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Online Resumes with "Molina"



administrator/supervisor

Tags for this Online Resume: Voice, Assessments, Scheduling, Language Skills, Complaints, Management, Payroll, Billing, Communication Devices, Documentation, speech language pathologist

Registered Nurse - 20 Years of Experience - Near 95670

Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...

Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management

Director - 20 Years of Experience - Near 92708

SUMMARY Seeking a position where I can utilize my accomplished leadership skills in nursing, management and organization to provide projected, qualitative client and business outcomes. To utilize my nursing and leadership background and extensive knowledge of Managed Care, including Commercial, Medicare, and Medicaid experience, in an environment where excellence, professionalism, and vision are valued. Talented interviewer...

Tags for this Online Resume: Management, Cms, Integrate, Medicare, Assessments, Leadership, Planning, Quality, Quality Assurance

Theatrical Artist - 20 Years of Experience - Near 91364

PROFESSIONAL PROFILE- * ACCOMPLISHED MUSICAL THEATER CAREER includes: Kiss of the Spiderwoman (Broadhurst Theater/Broadway, Toronto, London West End), Evita (Broadway Theater/ Broadway), Les Miserables (Broadway Theater/Broadway), Marie Christine (Lincoln Center/ Broadway), The News (Helen Hayes Theater/Broadway), Heathers: The Musical (New World Stages/ Off-Broadway), The Phantom of The Opera (Las Vegas), The House of Mart...

Medical or Health Services Manager - 17 Years of Experience - Near 92648

SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...

Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS

Registered Nurse

PROFESSIONAL SUMMARY Registered Nurse * I am a healthcare professional with eighteen years practical experience in hospital and primary care. In the past six years I have become more involved with clients health management and have performed admissions for home care with OASIS documentation, High Risk Medical Case Management activities for a Medicaid Managed Care Organization, and managed a client base for a Medicaid Long T...

Tags for this Online Resume: Surgical, Telemetry, Assessments, First Aid, Health Care Industry, Phlebotomy, registered nurse, healthcare, case manager, Correctional, BLS, Medicaid, Medicare

Petroleum Engineer - 5 Years of Experience - Near 32750

Tags for this Online Resume: MLWD, Field Engineer, Directional Drilling, MWD, LWD

Sales Manager - 16 Years of Experience - Near 91340

COVER LETTER: : John Dimon's proven history of Business Development, * 1993 (Retail Chain Explosion), Disney stores planned on opening 200 new locations, Disney's goal was to create 40% new products, and packaging exclusive for its stores. Disney Store's Creative Director, had no internal budget to hire the staff he needed. At that time Euro Disney was still in the red. He could not use the Disney tower (artists), these art...

Tags for this Online Resume: Advertising, SAN (Storage Area Network), Marketing Management, Sales, Business Development

Civil Engineer

Field Technician - 1 Years of Experience - Near 90037

Gain experience and expand my skill and knowledge

Tags for this Online Resume: production, Warehouse, Packer, Microsoft, Microsoft Excel, Microsoft Word, Wholesale

Administrative Services Manager - 18 Years of Experience - Near 19525

Director

Ideal Companies: Anthem, Aetna, Molina

Tags for this Online Resume: VITAL SIGNS, Management, Risk Management, Financial, Financial Statements, Infection control, Invasive Cardiology, Operating Budget, Policies and Procedures, Utilization Management