that means is that the nursing profession is constantly researching and developing best practices. That means, if you are entering the profession, you have to be quick to adapt and open to constant change. Even more so than open, eager to find the best way to deliver world-class patient care.
Maintaining life balance - I have been a nurse for 28 years, and this profession is much more difficult now than it was when I started. In order for bedside nurses to be effective, and to not develop compassion fatigue/burnout... homeostasis has to be achieved. A young nurse just entering the profession has to know how to keep balance. Whether it is yoga, journaling, exercising, eating well, sleeping well,... all of these components have to be in balance so the nurse can come to work refreshed and recharged.
Obviously - one of the key components to being a great nurse and having sustainability in this profession is to be a critical thinker. Nothing is as it seems, and this profession demands nurses to constantly be on their toes and to be thinking critically about why they do what they do. Whether it is passing a specific medication, performing a diagnostic test, ... the ability to constantly think critically is vital for patient safety.
There are so many more, but I have to get back to work, and this is taking longer than I thought...
List of nurse case manager skills to add to your resume
The most important skills for a nurse case manager resume and required skills for a nurse case manager to have include:
- Care Management
- Discharge Planning
- Patients
- Home Health
- Rehabilitation
- Medical Care
- Diabetes
- Social Work
- Excellent Interpersonal
- ICU
- Excellent Organizational
- URAC
- Utilization Review
- Community Resources
- Care Coordination
- SNF
- Utilization Management
- Quality Care
- HHA
- Health Care Services
- Patient Education
- Mental Health
- Disease Management
- Primary Care
- Foster Care
- Medical Necessity
- IV
- Disease Process
- InterQual
- Medical Treatment
- Patient Care
- Hospice Care
- Medication Administration
- Durable Medical Equipment
- Medical Services
- CMS
- EMR
- Physical Therapy
- Health Education
- Senior Care
- Symptom Management
- Proactive Planning
- Concurrent Review
- Medication Management
- Physician Orders
- Palliative Care
- Community Agencies
- Direct Patient Care
- OT
Updated January 8, 2025
8. Social Work