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Online Resumes with " case management"



Quality Assurance Director

SUMMARY OF QUALIFICATIONS Over 39 years' experience in broad range of clinical, administrative, and quality and risk management experience . Longtime health care professional with in-depth, versatile experience establishing and managing programs such as risk management, performance improvement, education, infection control, utilization review and case management. Contract work with Indian health of Oklahoma 2014-2016 CLNC O...

Tags for this Online Resume: Infection control, Management, Quality, Quality Assurance, Risk Management, Complaints, Customer Service, Quality Management, Surgical, Surveys

Case Manager - 7 Years of Experience - Near 75034

SUMMARY I have been working as RN telecommuter since 2006. I have educated on a variety of diseases as clinical status. I have Case Manager experience from learning the insurance aspect of nursing. I have experience in talking to members regarding specialty medications.

Tags for this Online Resume: Documentation, Benefits, Computer Aided Software Engineering, Clinical Programs, Insurance, Microsoft, Microsoft Office, Nursing, Travel

Human Resources Administrator - 14 Years of Experience - Near 30032

Areas of Expertise Workers' Compensation Administration * Investigations * Loss Control * Case Management * Return to Work Processes * Audit Assistance * Training/Education * Third Party Administration * Medical Providers Liaison * Communication of Program Goals

Tags for this Online Resume: Airlines, Compensation, Fraud, Litigation, Management, Payroll, Workers Compensation, Audit, Computer Aided Software Engineering, Documentation, workers compensation

Registered Nurse - 15 Years of Experience - Near 40065

PROFESSIONAL SUMMARY I am a Registered Nurse with 15+ years experience in disease management, medication management and caring for patients as well as their families or caregivers. I am extremely passionate about taking care of patients and their needs. I am also a Licensed Life and Health Insurance agent.

Tags for this Online Resume: Disease Managment, Medication Management, Case Management, Quality Assurance, Quality Review, ICD-9, ICD-10, HCPCS Coding, Microsoft Office, Outlook, Word, Excel, Licensed Life & Health Insurance Agent

Case Manager - 20 Years of Experience - Near 45005

Professional Summary In-depth social work, case management experience. Very strong knowledge base of managed care products, Medicare and Medicaid regulations and community resources. Possess an understanding of the challenges faced by health care organizations and the ability to develop policies and practices that meet business objectives, while providing maximum quality service to various client populations. Accomplishment...

Tags for this Online Resume: Social Service, Assessments, Computer Aided Software Engineering, Long Term Care, Patient Care, Planning, Training, Customer Service, Discharge Planning, Documentation

Case Manager - 20 Years of Experience - Near 78217

Tags for this Online Resume: Management, Clinical Programs, Nursing, ER

Case Manager - 8 Years of Experience - Near 27212

My Master of Arts in Psychology, while including components of behavioral counseling and ethical training, is primarily geared to developing health programming in a public health or other community health setting (senior center). So-I am in the process of making a career move to health and wellness program design and implementation, as well as health coaching. I am seeking a position where I will be able to complete hours a...

Tags for this Online Resume: Support, Documentation, Scheduling, Licensing, Rehabilitation, Therapy, Training, Management, AIT, Assessments, behavioral health counselor

Department Manager - 20 Years of Experience - Near 19968

Summary of Qualifications: Twenty nine years of Occupational Safety and Loss Prevention experience throughout various positions and several work locations. Substantial knowledge and implementation of policy development, auditing, training (both lecture and practical) job-related injuries and Workers' Compensation case management. Safety and Regulatory Compliance Training

Tags for this Online Resume: Compensation, Documentation, Audit, Consulting, Manufacturing, Policies and Procedures, Security, Workers Compensation, Training, Management, food & beverage

Medical or Health Services Manager - 20 Years of Experience - Near 07087

To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...

Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare

Case Manager - 20 Years of Experience - Near 46385

HIGHLIGHTS OF QUALIFICATIONS * Competent nursing professional with 18+ years experience in total patient care, nursing assessments, and patient education. * Expertise in triage and patient assessments for any number of medical problems to life threatening situations. * Proficient in handling multiple tasks at one time while prioritizing patient problems in a fast-paced, ever changing environment. * Excellent knowledge of me...

Tags for this Online Resume: Cardiac Surgery, Critical Care - Neurology, Monitoring, Neurology, Surgery, Telemetry, Telemetry Monitoring, THORACIC, Urology, Wound Care, registered nurse, healthcare, nurse, rn, case mangement

Licensed Nurse

home care management; nursing faculty; mental health counselor---home care and nursing consultant; spiritual director/advisor

Tags for this Online Resume: Rochester ny, Mental health, Case manager, Teacher, Pastor, Family therapist, Medication Administration, Nursing, Program Manager, Psychiatry, rn, nurse, registered nurse