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Online Resumes with "Case Review"
Case Management Manager - 20 Years of Experience - Near 72023
I am a Registered Nurse with more than 22 years’ in clinical review, assessment, and reporting. Specialized expertise in care management, utilization review, prior authorization, Medicaid, Medicare and private insurance.
Tags for this Online Resume: Utilization Review, Quality Assurance, Case Review, RN, Registered Nurse, Medicaid Contract Manager, Medicaid Appeals, Health Care
Clinical Quality Assurance - 3 Years of Experience
● Over ten years of progressive Critical Care experience ● Strong computer skills and typing speed ● Pharmaceutical Research/Medical Devices-disposables, FDA regulatory reporting ● Ability to multitask and troubleshoot problems ● Ability to prioritize tasks and meet deadlines ● Knowledge of hospital setting procedures and policies ● Good communication and interpersonal skills
Tags for this Online Resume: case review, regulatory reporting, microsoft, Chicagoland, disability, workman's comp, registered nurse
Physician Advisor/Medical Director
Health care case management, case reviews, medical compliance, and appropriateness of care consulting.
medical case manager
Based on my educational background and previous professional experience, I purse a position in the medical insurance and third party payer field that provides a good match to my credentials, and brings challenging duties, in a friendly and professional work place.
Tags for this Online Resume: medical case reviewer, claims executive, manager in third party adminstrator, medical insurance specialist, claims supervisor, senior medical case manager
Public Policy Analyst
Wide-ranging and highly skilled Policy Analyst with a Juris Doctorate and 10 years of Federal, State, and Local Compliance experience.
Ideal Companies: Government, non-profit
Tags for this Online Resume: Research Analysis, Legislative Analysis, Policy Analysis, Legal Research, Policies and procedures, Strategic Thinking
Manager - 14 Years of Experience - Near 500042
Preparing/reviewing Test plans, executing test cases reviewing team tasks, tracking progress, and implementing systematic QA process. Hands on experience, working on domains such as Telecom, Security, Life-Sciences, Automobile, Banking and CRM Hands on experience on Automation testing using QTP, Win runner. Web-services Testing using SOAP UI tool and COGNOS Reports testing Managing and responsible the day-to-day requiremen...
Tags for this Online Resume: Team Manager, QA Manager, Solution Architect, Test Manager
Registered Nurse - 23 Years of Experience - Near 97006
I would like to take my career to the next level by finding a position that utilizes all of my skills and many years of knowledge. Further, I would like this position to be my last - after many more years of practice (i.e. I would like to stay with one company until I retire in the next 15-20 years)
Tags for this Online Resume: Portland, OR, RN, RN Manager, Supervisor, Beaverton, OR, Case Manager, RCM, Case Review
Experienced professional with extensive risk, audit and compliance knowledge seeking a role that utilizes my experience and background.
Experienced in Compliance, Fraud, Securitized Debt, Process Improvement, Credit, and Audit research within the Financial Services Industry. Strong technical training, research, and excellent communication skills. Detail oriented with a great sense of teamwork. Flexible and committed to adding values to key deliverables in any related environment and brings to each project a passion for results. Thrives in a working environm...
Ideal Companies: TSYS, VISA, Lockheed Martin, PriceWaterhouseCoopers, JPMorgan Chase, Citibank, ADP,
Tags for this Online Resume: Business Analyst, Process Improvement, MCP, Project Management, Atlanta, Maryland, BSA, AML, SAR, EDD, KYC, OFAC, TSYS, FMS, MODEL, OBIQ, LexisNexis, CSI, Oracle Platforms, SAP Apps
Manager - 12 Years of Experience - Near 45040
Qualifications * M.B.A in I.T from National Institute of Business and Management * Executive Program for Young Professionals (EPYP) from IIM Calcutta Organize Toronto, CA and facilitate daily stand-up meetings reviews retrospectives sprint and release planning demos and other Scrum-related meetings Involved in gathering business requirement & Business Requirement Documentation client workshops Functional requirements docume...
Tags for this Online Resume: Business Analysis, Business Analyst, SCRUM, Scrum Master, Project Management, Senior Project Manager, Agile, Gathering Requirements, Integrate, Java Programming Language
Quality Assurance Specialist - 2 Years of Experience - Near 75093
SUMMARY: * A highly motivated and committed Software Test Engineer with 9 Years and 5 months of experience in Software Testing, ATG Ecommerce Testing and Automation Testing. * Comprehensive knowledge of performing end to end testing of ecommerce software, UI, and software testing. * Good Knowledge of Software development life cycle (SDLC), Software Testing Life Cycle (STLC) and Test Automation (Unified Functional Testing/QT...
Tags for this Online Resume: Hardware/Systems, Test, Test Plan, Applications, Business Requirements, Framework, Management, Metrics, Structured Query Language, Support
Clinical Research - 10 Years of Experience - Near 18901
Summary: * Several years of clinical experience in the industry with excellent knowledge of drug development in different therapeutic areas including oncology, immunology, vaccines, metabolism and biosimilars. Solid clinical practice experience. * Many years of Drug Safety, pharmacovigilance, risk management and epidemiology experience * Experience interfacing with health authorities (worldwide), institutional review boards...
Tags for this Online Resume: Oncology, Protocol, Regulatory Affairs, Risk Assessment, Management, Risk Management, Risk Management Activities, Complaints, Documentation, Hematology, Medical Affairs, Clinical Development
Clinical Pharmacovigilance/Drug Safety - 15 Years of Experience - Near 10016
Areas of Expertise * Drug Safety Pharmacovigilance * Clinical Research * Medical Review/ EMR * ICH Guidelines * Real World Evidence Medicine * Medical Coding
Tags for this Online Resume: Drug Safety, Clinical Research, Data Management, Documentation, ICD-9, Management, Medical, Pharmaceutical, Research, Therapy, Real Word Evidence Medicine, Medical Case Reviewer, ICD-10, ICPC, CPT, Bilingual, Pharmacovigilance
