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Online Resumes with "MANAGED CARE "



Registered Nurse - 20 Years of Experience - Near 48174

My Career goal is to continue using my skills in Case Management, Hedis , Quality Management in a Remote setting.

Tags for this Online Resume: Nurse Case Manager, Utilization Review, Hedis, Medicare, Coding, ICD-9, Audit, Data Entry, Health Care Industry, Home Health, Managed Care, Management, physical therapist, physical therapy, outpatient physical therapy, rn, care, outpatient rehabilitation, registered nurse, healthcare, utilization review

Chief Operations Officer - 15 Years of Experience - Near 55105

My goal is to land my next great healthcare operations career after having grown into a dynamic Operations Strategist who partners with other C-Suite leaders in the Healthcare, Medical device and Insurance industries to grow their business and provide exceptional service to their members. Needing to centralize my talents to the Twin City and surrounding markets, I see change as a “gift” and truly the only constant in our i...

Tags for this Online Resume: Security, Automation, Back Office, Imaging, Microsoft Visual Basic for Applications, TQM (Total Quality Management), FileNet, Insurance, Management, Engineering, management

Medical or Health Services Manager - 20 Years of Experience - Near 92009

Profile Entrepreneurial physician executive committed to pursue healthcare opportunities that align the expectations and needs of the health system, the community and the physician partners focusing on increasing resources to further excellence and value in healthcare. Innovative and strategic leader who gathers information from all stakeholders to identify new opportunities, and develops short and long range goals to achie...

Tags for this Online Resume: Medical, SAN (Storage Area Network), OB/GYN, Email, Quality, Quality Assurance, Mba, Accounting, Filing, Managed Care

Data Analyst - 15 Years of Experience - Near 90703

Summary Developer certified in 2015 EPIC Clarity Inpatient adapt at developing, implementing and integrating scalable reports/applications and providing support in the use of business related tools and applications. Key strengths include: * EPIC Clarity Inpatient Certified 2015 * Extensive knowledge of EPIC Inpatient 2015 * Knowledge of EPIC ASAP * Knowledge of Qlikview * Healthcare experience (Claims, quality, pharmacy, do...

Tags for this Online Resume: Crystal Reports, Business Objects, Business Objects Reporting Tool, Quality, Quality Assurance, Applications, Business Requirements, Database, SAP, Training, epic, healthcare, ehr, managed care, qlik, analyst

State Government - 15 Years of Experience - Near 43215

Tags for this Online Resume: Budgetary, Drafting, Insurance, Managed Care, Management, Scheduling, campaign, political, policy, government affairs, government relations, lobbying, fundraising, elections

Chief Financial Officer - 20 Years of Experience - Near 95938

SUMMARY OF QUALIFICATIONS FINANCIAL MANAGEMENT / FINANCIAL ANALYSIS / STRATEGIC ADVISOR / PROCESSES & SYSTEMS DEVELOPMENT Results oriented senior level professional with extensive hands-on experience in business management, business leadership and working with owners, stakeholders, banks, attorneys, CPA/tax and other professionals. More than twenty-two years of progressive and accomplished accounting and finance experience....

Tags for this Online Resume: Commercial Electrical, Managed Care, Insurance, Construction, Receivables, Accounting, Budgeting, controller, accountant, finance, gaap, excel, forecasting, manufacturing

Customer Service Supervisor - 20 Years of Experience - Near 76114

Qualifications Extensive experience in nearly every aspect of the insurance industry, including managed care in a variety of settings from HMO's and TPA's to providers and workflow software vendors. Strong practical foundation in creating and improving processes and procedures to meet audit and regulatory requirements, as well as improve the work environment. Proven success in writing RFP's, bid proposals, project managemen...

Tags for this Online Resume: Insurance, Management, Documentation, Retention, Software, ACH, Billing, Customer Relationship Management, Product Development, Project Coordinator

Case Management Manager - 15 Years of Experience

Tags for this Online Resume: Managed Care, Case Management, Cost Containment, Health Care Administration, Registered Nurse

Medical or Health Services Manager - 2 Years of Experience - Near 20901

Tags for this Online Resume: Orthopedic, Orthopedics, Business Development, Facilitator, Insurance, Managed Care, Medicare, Networking, Vendor Evaluations, A SERIES, healthcare

Registered Nurse - 13 Years of Experience - Near 61822

SUMMARY Accomplished Masters prepared nurse with more than 13 years of extensive clinical and leadership experience with a focus on exceptional quality and service standards. Recognized as a natural leader and valued member of the interdisciplinary team with the ability to collaborate and make meaningful connections with patients, families, and colleagues. Seeking a new opportunity to apply my knowledge, experience, and ski...

Tags for this Online Resume: Rehabilitation, Benefits, Inpatient Rehabilitation, Insurance, Managed Care, Medicare, Referrals, Software AG Natural, Strategic Planning, Team Development, MSN, Telecommute, Nurse educator, Utilization Management, registered nurse, nurse, healthcare, Regulatory compliance, Appeals

Management

To effectively apply my education, training and diverse healthcare leadership career experiences to improve the quality of clients life style and health status, while supporting the mission of a well established / financed and high quality healthcare organization, and insuring the continued development of its staff skills and career aspirations.

Tags for this Online Resume: Acquisitions, Assessments, Business Development, Consulting, Financial, Administration, Management, Director, CEO

Admissions Director - 20 Years of Experience - Near 60430

CAREER SUMMARY * * Over 30 years in healthcare and 25 years as an Inpatient and Outpatient Managed Care HMO. PPO, POS, Medicare, Medicaid Commercial, Worker comp and Veteran Administration Biller and Collector, I billed primary, secondary, tertiary Insurance carriers. Verified benefits and eligibility for inpatient, outpatient, physician and hospital claims, also worked as a Financial Counselor. Hardworking, dedicated, comm...

Tags for this Online Resume: Coding, Allergy, Benefits, Financial, Litigation, Managed Care, Medical, Medical Records, PEDIATRIC, Pediatric Care, physical therapist, healthcare, Medical Insurance Collector