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Online Resumes with "Interqual"
Director of Nursing/Case Manager 7 years experience -- Folsom, CA
I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines. Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...
RN UM Case Manager , medical , and mental Health Clinical Reviews
I Have 15 years experience working in managed care in insurance companies , inpatient mental health and medical inpatient. I have computer experience using InterQual ,Word ,Power Point, & Outlook MediTech
Registered Nurse & Consultant-over 40 years experience-Seattle
Dynamic, versatile Registered Nurse and Consultant with 40+ years of experience in the healthcare industry. A registered nurse with exceptional communication and consulting skills combined with a proven ability to provide counseling, patient care, and leadership to promote wellness, organization, and effective service to clients, companies, and patients. Outstanding entrepreneur and public speaker distinguished for proven l...
Tags for this Online Resume: Seattle, Nursng, Utilization Review, Clinical Appeals, Medicare & Medicaid, Education, Case Management, Regstered Nurse
RN Case Manager/Utilization-14 years experience
I am Registered Nurse with over 30 years experience and 19 years experience in case management in the hospital area as well as the managed care insurance area, utilization review, precertification, concurrent and retrospective reviews, knowledge of Medicaid and Medicare guidelines, InterQual and Millman's criteria, discharge planning.
Registered Nurse - 25 Years of Experience - Near 33023
Registered nurse position in a health care setting. Dedicated healthcare professional with 25 years of practical experience in a fast paced hospital setting, knowledge of home health, case management, disease management, pre-cert/prior-authorization, and experience with medically fragile individuals.
Tags for this Online Resume: case management, disease management, prior-auth, Interqual
Case Manager - 20 Years of Experience - Near 33410
Tags for this Online Resume: West Palm Beach,Fl, RN on site clinical liaison, interqual, telecommute, RN case manager, RN medical device educator, utilization management
Registered Nurse - 20 Years of Experience - Near 15501
My name is Connie DiOrio, I bring with me 20+ years of experience in Nursing, Case Management, Utilization Review, Interqual experience. I currently work as a Care Manager and am open to many different avenues of nursing.
Tags for this Online Resume: Experience, Case Management, Interqual experience, Energetic, Utilization Review, Hospice experience
Registered Nurse - 20 Years of Experience - Near 15227
•Case Manager Certified •Facilitated results-oriented, empathetic and professional adult nursing care for over 23 years. •Respect for compliance in all regulated environments while maintaining a clear vision to accomplish the company goals. •Advocated for members to resolve health concerns. •Communicated with all levels of personnel. Skills Include: •Demonstrated computer and internet literacy. ...
Tags for this Online Resume: Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader
Case Manager - 20 Years of Experience - Near 45069
Obtaining a position in Healthcare where I can make a difference in quality improvement and healthcare delivery using my work experiences and education. I have had a vast array of nursing and case management experience and function very well as a project coordinator with insurance companies and acute care facilities.
Tags for this Online Resume: managed care, case management, Interqual, acute care , HEDIS, quality improvement, management, insurance
Case Manager - 20 Years of Experience - Near 33169
It is my goal at this time to complete my Bachelors degree. I a would love to get back into floor nursing, My most recent experience is utilization review and case management.
Tags for this Online Resume: Ft. Lauderdale, Miami, Interqual , on site review, Milliman, Memorial Health systems, Jackson Memorial Health Care
Registered Nurse - 30 Years of Experience, 20 years experience in Utilization Review - Near 43068
I am seeking a position in Utilization Review. I have been a Registered Nurse for 30 years with the last 20 doing Utilization Review. I have experience with InterQual and Milliman Criteria.
Tags for this Online Resume: RN, Case manager, Utilization Review, insurance
Registered Nurse - 10 Years of Experience - Near 85132
I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...
Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid
