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Online Resumes with "Prior Authorizations "



Hard working team player

Willing to go the extra mile to get tasks completed, great work references and friendly personality

Ideal Companies: Medical Offices, Hospitals, Billing Companies, Health Insurance Companies

Tags for this Online Resume: Medical, Billing, Coding, Coder

Case Management Manager - 20 Years of Experience - Near 72023

I am a Registered Nurse with more than 22 years’ in clinical review, assessment, and reporting. Specialized expertise in care management, utilization review, prior authorization, Medicaid, Medicare and private insurance.

Tags for this Online Resume: Utilization Review, Quality Assurance, Case Review, RN, Registered Nurse, Medicaid Contract Manager, Medicaid Appeals, Health Care

Administrative Assistant - 19 Years of Experience - Near 60608

Knowledgeable on Medicare coverages and regulations

Ideal Companies: Medco, United HealthCare

Tags for this Online Resume: CUSTOMER SERVICE, PATIENT CARE REP, ACCOUNTING/BILLING, ADMIN ASST, Health Insurance, Insurance, Nursing, TERMINALLY ILL, Sales, Accounting, Accounts Payable, ACH

LICENSED PRACTICAL NURSE/HEALTH CARE ADMINISTRATOR/UTILIZATION REVIEW/

I am seeking employment within a great company that will allow me to utilize my healthcare skills and educational background to afford me career growth opportunities.

Tags for this Online Resume: PRIOR AUTHORIZATION, UTILIZATION REVIEW, CASE MANAGEMENT, NURSING , Quality Analyst, Auditor

Featured Profile

Pharmacist - 13 Years of Experience - Near 33713

To obtain an interactive position encompassing medication therapy review, medication cost containment and alternative formulary proposals. To apply experience and expertise to counsel and educate patients pertaining to disease states in addition to implementing compliance tools to obtain the best outcome possible. My success has been defined by my dedication, respectful approach to patient care and adaptability to new w...

Ideal Companies: Veterans Administration, Humana, Baycare

Tags for this Online Resume: Pharm D, Consultant, Medication Therapy Management, St. Petersburg, Work from home, Excellant communication skills, Self-motivator, Flexible

Licensed Practical Nurse- 30+years experience- COAG and CGM certified

Looking for a healthcare organization where I can utilize my skills in a clinical or community setting.

Tags for this Online Resume: LPN, manager, Healthcare, office manager, referrals, trainer, prior authorizations

Registered Nurse - 10 Years of Experience - Near 85132

I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...

Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid

Admissions Director - 20 Years of Experience - Near 30815

Tags for this Online Resume: Director , Call Center, Patient Access Services , Scheduling , PFS, Financial Clearance, Prior Authorizations , Benefits

Pharmacist, Managed Care, Retail - 20 Years of Experience - Near 07871

I am a dynamic, personable, self-motivating professional with strong communication skills and a passion for quality service. I am committed to serving patients and have them receive the best care possible. I will give 110% and always help my teammates whenever I can. I am punctual, reliable, and trustworthy. I am a Registered Pharmacist in New Jersey with over 25 years of experience in PBM and Managed Care Organizations, a...

Tags for this Online Resume: Pharmacist, Managed Care, Management, Account Executive, NJ/NY area, Marketing, Analysis, Consulting

Licensed Nurse - 8 Years of Experience - Near 14606

Tags for this Online Resume: lpn, fluent in spanish, prior authorizations, disability, work from home, work from home

Certified Medical Assistant- 10 years in various areas

Effective Medical Assistant with the ability to readily adapt to changing environments and demands. Patient-focused and detailed oriented with over 10 years experience working in fast-paced medical offices and working with diverse population

Tags for this Online Resume: Next Gen, EMR, Power Point, Microsoft Word, MIcrosoft Office , Excel, Prior Authorization, Referrals, Pre-Cert, Insurance Verification

Featured Profile

Medical Sales Representative - 10 Years of Experience - Near 27127

Two-time President’s Club pharmaceutical sales representative with more than 10 years non-pod experience. Having held various roles ranging from primary care, numerous specialties, hospitals, and field training responsibilities. Represented products across many different therapeutic areas. Currently working as a the Healthcare Patient Advocate-- a medical services liaison-- and seeking to enter the medical sales industry. ...

Tags for this Online Resume: Charlotte, Winston-Salem, Pharmaceuticals, Devices, Sales, Greensboro, Medical