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Online Resumes with "Clinical Utilization Review"
Counselor
Tags for this Online Resume: Behavioral Health Counselor, Clinical Utilization Review, Mental Health Counselor, Behavioral Case-Manager, Clinical Case-Management, Mental Health Therapist
Case Manager - 16 Years of Experience - Near 92663
Nurse Case Manager with valid California and Idaho State RN License. Solid clinical, utilization review, and case management experience within a managed care environment. With a total of over 16 years nursing experience I have a good understanding of the Acute Care setting and the needs of both the organization and the client.
Tags for this Online Resume: Registered Nurse, Case Manager, HealthCare, Orange County, Newport Beach, Nurse, Occupational nurse, Health Coach, Accounting, financial
Case Management Manager - 15 Years of Experience - Near 87020
Former President of home Health Agency. Sound knowledge of the Medicare regulations, Federal and State Laws for the Medicaid and Medicare services Strong ethical work with over 13 years in upper management. Project management skills: Strong understanding and application of quality and risk management principles Expertise in all areas of healthcare management, including budgeting, program planning, project management and sta...
Tags for this Online Resume: CaseManagement, Accreditation Standards, Quality Improvement, Albuquerque , Supervisory, Team Management, Critical Care, Proficient
Registered Nurse
Professional Summary Nurse Case Manager with valid State RN License. Solid clinical, utilization review and case management experience within a managed care environment.I am a dedicated registered nurse (RN) with specialty experience in varied skills since November, 1969. In these forty-seven years, I have held staff, supervisory and management positions for inpatient and home health duties. My focus has always been the qua...
Tags for this Online Resume: Compliance, Health Insurance Portability And Accountability Act, HIPAA compliance, Medical, Cancer, Infection control, Management, Cardiopulmonary resuscitation (CPR), Data Entry, Evaluate, self starter
Case Manager - 1 Years of Experience - Near 07032
Professional Summary To secure a challenging position in an organization where my experience will permit continued development of my professional and organizational skills. Thirty five years of diversified nursing experience including nine years of managerial status. Ability to work independently, take direction and work well with people of all levels. Communication facilitator between physicians, nursing staff, patients an...
Tags for this Online Resume: Surgical, Orthopedic, Orthopedics, Patient Care, Computer Aided Software Engineering, Nursing, Payroll, Rehabilitation, Acute Care, Assessments
Registered Nurse - 3 Years of Experience - Near 78374
Professional Summary Registered Nurse with 3+ years of clinical experience and 4+ of Supervisory/Case management experience. Solid clinical and utilization review experience within a managed care environment. Focus on providing high quality, evidence based care to diverse populations with both acute and chronic medical conditions.
Tags for this Online Resume: Patient Care, Assessments, Management, Nursing, Protocol, Nursing Education, Supervisor, Financial Management, Infection control, Insurance, Corpus Christi, Team leader
Licensed Nurse - 15 Years of Experience - Near 79924
PROFESSIONAL SUMMARY MDS Coordinator with Medicare, Medicaid and Managed Care experience, Solid Clinical, Utilization Review and Case Management experience within Skilled Nursing Facility environment.
Tags for this Online Resume: Medicare, Coding, Documentation, ICD 10, Managed Care, Management, LVN, CASE MANAGER
Registered Nurse - 20 Years of Experience - Near 81212
Professional Summary Experienced Registered Nurse licensed in Colorado with strong clinical and people skills. Professionally trained with experience ensuring high standards of culturally competent care for wide variety of patients with diverse needs. Registered Nurse with 27 years experience in clinical settings providing nursing care to diverse populations. Responsible Registered Nurse with excellent communication skills ...
Tags for this Online Resume: Management, Assessments, Documentation, Medical, Patient Care, IV Therapy, Long Term Care, Nursing, registered nurse
Licensed Nurse - 20 Years of Experience - Near 76048
PROFESSIONAL SUMMARY Highly analytical healthcare management professional combining more than 20 years of work in long term care with proficiency in financial management, leadership and positive clinical outcomes. Executive Director experienced at directing administrative and personnel matters in a 24/7 care facility for elderly clients. Strong problem-solver with excellent time management skills. Adaptable healthcare admin...
Tags for this Online Resume: Coding, Compensation, Computer Aided Software Engineering, Long Term Care, Managed Care, Policies and Procedures, Rehabilitation, Workers Compensation, Patient Care, Billing, Medicare/Medicaid, Consultant
Admissions Director - 15 Years of Experience - Near 30031
PROFESSIONAL SUMMARY Experienced Registered Nurse in with strong clinical and people skills. A professional advanced practice nurse with experience ensuring high standards of culturally competent care for a wide variety of patients with diverse needs. Over 10 Years of basic screening, diagnostic treatment and rehabilitative and supportive services as a member of a primary health care team. Responsible Registered Nurse with ...
Tags for this Online Resume: Patient Care, Wound Care, Managed Care, Management, People Skills
Case Management Manager - 15 Years of Experience - Near 48442
PROFESSIONAL SUMMARY Responsible Registered Nurse with excellent communication skills demonstrated by 20+ years of experience in healthcare. Nurse Case Manager with valid State RN License. Solid clinical, utilization review and case management experience within a managed care environment. Professionally trained RN with experience ensuring high standards of culturally competent care for wide variety of patients with diverse ...
Tags for this Online Resume: Assessments, Patient Care, Wound Care, Marketing Management, Network Attach Storage, Computer Aided Software Engineering, Quality, Quality Assurance, Quality Control, Referrals
Licensed Nurse - 16 Years of Experience - Near 06076
PROFESSIONAL SUMMARY Nurse Case Manager with valid State LPN Licenses. Solid clinical, utilization review and case management experience within a managed care environment. Looking to secure a position within an organization that will challenge my diverse clinical experience as well as proven leadership, business, communication, and nursing skills. CORE QUALIFICATIONS Case Management
Tags for this Online Resume: Nursing, Computer Aided Software Engineering, Patient Care, Assessments, Medical, Quality, Rehabilitation, Business Plan, Compensation, Compliance