Turn inspiration into your own evidence
Do not copy the career. Learn how the career is communicated.
Read the evidence
Notice where the example uses scale, change, ownership, and context.
Replace every fact
Write from your real work, even when your numbers or setting are different.
Check the result
Make sure the document remains readable, truthful, and aligned to the role.
Key Skills
Use only the skills you can support with real experience. The example shows the vocabulary; your evidence makes it credible.
Full Case Manager Resume Example
This is a complete fictional sample. Study the structure and evidence patterns, then replace every name, employer, number, skill, and accomplishment with information that is true for you.
Professional Summary
Certified case manager with 10 years across hospital care coordination, payer-side utilization review, and community services. Coordinates 70 high-acuity discharges monthly while cutting 30-day readmissions 31% and holding a 94% first-pass prior authorization approval rate. CCM and ACM credentialed, with deep working knowledge of Medicaid and Medicare rules, InterQual and MCG criteria, and Epic-based care coordination workflows.
Work Experience
Lead Case Manager, Care Coordination
2020 – PresentSonoran Vista Medical Center — Phoenix, AZ
- Coordinate discharge planning for 70 high-acuity patients monthly across medical-surgical and telemetry units, reducing 30-day readmissions by 31% over 3 years
- Apply InterQual criteria to daily utilization reviews, trimming avoidable inpatient days 18% and saving an estimated $1.2M annually
- Navigate prior authorizations across 9 commercial and government payers, sustaining a 94% first-pass approval rate on post-acute placements
- Build individualized care plans in Epic and drive follow-through in daily interdisciplinary rounds with physicians, pharmacy, therapy, and social work
- Onboarded and trained 4 new case managers on utilization workflows, raising team documentation compliance from 81% to 97%
Utilization Review Case Manager
2017 – 2020Desert Bloom Health Plan — Tucson, AZ
- Adjudicated 25 authorization requests daily against MCG guidelines for inpatient, skilled nursing, and home health services
- Coordinated peer-to-peer physician reviews on contested cases, resolving 60% of pending denials before formal appeal
- Cut average authorization turnaround from 72 to 28 hours by redesigning the clinical documentation request workflow
- Maintained 99% compliance with CMS and state Medicaid determination timelines across quarterly audits
Community Case Manager
2015 – 2017Casa Esperanza Community Services — Mesa, AZ
- Carried a caseload of 45 adults experiencing homelessness or chronic illness, completing needs assessments and benefits enrollment for each within 14 days
- Secured 38 permanent housing placements in 24 months through Section 8, rapid rehousing, and landlord outreach partnerships
- Enrolled 120+ clients in Medicaid coverage annually and linked 85% to a primary care home within 60 days
Education
- BS, Health Sciences — University of Arizona · 2015
Certifications
- Certified Case Manager (CCM) — Commission for Case Manager Certification
- Accredited Case Manager (ACM) — American Case Management Association
Achievement bullet patterns
Adapt the sentence pattern to your work. Never copy an employer, number, tool, or outcome that is not true for you.
- 1
Managed an active caseload of 65 high-acuity patients with chronic conditions, coordinating care across 12 community health providers and reducing emergency department visits by 34%
Adapt the pattern; do not copy facts that are not yours.
- 2
Conducted 800+ comprehensive needs assessments annually, developing individualized care plans that achieved a 72% goal attainment rate within 6-month review periods
Adapt the pattern; do not copy facts that are not yours.
- 3
Secured housing placements for 40 homeless individuals over 12 months by navigating Section 8 voucher systems, HUD-VASH programs, and rapid rehousing resources
Adapt the pattern; do not copy facts that are not yours.
- 4
Led implementation of a care coordination tracking system in Epic, improving documentation compliance from 78% to 96% and reducing audit deficiencies by 60%
Adapt the pattern; do not copy facts that are not yours.
Practical writing guidance
- 1
Quantify your caseload size and population: 'Managed a caseload of 60 chronically ill patients' immediately signals your capacity and specialization
- 2
Include relevant certifications — CCM and ACM are the two most recognized case management credentials and are heavily weighted in ATS screening
- 3
Highlight outcomes, not just activities: 'Reduced hospital readmissions by 28%' is far stronger than 'Coordinated patient discharge plans'
- 4
Mention the systems and populations you work with (Medicaid, Medicare, behavioral health, substance abuse, homelessness) to match specific job requirements
- 5
Show collaboration: case management is inherently interdisciplinary, so describe how you work with physicians, social workers, insurers, and community agencies
How to write a case manager resume
Anchor every bullet to a utilization or discharge outcome
Demonstrate payer navigation as a technical skill
Frame care-plan coordination as a repeatable process, not a personality trait
Frequently Asked Questions
What certifications should a case manager include on their resume?
The CCM (Certified Case Manager) from the CCMC is the most widely recognized credential in the field. The ACM (Accredited Case Manager) from the ACMA is valued in hospital settings. Nursing case managers should also include RN licensure and any specialty certifications. Social work case managers should list their LCSW or LMSW. Place certifications prominently in your resume header or a dedicated section.
How do I describe case management experience without violating client confidentiality?
Use aggregate data and generalized descriptions: reference caseload sizes, populations (chronically ill adults, at-risk youth, veterans), and outcome percentages without identifying specific clients. Focus on your processes, tools, and measurable results rather than individual case details.
Should a case manager resume focus on clinical or administrative skills?
Both. Highlight clinical competencies like assessment, care planning, crisis intervention, and motivational interviewing alongside administrative skills such as documentation, utilization review, compliance, and EHR proficiency. The balance depends on the specific role — clinical case managers should lean clinical, while insurance or utilization review case managers should emphasize administrative and regulatory knowledge.
What is the best format for a case manager resume?
Use a reverse-chronological format with sections for Summary, Certifications, Skills, Experience, and Education. Keep it to one page if you have fewer than 8 years of experience, or two pages for senior or supervisory roles. Use bullet points with metrics to describe each position, and include a skills section that mirrors the keywords from the job description.