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Online Resumes with "Hedis "
Registered Nurse with 20 years experience in various fields of nursing
Seasoned Registered Nurse with Bachelor's Degree wanting to transfer experience, skills and knowledge toward medical coding. Completed program in medical billing and coding, diploma received and now working toward certification for CPC.
Tags for this Online Resume: Case Management, medical coding, Supervisor, Data Abstraction, HEDIS Projects, medical chart auditor, medical chart reviewer
Pharmacist - 15 Years of Experience - Near 32828
Savvy clinician with 15 years of experience in managed care clinical programs and pharmacy benefit management. Expertise in medication therapy management, chronic disease/population management and Medicare Part D regulation. Dedicated to improving patient care through collaborative relationships, innovative program design and continuous quality improvement. Seeking new opportunities in the Orlando area or with remote capabi...
Tags for this Online Resume: Ambulatory Care, Managed care, Medication Therapy Management, Medicare Part D, HEDIS, Prior Authorization, Quality Initiative, Claims analysis
Registered Nurse - 19 Years of Experience - Near 16823
Seeking a position within an established team of health care providers where delivering compassionate and hollistic care to their clients , as well as their employees is priority; where I can best utilize my clinical experience and telephonic disease management skills. Being a part of an organization that encourages personal and professional growth is essential at this point in my career/life.
Tags for this Online Resume: Medical Record Reviews, HEDIS, Telephonic nurse, Disease management, Home and traditional office, great communication skills
Registered Nurse - 20 Years of Experience In Many Settings--Duluth, Minnesota
Desire to utilize the many years of experience, which include, floor nursing, Utilization Management, HEDIS Auditor and Case Management.
Tags for this Online Resume: RN Nurse, Utilization Management, Case Management, Medical Surgical, Health Insurance, Computer knowledge, HEDIS Auditor, Excellent Customer Service, Complaints, Emergency Room
SAS Programmer/Analyst in Healthcare
I would like to apply by SAS programming talents to the field of data analytics. I am looking for a position in which I would be part of a telecommuting data analytics team, combining and 'normalizing' data, and creating data summaries (frequencies, cross-tabs, etc.) that would be used by the team in data analytics.
Tags for this Online Resume: SAS, Healthcare, Data Analytics, telecommuting, Claims data, programming
Experienced Registered Nurse -EHR/ICD-9, HEDIS documentation expert
My career uniquely combines a solid understanding of medical health care practice and business management and my goal is to continue as a hospital provider advocate within the medical auditing and clinical documentation career path.
Tags for this Online Resume: Registered Nurse, Medical/Surgical, Home Health, Infusion Therapy, Director of Nurses, CCU/ICU/Telemetry, Documentation Review EHR, Quality Assurance, Telecommute, Medicare Recovery Auditor, IternQual, ICD--9 ICDCCU/ICU/Telemetry, Integrated Case Manager, Quality Assurance/HIM; Healthcare Information & Documentation Manager, Medicare Denials appeal and Managed Care Risk/ medical necessity auditor, InterQual/ICD-9/MCG;Millliman/DRGs/Lean/CMS Guidelines MS Office, telephonic/remote, CCU/ICU/Telemetry/evidence based best practice provider and physican advocate, HEDIS abstractor, internal risk auditor, EHR quality assurance, ICD-9, Interqual/Milliman, clinical coordinator
Registered Nurse - 20 Years of Experience - Near 89074
Tags for this Online Resume: Quality Management , PACU, HEDIS RN Abstractor, Adult medicine supervisor
Physician - 20 Years of Experience - Near 25313
To serve patients in outpatient facilities doing clinical exams and minor outpatient surgery in Gynecology, prenatal check ups.
Tags for this Online Resume: Board Certified, Gynecology
Registered Nurse - 20 Years of Experience - Near 48047
Kim has extensive managed care operational background in HEDIS, MA Stars, NCQA and related quality improvement efforts. Kim is recognized as a problem solver with strengths in strategic and tactical planning as well as the completion of projects within an established timeframes. Kim has proven leadership skills in motivating and integrating a diverse team from multiple business areas that consistently meet goals and objecti...
Tags for this Online Resume: NCQA, Quality Management, Disease Management, Program development, HEDIS, Managed Care, Clinical Integration, Performance Measurement/Management/Improvment, Patient Care, ROI, Services, Management, Data Analysis, Process Improvement, Computer Aided Software Engineering
Data Warehouse Support Specialist - 8 Years of Experience - Near 98032
Tags for this Online Resume: Seattle, WA, SDLC, ETL, Agile, HEDIS, ICD, CPT, Oracle
Quality Improvement Manager - 4 Years of Experience - Near undefined
Tags for this Online Resume: quality, CMS, Epidemiology, Healthcare, Medicare, HEDIS, Star Ratings, NCQA
Medical or Health Services Manager - 20 Years of Experience - Near 30022
I am currently seeking employment opportunity in business operations or healthcare management. More than 25 years of diversified experienced with increasing management responsibilities. Goal-oriented, resourceful team member and skilled leader with strong attention to detail. High relational skills with clients, colleagues and team members. Comprehensive background in healthcare administration which includes but not limited...
Tags for this Online Resume: Healthcare, Practice Manager, Practice Coordinator, Longterm Care, Director, Assistant Director
