5 Tips to improve your Medical Management Resume

Written by Kevin Slafkosky, Search Consultant.
Contact him at 1.800.974.4828 ext 109, or kevin@carenational.com

As a search consultant for the premier Medical Management search and recruitment firm in the nation, I see a lot of resumes every day. I see them on job boards, attached to emails, on LinkedIn, and from our website applications. Since we work with the highest quality hospitals, health plans, and other managed care organizations to support their Medical Management needs, we only provide the highest quality candidates for their review. However, to do our job the right way, we must first find and connect with those qualified candidates; hence, all those resumes.

In order to provide the right support to our clients and to best represent our candidates, we must be diligent and thorough in our search and prescreening processes. Our job as a search firm is to connect the perfect candidate with the perfect position. We will always spend time with you, the candidate, on your resume to make sure we’re building the Golden Ticket before we submit your information over for the hiring manager’s review. A hiring manager, such as the VP of Health Care Services or the Director of Medical Management, might only have a few minutes to review a resume for their RN Case Manager need or the Manager of Utilization Review opening. Bearing that in mind, we at CareNational always work closely with the candidate so that they have the strongest resume for submission to their dream position.

Most career minded professionals have a resume saved on their computer at home, whether from their last in-depth job search or from applying to an interesting Disease Management or Prior Authorization opportunity spotted online one day. Unfortunately, not everyone has a resume that gives them the best chance of success in moving forward through the process. Below are 5 critical resume tips for Medical Management candidates:


1)      KISS

  • Keep It Simple… Silly
  • For each position held, clearly state your title, experience, and key achievements
  • Where you worked, when you worked there, and what you did
  • Keep it up to date, at least annually: tack on bullet points of achievements while they are fresh

    (You never know when that Manager of FEP Case Management position might open up at the health plan 5 minutes down the road)

2)      Contact Information

  • A surprising # of resume lack this, or it is hidden in a stylized image or in the header section
  • Have a working phone number (or two) and an email address that you check daily
  • At CareNational, we always call first to make the connection, then we try an email
  • The more ways to contact you, the better
  • Job openings move quickly, especially in the high-need niche of Medical Management

3)      Chronological Order is still preferred to a Skills-Based Resume

  • Your Resume or CV should be the story of your education and work experiences
  • Work backwards with your most recent, or current, position first
  • Include both Months and Years on dates of employment
  • Show development and longevity within organizations
    • Were you promoted to Supervisor of Concurrent Review within the organization?
    • Were you asked to start a new Care Management division with 4 teams of Utilization Review and Case Management RNs?
  • Explain any significant gaps in employment on your resume

 4)      Prioritize Content for each Position Listed

  • What were your Top 3-5 functions within the job?
  • Always use numbers (Quantitative vs Qualitative) – they stand out
  • Don’t be afraid to brag about your accomplishments; if you completed additional schooling while working full-time or received specialized certification, such as CCM or CPHQ, let them know
  • It should be a snapshot, not a biography! You’re using the resume to “set the hook” and reel in an interview with this organization

5)      Include the right Medical Management Keywords

  • Many organizations automate the screening process for direct applicants (not represented by a recruiting firm) by searching for relevant keywords. If you do not include the right terms, your resume will not be seen by an HR representative, let alone the hiring manager
  • No matter your area of expertise, always mention the keywords and buzzwords within that area
    • Medicaid, Medicare, State-Based Programs, or Commercial Insurance
    • RN Case Manager, Utilization Review Nurse, or Quality Improvement Professional
    • Accountable Care Organizations and Patient Centered Medical Homes
    • URAC surveys, NCQA audits, HEDIS abstraction, STARS measures, or the CHIP program
  • Use the keywords and phrases correctly – you might fool the computer by peppering the resume, but if it reads like gibberish to the hiring manager (your potential boss) you are finished before you begin

Writing a resume may seem like a lot of work, but it is the first step to get that dream job, so take it seriously. Use your resume to demonstrate your attention to detail and commitment to excellence in your profession. You might be amazed by the resumes that list “Attention to Detail” as one of their top skills, but the resume is formatted with widely varying font styles and sizes, contain obvious typos or use Medical Management or health care terms incorrectly. Sadly, I have even seen candidates misspell their own name on their resume! If you keep these 5 simple, yet important, tips in mind when crafting, updating, or reviewing your resume, you will greatly increase your chances of securing an interview and ultimately getting hired.

Written by Kevin Slafkosky, an experienced Search Consultant in the Baltimore, MD office. For more great tips on resume writing and to discuss our current opportunities, reach out to one of CareNational’s best Medical Management Recruiters! Contact him at 1.800.974.4828 ext 109, or email him at kevin@carenational.com.