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Online Resumes with "MCG"
Technically minded, results driven IT professional with more than twenty years work experience
Technically minded, results driven IT professional with more than twenty years work experience. Strong capabilities in design, implementation and maintenance of complex computing systems. Solid management skills, including department management, department budgeting, project management, project budgeting, operations, contractor/vender relations, inventory/equipment control and human resources management. A Team Leader capab...
Tags for this Online Resume: Team Leader, Microsoft Server Products, Microsoft Office Products, Solid Management Skills, Diverse Communication Skills, Project Manager, Resource Management, Microsoft, MCSE, Geographiucally Dispersed Teams
Registered Nurse Case Management, Clinical Educator-12 + years experience - Epic- Acuity
I'm a RN Clinical Trainer with 12 + years in Medical Management with HMO commercial, Medicare & Medicaid Health Plans. Expertise in the use of Epic, TCS Acuity, Cerecons, IDX, MS Outlook, Siebel, MCG (Milliman). Effective training in formal presentation settings: one-on-one, small and large groups, with peers, and bosses; both inside and outside of the organization, on both cool data and hot and controversial topics; the ...
Tags for this Online Resume: Tulsa, Educator, Trainer, Case Management, Medical Management
Registered Nurse - 17 Years of Experience - Near 91942
I am an Registered nurse who wand to continue my career in a challenging environment, with direct patient contact and continue to strive for professional growth and development. I am bilingual-Spanish and English.
Tags for this Online Resume: San Diego, QBS, Epic, Medicare, Medical , MG, MCG
Registered NurseMedical Record reviewer - 20 Years of Experience - Near 12035
I am a Registered Nurse, licensed in New York state. I would like to express my interest in a full time permanent position processing appeals. I am detail-oriented, conscientious, thorough and patient-focused; and my reviews are clear, concise and accurate. I would prefer a remote position. I do have a dedicated home office.
Tags for this Online Resume: appeals , RN, insurance, provider, remote, medical record reviewer
Medical Office Manager - 11 Years of Experience - Near 11411
I have proven management and training sills that have contributed greatly to the Nursing Administration office at Harlem hospital. As an effective communicator the team that I supervise is informed of new policies, procedures and practices. This has saved and gained capital for the corporation. As an organized planner this enabled me to delegate, effectiveness for each and every Nursing event and project.
Tags for this Online Resume: QUEENS, INSURED CAR, WINDOWS SUITE, LONG ISLAND, FUND RAISING, EVENT PLANNING, NEW YORK, LEADERSHIP
Accounting Manager
Accounting, Management, Taxes
Ideal Companies: Morris Communications, Microsoft, IBM, University Hospital, MCG
Tags for this Online Resume: accounting, taxes, computers, auditing
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
Case Management Manager - 20 Years of Experience - Near 60409
I am a Nurse Case Management professional with upwards of 16 experience. My experience includes but is not limited to Telephonic Complex Case Management, Occupational Health/Worker’s compensation, and Psychiatric Nursing. Additionally, my proficiency with Utilization Review software, namely InterQual criteria and guidelines as well as Epic allows me the opportunity to make determinations on admissions, prior authorization, ...
Tags for this Online Resume: Utilization Review, ICD-9, Health Care Industry, Interqual, MCG, Communication Skills, Computer Aided Software Engineering, Patient Care, Coding, ICD-9, Health Care Industry, Management, Benefits, Communication Skills, Computer Aided Software Engineering, Patient Care, Utilization Review Nurse, Allscripts, Powerchart, Epic, EMR, CPT Codes
Sales Manager
Summary Sales management professional with 30+ year experience in New York Metropolitan territory. Extensive network of contacts in data center and critical systems design, installation, project and facilities management with a strong focus on the leading financial services companies. My qualifications, expertise and hard work ethic led me to grow from regional management to national sales management and ultimately Global A...
Tags for this Online Resume: Sales, Dell, Management, Account Management, Consulting, Financial, Financial Services, Focus, Install, Light Emitting Diode
Case Management Manager - 11 Years of Experience - Near 32162
Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...
Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence
Registered Nurse - 18 Years of Experience - Near 32110
To obtain a challenging position in nursing that will allow for growth and a chance to utilize and contribute my knowledge, skills, and job experience in the hospital/clinic, and home health/ hospice/ palliative care environments. To complete the Masters of Science in Nursing- Masters of Business / Health Care Administration.
Tags for this Online Resume: Home Health, Director, Patient Care, Home Care, Hospice, Management, Administrative Skills, healthcare, registered nurse, Clinical Services, Professional Services, Regional Director
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
