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Online Resumes with "Medicaid Medicare"
Registered Nurse - 40 Years of Experience - Near 89131
I am considered to be a leader, and always eager to be involved in new projects. I have particular interest in patient experience and satisfaction. I would like to move further up the corporate ladder. By taking ideas and turning them into action plans, the healthcare facility would be able to realize an increase in revenue and in addition have satisfied patients who will recommend their facility to others in the community.
Ideal Companies: University Medical Center, HealthInsight, VHS Consolidated
Tags for this Online Resume: communication with senior leadership, resolution of patient complaints using staff and family education, regulatory specialist, Microsoft Word, Excel, PowerPoint
Admissions/Marketing Director
20 yrs experience in long term care settings. Dedicated to providing quality of care to elders, in a compassionate and caring setting.
Ideal Companies: Aegis Living, Bonaventure, Manor Care,
Tags for this Online Resume: Marketing, Public Relations, Admissions director, Social Services, Memory Care Director, Long term care, Assisted living
General Manager - 10 Years of Experience - Near 78258
Experienced operations manager with over 10 years experience working closely with staff in various stages of development. The majority of my career has been spent in a healthcare setting, but recently gained employment with a digital marketing and web design firm. I started as a social media specialist, and was recently promoted to SEO specialist. I have experience with various social media platforms, creating campaigns, ...
Tags for this Online Resume: San Antonio, Austin, Dallas, Operations Manager, Healthcare, Remote Manager, Trainer
Experienced Utilization Management RN
Results-driven, dedicated, and compassionate healthcare professional with more than 30 years experience delivering high-quality patient care and nursing operations in a variety of areas, including, pediatrics, cardiac critical care, military/emergency nursing, occupational health, commercial health insurance case management, and travel insurance case management. Extensive knowledge of medical illnesses and treatments, hospi...
Ideal Companies: Health Insurance Organizations, Utilization Management, Travel Health insurance
Tags for this Online Resume: Registered Nurse, Utilization Management, Call Centers, Occupational Health, Microsoft Office Suite, Managed Care, Process Improvement, Training and Development
Case Management Manager - 15 Years of Experience - Near 87020
Former President of home Health Agency. Sound knowledge of the Medicare regulations, Federal and State Laws for the Medicaid and Medicare services Strong ethical work with over 13 years in upper management. Project management skills: Strong understanding and application of quality and risk management principles Expertise in all areas of healthcare management, including budgeting, program planning, project management and sta...
Tags for this Online Resume: CaseManagement, Accreditation Standards, Quality Improvement, Albuquerque , Supervisory, Team Management, Critical Care, Proficient
Mental Health Therapist - 20 Years of Experience - Near 46208
I am a seasoned Social Worker who has worked in a number of capacities with adult Mentally Ill and Substance Abuse Clients. I have used Cognitive Therapy, Motivational Interviewing, rational emotive therapy and other therapies to work client individually or in groups. I have works in teams with Psychiatrists, Nurses, Physicians and community agencies. I have used computer programs to document. I perform Intakes assessmen...
Program Manager - 15 Years of Experience - Near 60035
A resourceful and highly motivated Leader in the Healthcare sector, offering more than 10 years of experience in strategy, planning, and performance success accrued across a broad range of industries, offering excellent problem solving and analytical skills. Proven record of leadership and implementation of client services for Medicaid, Medicare, and Commercial Health management programs, all within time limitations. Specia...
Ideal Companies: BCBSIL, HCSC, Cigna, EverThrive Illinois, Northshore Health System, Valence Health, The Muse, Lake County Department of Health
Tags for this Online Resume: Affordable Care Act, Managed Care, Project Management, Health Policy, Organized, Diplomatic, cross-functional partnerships, communication skills, Management, Program Management
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
Case Manager - 0 Years of Experience
ADDITIONAL QUALIFICATIONS: * Bilingual, Spanish/English. *Knowledge of Microsoft Office ste., Word, Power point and Excel * Eligibility Specialist for Medicaid and Medicare. * Received Training Program Certificate for Manhattan Teen Pregnancy Network. * Hunter College: Certification in the fundamentals of Psycho-Social Rehabilitation. * Training Course in Intensive Case Management. *Columbia University: Community Services, ...
Tags for this Online Resume: Services, Home Care, Bilingual, Computer Aided Software Engineering, English Language, Management, Medicare, Microsoft, Assessments, Coding
Quality Coordinator - 14 Years of Experience
An accomplished multi-lingual medical program administrator/manager/trainer and auditor whose specialty in quality control, management analysis, risk and fiscal review of health care services/programs and departments, coupled with effective communication and case management expertise, thorough knowledge of QA practices, awareness of local, State and Federal government trends for quality controls and public safety of infecti...
Tags for this Online Resume: Management, Medicare, Coding, Fraud, Home Health, Risk Management, Services, Audit
Business Analyst - 2 Years of Experience - Near 30096
SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the ...
Tags for this Online Resume: Billing, Medical Billing, Business Analysis, Business Analyst, Account Manager, Business Requirements, Health Care Industry, Management, Visio, OracleSQL, SharePoint, SalesForce, Excel, Java
Quality Assurance Specialist - 10 Years of Experience - Near 30096
Professional Summary * 10+ years of industry experience in Software Quality Testing of Web Client/Server and Web Services applications using Manual, ETL and Automation Test Tools. * Handled combination of QA, enhancement and maintenance projects across releases. * Played a prominent role in all dimensions of testing, which includes ETL testing, Automation testing using Selenium, System testing, Integration testing, Ad Hoc t...
Tags for this Online Resume: Management, Test, Test Cases, Microsoft Windows, Extensible Markup Language (XML), Java Programming Language, Acceptance Testing, Microsoft Windows 7, User Acceptance Testing, Windows 7
