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Online Resumes with "Determining medical Necessity"
Utilization Management in Psychiatry
To provide U.M. in Psychiaty. Collaborate with Healthcare Team to determine medical necessity criteria and appropriate level of care. Experienced in both Inptient and Partial Hospital Hospitalization.
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
