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Online Resumes with "Interqual"



Utilization Review - 3yrs experience- Interqual/ Millermen experience

To provide nurse advocacy service to patients as well as utilization review service.

Tags for this Online Resume: Registered Nurse, Unitlization Review, Nurse Advocate, Managed care

Utilization Review RN

Rn with extensive managed care, utilization review/management, seeking a job in Utilization review. Also experienced in Interqual criteria and familiar with Milliman criteria as well as Medicare and Medicaid. I would like to become certified in UR or CM in the near future.

Featured Profile

RN, BSN with background in surgery, home health, case management

I am looking for a managerial position. I have done relief Surgical Services Manager. My school of nursing stressed leadership. I have a varied background in surgery, home health and case management.

Ideal Companies: Acute care hospitals, Post acute care company, Insurance company, EHR

Tags for this Online Resume: Surgical, Utilization and review, management, case management, teaching

Highly skilled career professional with more than 20 years practical experience in hospital, home health, and insurance companies verifiable.

I have experience in prior authorization review, utilization review and case management. I have worked in this field for over 10 years and I have knowledge in both Milliman Care Guidelines and Interqual. I am organized and detail oriented. I have strong communication skill both verbal and written and I am a strong team player. I have effective time management skills and I have no problem meeting deadlines

Tags for this Online Resume: Case Manager, Utilization Review Nurse, Prior-Aothorization RN, Healthcare, Insurance Industry

clinical/non clinical RN, Tri-Cities, WA

full/part-time job using my skills and knowledge of triage and Interqual criteria

Tags for this Online Resume: Registered Nurse, part/full time, transfer center/call center, interqual criteria trained

Case Manager, experienced with Midas, Ecin, Interqual, Cerner

BSN RN ACM

Seeking longterm professional healthcare employment in case management or utilization review field in Davenport, Iowa area.

Tags for this Online Resume: Interqual, Utilization, Quality, Medicare, Reviewer, Appeals

RN, case manager, Plymouth, Michigan

To be able to work as a per diem RN case manager contributing to successful patient outocmes for patients being admitted and discharged in the hospital setting. Can only work per diem. Have Interqual, Midas, many more computer programs' training

Tags for this Online Resume: case manager, discharge planning, registered nurse

Registered Professional Nurse 20 year experience medical surgical unit, Home Care, TBI Unit, Empire BCBS

I would like to further my experience and knowledg base as well as advance my education and challenges in different areas of my profession.

Tags for this Online Resume: word, interqual, M&R

Case Management

RN Case Management or Utilization Review (Remote) in the Denver area. I will be re-locating in July of this year to the Denver area

Tags for this Online Resume: RN Case manager, RN Utilization Reviewer, Microsoft Office, Interqual Medical Criteria, Medical Discharge planning

Utilization Managment, Clearwater, Fl

Telephonic or on-site utilization mgt. and/or Case Management for the managed care insurance industry.

Tags for this Online Resume: Subacute, Acute Rehab , LTAC, Interqual proficiency, Home care , R.N.

Training Manager, Registered Nurse, Certified InterQual Instructor

Continued professional growth and achievement within an organization where InterQual Criteria training, medical claims training, CPT Coding training, SIU medical training, and medical consulting can be utilized to enhance fraud identification, improve medical claims handling and ensure the appropriate level of patient care is being delivered