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Online Resumes with "Medical necessity"



RN

Accomplished, hard-working, dedicated Registered Nurse with experience, strong clinical skills, and a continuous drive for excellence. Sincere commitment to delivering top-quality nursing care following safety/regulatory compliance procedures. Strong interpersonal skills; able to gather information through observation and conversation, with proven ability to effectively communicate/interact with members of the healthcare te...

Tags for this Online Resume: Registered Nurse, Case manager, Claims review, Behavioral Health, Medical necessity, retro review

Cat Scan Technologist - 25 Years of Experience - Near 30019

Ensures proper patient identification, order verification, and prepares the patient for the exam. Performs exams per department protocol. Understands cross sectional anatomy and demonstrates anatomical positioning competency. Familiar with the ALARA program and follows proper radiation safety protocol. Can critique own films. Completes studies within acceptable time limitations per department expectations without compromis...

Tags for this Online Resume: cay scan, seimens/ge, dacula, team player, energetic, customer service

Mental Health Therapist, Psychological Evaluator, Program Director - 15 Years of Experience

My short term goal is to re-enter my career in Mental Health and my long term goal is to earn my doctoral degree. Recently I took time to reflect upon my past experiences, my education, and interests, as well as my strengths and weaknesses. This healthy exploration solidified numerous things such as my resolve to specialize in Dialectical Behavioral Therapy, renew my licensure, and my intent to work in a specialized treatme...

Featured Profile

Medical Support,Medical Practice Supervisor,Medical Practice Manager

To continue working in the healthcare industry, preferably with heavy patient and employee contact in a supervisory or management position to provide exceptional patient care. Strategically focused, results-driven Medical Support Manager with demonstrated success in directing operations to facilitate business growth and streamline operations. Well versed in standard of care policy development, safety and regulatory compl...

Ideal Companies: Morristown Medical Center, Newton Medical Center, Hackettstown Medical Center, Pocono Medical Center, Lehigh Valley Medical Center, Private Medical Practice. Sanofi, CVS/Caremark, specialty pharmacy

Tags for this Online Resume: Healthcare, healthcare, Cardiology, Data Entry, Medical, Management, Amazon Elastic MapReduce, EMR, Government, Insurance

Featured Profile

Healthcare Project Manager, 3 Yrs

For the past three years, I have worked as Project Manager of the Strategic and Tactical Advocacy Team at Executive Health Resources, based in Newtown Square, Pennsylvania. In my position as STAT Project Manager, I have managed a team of doctors and lawyers; organized daily schedules and lead the team through major projects. I have additionally been responsible for analytics work, research, and assisting doctor's with clien...

Ideal Companies: Tenet Heathcare Foundation, Thomas Jefferson University Hospital, University of Pennsylvania Hospital, American Board of Internal Medicine, Children's Hospital of Philadelphia

Tags for this Online Resume: Business office manager, Research analyst, Research manager, Clinical analyst, Healthcare compliance, Research, Compliance

Coding Educator - 10 Years of Experience

I am a motivated energetic professional with over 15 years of experience in all aspects of the medical billing, coding and healthcare compliance. I have demonstrated knowledge in regulatory healthcare compliance, including CMS regulations, fraud & abuse laws, HIPAA regulations, medical necessity and coding compliance. Proven leadership skills and exceptional interpersonal and collaborative skills to motivate others and fost...

Featured Profile

Billing/Coding Specialist - 17 Years of Experience - Near 29588

Coding Supervisor with over 17 years of experience providing strategic vision for Compliant Coding to capture maximum Revenue for both Hospital and Physician practices. Attributes, contributing to success include honesty, integrity, intelligence, creative problem solving, persistence, skill for learning and ability to articulate and implement complex material. Strong competencies for teaching and mentoring other coders wi...

Tags for this Online Resume: Myrtle Beach, CPC-H, InPatient Coding, Supervisor, Compliance Officer, Trainer, EPIC, Next Gen, McKesson, 3M, Craneware

Licensed Nurse - 20 Years of Experience - Near 08060

Tags for this Online Resume: medical record reviewer, Outcomes Analyst, Utilization Reveiw, Pre-Certification Nurse, CORE Measures

Case Manager - 20 Years of Experience - up to 25 miles from 33176

NELLY GAZMEN CONROY, RN, BSN Cellular: (305) 926-0725 npgconroy@gmail.com ------------------------------------------------------------------------------------------------------------------------ CAREER OBJECTIVE: A position in a progressive growing company which affords opportunities and advancement for motivated, hardworking, qualified ...

Tags for this Online Resume: Miami, Broward, Case Management, Director of Nursing, Teaching, Consulting, Computer, Gen Orientation

Phlebotomist - 20 Years of Experience - Near 33604

Lisa-Marie Wortman 1914 west north street Tampa, Florida 33604 845-444-0238 lmw61769@yahoo.com ​ I’m a dedicated, hard working individual with a wide range of experience in the Human Services for over 20 years. I have been an employee of Vassar hospital for 8 years. I’m able to work on own initiative and as part ...

Tags for this Online Resume: Phlebotomist, Processor, Customer service, Data entry, Tampa florida, Clearwater florida, Hudson florida , Brandon florida

Licensed Nurse - 12 Years of Experience - Near 77084

I have been a nurse auditor for eight years. I currently am a CMS RAC Auditor and Nurse Auditor for three hospitals. I would like to continue as an auditor for documentation, medical necessity and DRG review in Houston, TX.

Tags for this Online Resume: Houston, CMS, RAC, Auditor, Excel, Word, Documentation

Experienced Registered Nurse -EHR/ICD-9, HEDIS documentation expert

My career uniquely combines a solid understanding of medical health care practice and business management and my goal is to continue as a hospital provider advocate within the medical auditing and clinical documentation career path.

Tags for this Online Resume: Registered Nurse, Medical/Surgical, Home Health, Infusion Therapy, Director of Nurses, CCU/ICU/Telemetry, Documentation Review EHR, Quality Assurance, Telecommute, Medicare Recovery Auditor, IternQual, ICD--9 ICDCCU/ICU/Telemetry, Integrated Case Manager, Quality Assurance/HIM; Healthcare Information & Documentation Manager, Medicare Denials appeal and Managed Care Risk/ medical necessity auditor, InterQual/ICD-9/MCG;Millliman/DRGs/Lean/CMS Guidelines MS Office, telephonic/remote, CCU/ICU/Telemetry/evidence based best practice provider and physican advocate, HEDIS abstractor, internal risk auditor, EHR quality assurance, ICD-9, Interqual/Milliman, clinical coordinator