Description
Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stays in a facility. Extensive knowledge base in Managed Care, Medicare, and Medicaid. Looking for new challenges in the field of Health Care and increasing knowledge base in all areas of Case Management and Utilization Review. .
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