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Online Resumes with "Qual "



RN Case Manager-6 years experience UR/CM, InterQual trained.

RN Case Manager with 6 years acute inpatient psych experience, 5 years home health and 2 years Alzheimer's care/ Adult Day health experience. Current use of McKessen InterQual program. Knowledge of CADD Care program. My Career Objective is to get a position which uses the Case Management skills to benefit patients through education and resources.

Tags for this Online Resume: Inland Empire, RN, UR, Mental Health, Prior Auth, CM

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Highly self-motivated sales/marketing/product management professional with strong track record of success in technical environments

Enthusiastic cross selling professional with broad client experience. Full life-cycle marketing & sales expertise.

Ideal Companies: Martha Stewart, NBC, CondeNast

Tags for this Online Resume: Management

Care and Quality Coordinator- 4 years including training, mentoring, implemetation and Go-live experience.

Obtain a position where my current knowledge and skill set may be applied, along with learning, growth, and leadership opportunities. To gain additional experience in implementation, training and project management. To work with various clinical and billing applications/software.

Tags for this Online Resume: Implementation, Training, Clinical, Go-live, InterQual, Utilization Management

Advertising Agency and Non-profit CEO - 28 years

/Users/johnL/Desktop/untitled folder/jl qual. 3-10 [v6.0].doc Challenging executive management position that requires a broad range of skills; including strategic and operational management, public relations, excellent interpersonal communication, business and financial plan development, a diversified and broad knowledge of marketing, leadership, and sales leadership.

Tags for this Online Resume: Idaho or Montana, CEO of non-profit organizations, Executive Management, Chief Operations Officer, CEO of Chamber of Commerce, Strategic Management

Director of Nursing/Case Manager 7 years experience -- Folsom, CA

I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines. Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...

RN UM Case Manager , medical , and mental Health Clinical Reviews

I Have 15 years experience working in managed care in insurance companies , inpatient mental health and medical inpatient. I have computer experience using InterQual ,Word ,Power Point, & Outlook MediTech

Senior Marketing Administrations Manager - 20 years - Greater Los Angeles Area

I'm a Business Development / Marketing professional who has 20 years experience preparing proposals and presenting Company Qualifications per format requirements, design, preparation and QA/QC of all Marketing Materials and submissions primarily in major Construction and Engineering fields throughout So Cal. Networking, Team Building with other Subs /vendors in answer to major projects requiring a multitude of disciplines ...

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PMI Certified Project Management Professional

Confident of my many abilities and proud of my achievements as a technical project manager and commissioned Air Force officer and acquisition manager, I am looking for a project management and team leadership position that will allow me to make a positive contribution to an organization’s technical and business success while fostering my continued personal growth and fulfillment.

Ideal Companies: General Dynamics, Lockheed-Martin, Raytheon, Northrup-Grumman, Boeing, United Technologies, L-3, Honeywell, BAE, ATK, Booz-Allen, SAIC, etc.

Tags for this Online Resume: Project Manager

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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

RN Case Manager/Utilization-14 years experience

I am Registered Nurse with over 30 years experience and 19 years experience in case management in the hospital area as well as the managed care insurance area, utilization review, precertification, concurrent and retrospective reviews, knowledge of Medicaid and Medicare guidelines, InterQual and Millman's criteria, discharge planning.

Mechanical Engineer - 20 Years of Experience - Near 02726

Tags for this Online Resume: Consulting Engr, proj mgmt, Proj Plan'g, Client Relations, New Constr., Renovations, Reg. Compliance, Qual. Assurance