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Online Resumes with "Milliman Guidelines"
Registered Nurse & Consultant-over 40 years experience-Seattle
Dynamic, versatile Registered Nurse and Consultant with 40+ years of experience in the healthcare industry. A registered nurse with exceptional communication and consulting skills combined with a proven ability to provide counseling, patient care, and leadership to promote wellness, organization, and effective service to clients, companies, and patients. Outstanding entrepreneur and public speaker distinguished for proven l...
Tags for this Online Resume: Seattle, Nursng, Utilization Review, Clinical Appeals, Medicare & Medicaid, Education, Case Management, Regstered Nurse
Case Manager - 4 Years of Experience - Near 75070
AREAS OF EXPERTISE * Patient Relations/ Counseling Experienced with Milliman Care Guidelines. CCU and IMC Units at both Providence and Sierra Hospitals.
Tags for this Online Resume: Case Manager, Bilingual, Milliman Guidelines, Work from home, Transplant, jcoral75070@outlook.com, Medical, Certified Case Manager, Case management, Management
Registered Nurse - 20 Years of Experience - Near 08232
across age spectrum from neonates through geriatric population with respect also to culturally diverse populations Leveraging technology to identify and close gaps in care and quality improvement and use of Milliman Guideline and HEDIS criteria Evaluation and Data collection of HEDIS compliance and AHRQ standards of care Contract procurement for commercial and non- profit organizations Ability to leverage technology and ana...
Tags for this Online Resume: Rehabilitation, Computer Aided Software Engineering, Imaging, Mammogram, Management, PEDIATRIC, Home Health, Medical, Pulmonary, Surgical
Registered Nurse - 20 Years of Experience - Near 37040
SUMMARY OF QUALIFICATIONS Nurse with 40+ years' experience in training and coaching employees, peers, and superiors and quality assurance and medical record reviews experience resulting in outstanding results. * Active RN licensure in all compact and non-compact states * Experienced in medical record review, clinical data/chart review and quality improvement Experience with utilization review, review criteria development an...
Tags for this Online Resume: Reviews, Nursing, Managed Care, Phone Triage, Planning, Support, Long Term Care, LPN, Medicare, Ophthalmology
