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Online Resumes with "MEDICARE MEDICAID"
Registered Nurse - 20 Years of Experience - Near 27410
Thirty five years of diversified clinical experience as a staff nurse, nurse manager, nurse educator, director of home care, nurse consultant, care manager, director of medical staffing and MDS Coordinator. Approximately twenty two years of practice in community health with primary focus on Medicare and Medicaid clients, quality assurance audits for home health care agencies, as well as patient and staff development educat...
Registered Nurse - 17 Years of Experience - Near 33172
Ana B. Francisco RN BSN LNC LHRM 510 NW 109th Avenue, #5, Miami, Florida 33172 (786) 286-7160 W O R K E X P E R I E N C E: 2007-2009: DIRECTOR OF NURSING / ALTERNATE ADMINISTRATOR: Advantis Home Care, Inc., 2921 SW 8th St Miami, Florida 33135 Supervision of clinical and non-clinical staff operation; update of agency Policies and Procedures books, case management, utilization review, initiated the Quality Assurance ...
Ideal Companies: health care
Tags for this Online Resume: RISK MANAGER LICENSED, DIRECTOR OF NURSING, QUALITY ASSURANCE NURSE, UTILIZATION REVIEW
Case Manager - 20 Years of Experience - Near 78610
I am in search of a Case Manager Utilization Review position where I may use my 35 years of clinical nurse experience in a clinical facility or MCO as Case Manager. I have both adult and pediatric clinical nurse experience as well as management experience.
Tags for this Online Resume: Utilization Review Case Manager, Case Manager , Disease Case Manager , Registered Nurse , Clinical Educator , Medicare and Medicaid , Care Coordinator , Health administration, Immunization, RN
Health Information Technology, entry level
Technically skilled in the following areas: • Medicare/Medicaid Reimbursement • Hospital Information Systems • Medical Terminology • Clinical Data Analysis • Current HIM Technologies • Chart Status Tracking • HIPAA Regulations • Microsoft Office (Excel, Word, Access, Powerpoint), Oracle, MySQL, Visual Basic for Applications
Tags for this Online Resume: healthcare, medical records, receptionist, customer service, scanning, indexing, coding
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Sales and Consulting - 17 Years of Experience - Central Valley Area CA and Denver North Area CO
SPECIALTY PHARMACEUTICAL SALES REPRESENTATIVE Dynamic Pharmaceutical, Medical Sales Professional and Consultant with eight years of territory sales experience. Demonstrated pharmacy and small pharmaceutical sales expertise increasing contacts, introducing new products, providing patient education and billing support. Proven success creating and launching programs to increase revenues and commissions. Skilled at improving...
Ideal Companies: Bellevue Pharmacy LLC, Nestle Health Sciences, Genuine Parts Company (Napa)
Tags for this Online Resume: Distribution, Sales, Territory Sales, Critical Care - Neurology, Family Practice, Neurology, Pharmaceutical Sales, Medical Sales, Consulting, Endocrinology, Primary Care, Pain Management, Psychiatry, OBGYN, Podiatry, Orthapedic, Dermatology, Cardiology, Product Launch, President's Club, Midicare, Medicaid, Sales Cycle Management, Territory Management, Lead Generation, Team Leadership, Leadership, B2B Sales, Marketing, Specialty Pharmaceutical Sales, Territory Revitalization, Client Relations, Business Development
Case Management Manager - 20 Years of Experience
Professional summary: Kathleen M. Halligan is a nursing professional with over 20 years of experience. She has over 10 years of experience as a case manager in the home health and skilled nursing environment. She is experienced working with Medicare, Medicaid and private insurance. She is well versed in performing initial and ongoing assessments while implementing and developing care plans for patients. Kathleen rounds out ...
Tags for this Online Resume: Insurance, Medicare, Computer Aided Software Engineering, PEDIATRIC, Home Care, Home Health, Nursing, Pharmacology
Experienced Business Professional
My personal mission is to offer my services where my attitude, skills and knowledge will most fully be engaged to the benefit of the cause for which I am playing a part of accomplishing. Bottom line: I want to maximize my impact in an organization that is having a positive influence on the world in which we live.
Ideal Companies: Concordance Healthcare Solutions, Tiffin University, Webster Industries, NaviHealth, Epic
Tags for this Online Resume: healthcare, DME, strategy, leader, creative, improvement, business, executive, manager, team, sleep apnea, home oxygen, entrepreneur, visionary, service
Sales Representative - 16 Years of Experience - Near 79904
SUMMARY OF QUALIFICATIONS * Excellent communication and interpersonal skills. * Ability to effectively interact with people from diverse backgrounds and all levels within an organization. * Self-motivated, goal/team oriented and efficiently resourceful in achieving desired results.
Tags for this Online Resume: Referrals, Lead Generation, Management, Medicare, Sales, Sales/Marketing, Needs Assessment, Account Manager, Outside Sales
Healthcare Insurance Recovery, Cost Containment, Configuration and Operations Leadership 20 plus years experience in Medicare, Medicaid, Commercial Insurance Operation Management.
Obtain an Executive Leadership role where my skills and knowledge can be utilized to minimize costs, increase profits, and ensure compliance with all Federal and STate Regulations. Autonomy to build effective teams, mentor staff, and develop a world class organization in a rewarding environment with an atmosphere of innovation and leading edge technologies being implemented or utilized would be the most favorable situation.
Tags for this Online Resume: Medicare, Medicaid, Configuration QNXT Amisys MHS, Cost Containment, Operations Leadership, Business Process Improvement
Billing/Coding Specialist - 20 Years of Experience - Near 05401
SUMMARY OF QUALIFICATIONS * Knowledgeable and experienced in administrative management * Front/Back Office Manager - Medical Records - ICD-9/10 * CPT Coding * Receptionist/Transcriptionist - Medical Document * Business Machines Business/Medical Law - Title 22 * Insurance Billing/CMA & UB94 - Insurance Follow-Up & Verification/Pre-Certification * Word Processing - Medicare, Medicaid, HMO. PPO, Champus, IPA * HIPAA Rules/Regu...
Tags for this Online Resume: Coding, Billing, Insurance, Medicare, Attention to Detail, Automation, Back Office, Centricity, Medical, Administrative Assistant, Documentation, Medical Billing, Medical Records, Medical Administration
Not Listed - 15 Years of Experience - Near 33411
To work as a registered nurse with a company in the healthcare industry that will offer me the opportunity to grow while contributing in the progress of that company.
Tags for this Online Resume: ADM, Medicare, Wound Care, Rehabilitation, Home Care, ACLS, Automobile Claim Law Specialist, Cardiopulmonary resuscitation (CPR), EKG, Phlebotomy
