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Online Resumes with "Medical necessity"



Dental Treatment Coordinator

I am looking for a position in a dental practice where my experience in medical and dental insurance cross-coding, for prosthetic replacement and full mouth reconstruction due to medical necessity, congenital defects, systemic disease, cancer and radiation, accidental injury and trauma will be utilized to provide excellent care to patients.

appeals & denials case manager

to further my career in the financial & clinical area in the role of analyzing hospital/patient data for all payors to ensure compliance & medical necessity & be prepared to assist when there is a question. I want obtain 3 certifications that I have the experience & knowledge to sit for the exams. These are coding/auditor-either nurse clinical coder or ccsp, CCM & CCDS.

Healthcare Medical Professional

High energy proficient healthcare medical professional eg. medical biller collector

Ideal Companies: Rush, University of Illinois, Rosewood Womens Hospital

registered nurse case manager

to assist with the discharge plan of a patient and to reviewthe chart for medical necessity

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Excellent Customer Relations

Of particular note for you and the members of your team as you consider this placement are my strong communication skills both written and verbal, flexible problem solving ability and endless resourcefulness.

Ideal Companies: real estate, property management, human resources

Tags for this Online Resume: property management, real estate, customer service, leasing

Registered Nurse, Precertification, Case Management, Liaison- 17 years experience - New Jersey

I'm a Registered Nurse with 17 years experience looking to utilize and to expand my nursing knowledge. Expertise in medical records review, liaison/sales, discharge of patients, pre certification for medical necessity in New Jersey and Pennsylvania.

RN Recovery Audit Contractor

I'm a RN with more than 25 years experience. Greater than 10 years in home health auditing/coding/OASIS. Current experience includes recovery audit contractor, review of hospital medical record for medical necessity/correct billing.

Tags for this Online Resume: Nurse, OASIS, case management, Auditor, home health, utilization review

RN case manager- 7 years Experince - Hospital setting - Florida

I am a RN with 14 years experience, 7 years experience in case management/utilization review. Expertise in prospective, concurrent and retrospective reviews for medical necessity and level of care. Fully bilingual, Spanish.

Tags for this Online Resume: case manager, utilization management, clinical liaison, RN

Nurse Coordinator 7 years experience, medical device/quality assurance audit/chart investigation/cusotmer support Philadelphia

Accomplished registered nurse with substantial experience in medical necessity reviews, continued stay reviews, and readmission reviews. Possess superior written and verbal communication skills. I am a very well rounded person with experience working in a corporate office, as a floor nurse, completing medical audits, dealing with Electronic Medical Records, medical device complaints, Medicare/Medicaid compliance, research...

Clinical Specialist - 4.5 years

I'm a Respiratory Therapist with over 4 years of experience in reviewing medical records for insurance criteria and writing letters of medical necessity. I have greater than 30 years experience in Respiratory Therapy including hospital work, Pulmonary rehab, and home care.

Tags for this Online Resume: St. Paul, Medical record review, Letter of medical necessity, insurance criteria, Respiratory Therpist, DME