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Online Resumes with "MEDICARE MEDICAID"
Administrator for Home Health Agency for 14 years. Have been Director of Quality improvement
I am a Registered Nurse with Administrative and Management skills over the past 24 years. I have extensive knowledge regarding Medicare/Medicaid and Medicare Advantage Plans. Have negotiated with Insurance Agencies for contracts and reimbursement. Have hired, oriented, and have been responsible for staff development and education. Was responsible for supervision of all disciplines in health care including RNs, LPN, Cert...
Ideal Companies: Blue Cross Blue Shield, United Health, Molina Health, Humana, Aetna, Home Health and Hospice Agencies, Case Manager Companies
Network Relations Consultant/Provider Relations Representative
Dedicated professional with years as a successful employee in the Healthcare Industry for the State of Texas with experiences in supervision, project management, provider relations, provider recruitment, contract negotiations, complaint and problem resolution, staff training, and territory management/networking for Medicaid/Medicare and Managed Care areas. Business focused and seeking to provide exceptional work in the are...
Tags for this Online Resume: network consultant, provider relations
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...
Registered Nurse: 3 years management experience with 2+ years in Case Management
I'm a Registered Nurse with 7 years experience working in diverse areas and levels within nursing. Extensive knowledge of Medicare and Medicaid guidelines as well as Utilization Management.
Tags for this Online Resume: Utilization Management, MDS, Supervisor, Manager, Case Management, Utilization Review, Customer Satisfaction, Interdisciplinary Team, Teamwork, Acute Rehabilitation, Skilled Rehabilitation, Medicare, Medicaid, Concurrent Review, Managed Care, Insurance, Cost Control, Scheduling, Staffing, Communication, Discharge Planning
Health Care Surveyor Investigator
Extensively experienced and dedicated OTR/L offering more than twenty years of management experience; history of work experience in geriatrics, adults, pediatrics, mental health, acute care, out-patient, traumatic brain injury, and home health. Substantial knowledge of Medicare and Medicaid regulations, as well as a working knowledge of third party payers.
Tags for this Online Resume: healthcare, manager, Medicare, skilled nursing, acute care, director
Human Resources-5 years experience-Cleveland
OBJECTIVE: To be employed as an HR specialist, provide support, actively participate in continuous development of the company and become a valuable member of the team. SKILLS and CERTIFICATES Fife years of HR experience, Knowledge of MDS, OASIS, 485’s, Medicare, Medicaid, Passport, Options standards, State Plan, Private insurances...
Tags for this Online Resume: cleveland, compliance, business development, Human resources, orientation
Chief Financial Officer-Hospital 10+ years experience Medicare/Medicaid Reimbursement Implementaion of computer systems
To improve financial stability of hospital within todays economy and cuts in reimbursement
Tags for this Online Resume: Chief Financial Officer, VP Finance, Exec Director Finance
Admissions Director
Tags for this Online Resume: account receivable, managed care claims, medicare and medicaid
Director Compliance, HIPAA or Internal Audit
More than 20 years of progressive experience in the healthcare and public accounting arenas with a drive and “gets it done" attitude and expertise transferable to many industries. A strategic and creative thinker and highly motivated individual who takes pride and ownership of results. A highly effective communicator with strong analytic and problem solving skills. Possesses an extraordinary understanding of the needs of p...
Tags for this Online Resume: Compliance, HIPAA, internal audit, directo, vice president, healthcare
PHARMACIST / PHARMACY MANAGER
Resourceful pharmacy manager and professional with extensive experience in dispensing medications, managing pharmacy inventories, and performing routine/emergency drug screenings. Highly adept at providing consultation to patients and physicians and other healthcare professionals related to drug dosage and interactions. Experienced pharmacy district coordinator and store manager with track record for achieving impressive sa...
Ideal Companies: Omnicare, CVS, Safecor
Tags for this Online Resume: PHARMACIST, PHARMACY MANAGER, Pharmacy Dispensing, Medication Therapy, Process Improvement, Staff Training, Strategic Planning, Expense Control, Quality Assurance, Quality Control, Drug Screenings, Controlled Substance Security
Admissions Director
Tags for this Online Resume: Assistant Director Of Finance, Hospital billing and appeals, Claims collection for commercial insurance, Medicare/Medicaid HMO and third party insurance, Patient financial service, Hospital Denials and appeals, Underpayment, Auditt review
Licensed Nursing Home Health Facilities Administrator 48 years experience
Over forty eight years of experience in sub-acute, assisted living, long term care, Medicare, Medicaid. Utilization of those skills and experience
Tags for this Online Resume: Administrator, Executive Director, Interim, Start up , Licensed, CMS educated
