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Online Resumes with "Medicaid Appeals"



Case Management Manager - 20 Years of Experience - Near 72023

I am a Registered Nurse with more than 22 years’ in clinical review, assessment, and reporting. Specialized expertise in care management, utilization review, prior authorization, Medicaid, Medicare and private insurance.

Tags for this Online Resume: Utilization Review, Quality Assurance, Case Review, RN, Registered Nurse, Medicaid Contract Manager, Medicaid Appeals, Health Care

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