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Online Resumes with "Medicare Medicaid Regulations"



Featured Profile

Health Care Surveyor Investigator

Extensively experienced and dedicated OTR/L offering more than twenty years of management experience; history of work experience in geriatrics, adults, pediatrics, mental health, acute care, out-patient, traumatic brain injury, and home health. Substantial knowledge of Medicare and Medicaid regulations, as well as a working knowledge of third party payers.

Tags for this Online Resume: healthcare, manager, Medicare, skilled nursing, acute care, director

Featured Profile

Podiatrist, Podiatric Surgeon, Wound Care Specialist, Meidcal Office Administration,

Nineteen years experienced podiatrist. Recent training, 2012, for orthopedic reconstruction and wound care of the foot and ankle in PS&R-36, podiatric surgical residency. Other residency completed in 1995. My goal is to contribute as physician or other capacity to a team in the medical industry, ensuring the best outcome possible for patients needing bone, joint reconstruction and associated wound care. My experience wi...

Ideal Companies: Ingra Lifesciences, Orthofix, Wright Medical, OrthoPro, Biomet, Osteomed, Government

Nurse Case Manager - 20 yrs exp - 61k+

Rural and Urban nursing homecare and hospice has been my calling for the past 15 years. Prior to that I worked in acute care and surgery. My talents are in direct patient care with computerized documentation and cell phone reporting to physicians and physician assistants. What makes me unique is my understanding of Medicare/Medicaid regulations in both hospice and homecare. My preferred organization of choice would be a not...

Tags for this Online Resume: Home Care and, Hospice, Wichita, KS area

Licensed Nurse - 20 Years of Experience - Near 32409

Summary of Qualifications and skills * Participatory Management Style * Experienced in Due Diligence Investigations * Experienced in CQI Processes/OBQI * Program, Policy and Procedure Development * Automated Clinical System Implementation * Medical Record Documentation Review * Preparation/Presentation of Education Programs * Medicare and Medicaid Regulations * Utilization Review, Billing and Compliance Audit * JCAHO/CHAP R...

Tags for this Online Resume: Medical, Services, Clinical Management, Clinical Programs, Compliance, Home Health, Management, Data Analysis, Medicare, Patient Care

Licensed Nurse - 17 Years of Experience - Near 33705

Summary of Qualifications: Over 17 years' of working experiences in a wide variety of clinical and administrative settings providing nursing care in Case Management, Utilization Review, Gerontological nursing, Cardiac care, Medical & Surgical units, Chronic & Infectious diseases, Public Health, Psychiatric nursing, Hospitals, Hiv clinics, LTC, Assisted living, Home health care, Biologic infusions & Marketing. * Excellent Le...

Tags for this Online Resume: Amazon Elastic MapReduce, EMR/, HIV Clinics, Home Health/ Public Health, Immunization, Wound Care/Wound Vac, Behavioral Health, Cardiopulmonary resuscitation (CPR), Chronic Diseases, CENTRAL LINES, Case Management, Utilization Review

Registered Nurse

A position as a Registered Nurse in a Health Care facility where I can make the most of my Nursing education, training, and leadership abilities, in addition to my interpersonal skills to provide the highest level of patient care and satisfaction. Orchard Gardens: Wichita, KS. 04-2017 - Current Skilled/Long Term Care Director of Nursing Oversee entire operations of the nursing department daily, including addressing issues r...

Tags for this Online Resume: Telemetry, registered nurse, nurse, healthcare

Case Manager - 20 Years of Experience - Near 45005

Professional Summary In-depth social work, case management experience. Very strong knowledge base of managed care products, Medicare and Medicaid regulations and community resources. Possess an understanding of the challenges faced by health care organizations and the ability to develop policies and practices that meet business objectives, while providing maximum quality service to various client populations. Accomplishment...

Tags for this Online Resume: Social Service, Assessments, Computer Aided Software Engineering, Long Term Care, Patient Care, Planning, Training, Customer Service, Discharge Planning, Documentation

Featured Profile

Medical or Health Services Manager - 20 Years of Experience - Near 32174

SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...

Ideal Companies: Hospitals, colleges, university.

Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs

Paralegal

Professional Summary Meticulous senior level manager excellent at juggling multiple tasks and working under pressure. Broad industry experience includes Healthcare, Finance and Legal. Highly ambitious senior level manager with background in accounting, accounts payable/receivables, collections, H.R. functions and payroll. DDS Skillfully developed departmental goals, objectives, standards of performance, policies and procedu...

Tags for this Online Resume: Accounting, Budgetary, Budgeting, Corrective Actions, Customer Service, Logistics, Management, Medical, Medicare, Patient Care

Featured Profile

Registered Nurse | Case Manager | Public Speaker | Director of Clinical Services and Business Development

Professional Registered Nurse offering over 9 years of experience in healthcare. With over 6 years' experience as a RN Case Manager in Hospice, Home Health and a Not-for-profit Community outreach program. 3 years a combination of acute-care and chronic clinical nursing experience in the hospital critical care setting. Intensive care unit, ICU, SICU, MICU, End of life hospice care, Oncology, Gerontology, Cardiovascular surge...

Ideal Companies: Catasys, Cigna, Aetna, HCSC, Centene, Health Alliance, Humana, Anthem, Northside Hospital,

Tags for this Online Resume: Clinical, Case Management, Educating, Telephone Triage, Registered Nurse (RN), Atlanta, GA