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Case Manager (CCM)
Oscar · Dallas, Texas, United States
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What Oscar asks for
From Oscar's Case Manager (CCM) ad, checked 2 Nov 2026.
Chronic medical condition management
At least 2 years of direct work with patients who have chronic conditions like diabetes or COPD, showing you understand treatment plans and how symptoms progress.
Care coordination across settings
Managing care for members across different environments, including hospitals, emergency rooms, outpatient clinics, and home care.
Social Determinants of Health and resources
Checking for Social Determinants of Health and linking members to specific community support programs to help improve their outcomes.
Member education and advocacy
Teaching members about their conditions and prescriptions, acting as their advocate, and performing crisis intervention when needed.
How the example answers the ad
Three of the four requirements above, each matched to a line in the example.
Chronic medical condition management
“Manages a panel of 150 members with chronic diabetes and hypertension using predictive analytics to reduce hospital readmission rates by 22 percent.”
Managing a panel of 150 members with diabetes and hypertension shows work with patients who have chronic medical conditions. Using predictive analytics to reduce readmission by 22 percent covers the management aspect.
Care coordination across settings
“Coordinates care transitions for 40 patients monthly, linking them from inpatient acute settings to post-discharge home health services.”
Moving 40 patients per month from inpatient acute settings to home health services shows the ability to manage care coordination across different environments.
Member education and advocacy
“Provides medication adherence education to 200 patients annually, achieving a 12 percent improvement in chronic condition self-management scores.”
Educating 200 patients annually on medication adherence shows member education. Improving self-management scores by 12 percent shows the results of this instruction.
The whole example as text
Jordan Reed · Senior Case Manager
Summary
Case Manager with 6 years of experience. Improves patient health outcomes for chronic conditions through coordinated care plans. Manages transitions between inpatient and outpatient settings. Identifies social barriers to resolve patient access issues. Facilitates insurance approvals for specialist treatments to minimize coverage gaps.
Experience
Senior Case Manager · UnitedHealth Group
Boston, MA · 2023 - Present
- Manages a panel of 150 members with chronic diabetes and hypertension using predictive analytics to reduce hospital readmission rates by 22 percent.
- Coordinates care transitions for 40 patients monthly, linking them from inpatient acute settings to post-discharge home health services.
- Resolves insurance authorization hurdles for specialist visits, resulting in a 15 percent increase in timely access to cardiology and endocrinology care.
Clinical Case Manager · Beth Israel Deaconess Medical Center
Boston, MA · 2021 - 2023
- Facilitates 35 discharge plans per week for post-surgical patients, ensuring seamless handoffs between hospital wards and outpatient clinics.
- Provides medication adherence education to 200 patients annually, achieving a 12 percent improvement in chronic condition self-management scores.
RN Case Manager · VNA Care Network
Worcester, MA · 2020 - 2021
- Conducts 15 weekly home visits for patients with COPD and heart failure to monitor oxygen saturation levels and treatment compliance.
- Links 85 percent of assigned patients to community resources including medication assistance programs and local dietary support services.
Education
Bachelor of Science in Nursing · Boston College
Chestnut Hill, MA · 2016 - 2020
- Graduated Cum Laude with 3.8 GPA
- Completed clinical rotations in oncology and community health
Associate Degree in Nursing · Bunker Hill Community College
Boston, MA · 2014 - 2016
- Maintained 3.9 GPA throughout program
- Recipient of Clinical Excellence Award
Skills
Frequently asked questions
Is the example from an employee?
No. It is an AI-written example for this ad, made to show how a resume can answer it.
Do I need to be a Registered Nurse?
Not necessarily. The ad accepts either an active, unrestricted RN license or a Master of Social Work (MSW) from an accredited school.
Is this a remote role?
Yes, it is a remote position, but you must live in one of the specific states named in the ad. You may also need to travel occasionally for meetings.
Where do I apply?
On the official Oscar posting, through the job link on this page.
What happens when I tailor my resume here?
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