Clinical Case Manager Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

Seeking Clinical Case Manager Position with the perfect company that gives me the opportunity to learn and gain more experience in this field.

Highlights of Qualifications:

  • Certification for licensed vocational nurse
  • Admirable experience in managing all clinical cases and discharge plans
  • Huge knowledge of regulatory requirements
  • Deep knowledge of quality assurance services
  • Ability to recommend appropriate products to all care givers
  • Ability to complete project within required timeframe
  • Ability to work on flexible schedules
  • Amazing communication skills in both oral and written forms
  • Proficient in providing customer care services
  • Familiarity with Microsoft Office applications

Professional Experience:

Clinical Case Manager

Inova Health System, Austin, TX

October 2008 – Present

  • Prepared discharge risk assessment screens and managed all referrals.
  • Analyzed high risk patients and provided care according to requirement.
  • Coordinated with physicians to plan care procedures for patients and informed family.
  • Provided efficient interface with patients and third party payers.
  • Analyzed and informed of all transmit issues to Director.
  • Maintained all discharge information for patients and provide required care.
  • Supervised working of admitting and nursing staff.

Clinical Case Specialist

Molina Healthcare, Austin, TX

August 2003 – September 2008

  • Managed orders to discharge patients from acute care facilities.
  • Determined all patient qualifications and managed coverage.
  • Monitored revenue cycle process and resolved all clinical issues.
  • Provided efficient interface to departments in compliance with KCI guidelines.
  • Analyzed all medical cases and associated trends to recommend care.
  • Performed training programs for non clinical staff as well.


Bachelor’s Degree in Nursing

Northwood University, Cedar Hill, TX