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Online Resumes with "Health Care Plan"



Registered Nurse - 20 Years of Experience - Near 95670

Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...

Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management

Registered Nurse - 20 Years of Experience - Near 76179

and headng screening and refermls. o Administered medication as ordered by physicians. o Reviewed immunization tecords to ensure compliaoce vzith State of Texas guidelines. . UPdated health tecotd and daily physical assessments of students and their vadous health problems. o Provided health education to children and their parcnts ll/2001:. 08/2002 Home Health Nutse, Yisiting Nurse Association, Fort Worth, TX e RN - Alzheime...

Tags for this Online Resume: NICU, Nursing, Science

Medical Office Manager - 15 Years of Experience - Near 89031

Qualifications Profile * Benefit Financial Analyst, Patient Accounting and Eligibility: preparation of monthly health care plans, and experience reports including analysis of cost trends - database creations and maintenance including company HR systems and vendor websites - resolution of patient and employees' benefits questions and concerns including benefits administration, client communications, managing and monitoring r...

Tags for this Online Resume: Customer Services, Elderly Advocate, Eligibility Benefits Specialist, Benefit Analyst, Business Office Manager, Trainer, Policies and Procedures, Benefits, Kronos, Kronos (Labor Mgmt Sys), Quality, Quality Assurance, Quality Control, Insurance

Medical or Health Services Manager - 20 Years of Experience - Near 33032

Tags for this Online Resume: Compensation, Insurance, MACs, Forecasting, Services, Billing, Dialysis, Nursing, Managed Care, Bilingual