Description
Outstanding nursing professional with a diverse background who focuses on integrity, proficiency and education. Experience in management, education, case management and training specialist for clinical and non-clinical new hire and existing associates within call center and health plans on systems of Facets claims based system, care management system, precertification system and WMDS. Certified for medical necessity reviews by McKesson as InterQual Clinical Instructor (IQCI), train medical necessity within Milliman (MCG), Center for Medicare and Medicare (CMS). Certificates for Utilization Management Care Planning (UMCP) and INSYNC Virtual Instructor within Adobe and WebEx.
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Accomplishments
Highlights:
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Keywords
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