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Online Resumes with "Case Management Utilization Review"



Registered Nurse - 2 Years of Experience - Near 23235

Medical/Surgical, Case Manager, Utilization Review

Tags for this Online Resume: Medical/Surgical, Home Health, Prison Health, Mental Health, MDS Coordinator

Registered Nurse - 20 Years of Experience - Near 47639

I have my case management and Utilization Review certification. I have done case management & UR in the hospital setting, field case management, in office for commercial/work comp companies, Home based per internet/computer doing CM & UR for medical risk services company based out of my state for workers compensation. I

Tags for this Online Resume: Utilization Review, Ococcupational Health, Case Management, Excel, Microsoft , Excellent typing skills, Home office, Evansville

Health and Wellness consultant - 15 Years of Experience - Near 94580

I enjoy working in both community home health setting (short term care, private duty & Hospice), and also interested in obtaining employment in a clinical setting: SNF, wound clinic, hospital as Discharge Planner and Utilization Review, private MD office, cosmetic clinic, dialysis facility or home dialysis, insurance industry as field case manager, telephonic case manager and utilization review.

Tags for this Online Resume: Saff RN, Home Health, wound care, SNF, medical surgical, workers compensation, discharde planner, Utilization Review

Registered Nurse - 20 Years of Experience - Near 01833

Looking to return to hospital or insurance-based Case Management or Utilization Review.

Tags for this Online Resume: Nurse Case Manager, Utilization Review, Case Manager

Registered Nurse - 17 Years of Experience - Near 33172

Ana B. Francisco RN BSN LNC LHRM 510 NW 109th Avenue, #5, Miami, Florida 33172 (786) 286-7160 W O R K E X P E R I E N C E: 2007-2009: DIRECTOR OF NURSING / ALTERNATE ADMINISTRATOR: Advantis Home Care, Inc., 2921 SW 8th St Miami, Florida 33135 Supervision of clinical and non-clinical staff operation; update of agency Policies and Procedures books, case management, utilization review, initiated the Quality Assurance ...

Ideal Companies: health care

Tags for this Online Resume: RISK MANAGER LICENSED, DIRECTOR OF NURSING, QUALITY ASSURANCE NURSE, UTILIZATION REVIEW

Licensed Nurse - 17 Years of Experience - Near 33705

Summary of Qualifications: Over 17 years' of working experiences in a wide variety of clinical and administrative settings providing nursing care in Case Management, Utilization Review, Gerontological nursing, Cardiac care, Medical & Surgical units, Chronic & Infectious diseases, Public Health, Psychiatric nursing, Hospitals, Hiv clinics, LTC, Assisted living, Home health care, Biologic infusions & Marketing. * Excellent Le...

Tags for this Online Resume: Amazon Elastic MapReduce, EMR/, HIV Clinics, Home Health/ Public Health, Immunization, Wound Care/Wound Vac, Behavioral Health, Cardiopulmonary resuscitation (CPR), Chronic Diseases, CENTRAL LINES, Case Management, Utilization Review

Case Manager - 6 Years of Experience - Near 21075

the position of RN - Case Manager/Utilization Review in an organization where I am able to make use of my expertise and knowledge in handling patients ER, OR, management of hospital data, quality and quantity control, for the progress/benefit of the organization. Responsible for managing the care and service of patients across a continuum by promoting quality care, effective utilization of resources with internal and extern...

Tags for this Online Resume: Documentation, Management, Computer Aided Software Engineering, Assessments, Process Improvement, Midas, Patient Care, VITAL SIGNS, Nursing

Registered Nurse - 13 Years of Experience - Near 08004

Professional Summary Began nursing in a Med Surge Sub-Specialty Unit, which included a stroke institute, ventilators, and telemetry, then moved onto coronary critical care managing, and hospital wide codes. Finding a home in hospice care for the past 14 years having experience in office management and regional supervising, case management, utilization review, admissions, IPU, triage and visiting on call.

Tags for this Online Resume: Utilization Management, Management, Critical Care, CCU/ICU, Claims payable, Payroll, Quality Assurance, Scheduling, Education, Hospice, Audits, Health Care Telecommunications, Regional Supervision, Admissions, Discharge Planning and Review

Case Management Manager - 11 Years of Experience - Near 32162

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 stay...

Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence

Case Manager - 7 Years of Experience - Near 90018

Currently seeking an opportunity that would allow me to successfully transition into Case Management/Utilization Review, where my skills, education and valuable experience can be effectively utilized in a clinical setting conducive to professional development.

Tags for this Online Resume: LVN CASE MANAGER, Home Health, Computer Aided Software Engineering, Direct Patient Care, Injections, IV Therapy, Management, Medicare, MediTech, Microsoft Excel

Case Manager - 19 Years of Experience - Near 07110

SUMMARY OF QUALIFICATIONS: Nursing professional with diversified clinical and leadership background in case management, utilization review and discharge planning independent consultant as a Health and Wellness Advisor. * Experience with acute / critical care settings, insurance companies, skilled nursing and assisted living facilities. * Proven record in obtaining high quality outcomes, reduction in length of stay and cost-...

Tags for this Online Resume: Management, Referrals, CCU, registered nurse, healthcare

Licensed Nurse - 20 Years of Experience - Near 37681

Professional Summary: I am a Registered Nurse with extensive supervisory, Case Management and Utilization Review experience within hospital, home health and a senior living facility. I am experienced with preparing for JCAHO accreditations and state surveys, as well as experienced as Director of Case Management. I am accustomed to the integration of new healthcare delivery systems and restructuring of work in an increasingl...

Tags for this Online Resume: Case Management, Health and Wellness Director, Compliance Officer, Compliance, Management, Utilization Management, Assessments, Medical, Medical Records, Scheduling, Home Health