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Online Resumes with "Qual "
Registered Nurse - 20 Years of Experience - Near 21076
an opportunity to utilize my knowledge & skills as a Utilization Review Specialist remotely. EMPOLYMENT HISTORY Utilization Review Manager VA Hospital Baltimore, MD 2013 to present My current position as a Utilization Review Management is a fulltime position and I work as an autonomist nurse from home. I am a member of an interdisciplinary team for the Critical Care Service Line. The team consists of a Case Manager, Social ...
Tags for this Online Resume: Cardiovascular, Medical, Medical/Surgical, Neurological, Nursing, Surgical, Telemetry, physical therapist, outpatient physical therapy, outpatient rehabilitation, physical therapy, pt, medical
Case Manager - 19 Years of Experience - Near 07110
SUMMARY OF QUALIFICATIONS: Nursing professional with diversified clinical and leadership background in case management, utilization review and discharge planning independent consultant as a Health and Wellness Advisor. * Experience with acute / critical care settings, insurance companies, skilled nursing and assisted living facilities. * Proven record in obtaining high quality outcomes, reduction in length of stay and cost-...
Tags for this Online Resume: Management, Referrals, CCU, registered nurse, healthcare
Art Director - 20 Years of Experience - Near 07461
QUalIfICaTIoNs sUmmary improving the quality brand image for the AMA Government Services AMA Periodicals company's various textile and collateral products. AMA Seminar Products Extensive knowledge and experience in design for advertising, packaging, publishing, direct Responsible for all marketing/promotional design AMACOM Publishing Operation Enterprise mail and corporate identity. Solid organizational, and production acti...
Tags for this Online Resume: Advertising, Retail, Fabrication, Illustration, Management, Packaging, Adobe Acrobat, Adobe Photoshop, apparel, print
Director of Quality - 20 Years of Experience - Near 19382
Successful enabler of transforming corporate vision and strategy into reality. Prudent leader in lean transformation and technology transfer within the chemical industry. Lean/ Six Sigma deployment leadership role with 4 major corporations in the last 20 years (BASF Merck Rohm & Haas and Witco). An accomplished and energetic change agent in multiple business functions. Certified Six Sigma Master Black Belt (MBB) with demons...
Tags for this Online Resume: Engineering, Kaizen, Business Case Development, Quality, Quality Assurance, Quality Management, Black belt, Management, Conitnuous improvement, Operational excellence, manufacturing, Chemical, Pharmaceutical, lean six sigma
Business Analyst - 10 Years of Experience - Near 23113
PROFESSIONAL SUMMARY Skilled Configuration Analyst with 10+ years experience in the Health Insurance industry. Familiar with Trizetto Facets Prod & Qual, PEGA, Cognos, Microsoft Office and Access. Technically-savvy with outstanding relationship building, training and presentation skills. Experience in Information Technology with a background in project management, business and systems analysis, installation and configuratio...
Tags for this Online Resume: Billing, Configure, Attention to Detail, Automation, Cognos, Data Management, FACETS, Filing, Health Insurance, Information Technology, pega, group library
Case Management Manager - 10 Years of Experience - Near 48331
Tags for this Online Resume: Human Resources, Insurance, Nursing, Medication Administration, Assessments, Policies and Procedures, Services, Computer Aided Software Engineering, Consulting, Documentation, registered nurse, healthcare, Case Manager, Care Coordinator, Health Service Director, NQCA, InterQual, Milman, Neonatal nurse
Process Engineer - 20 Years of Experience - Near 87144
Summary I am a dedicated Senior Engineer with 29 years of engineering experience with Intel, where I demonstrated effective personnel management and engineering practices to provide the company with well informed data driven decisions. Before I retired from Intel, I performed as a general semiconductor factory expert, a project manager, training engineer, problem solving expert, manger, process engineer, New Process Introdu...
Tags for this Online Resume: Data Analysis, Distribution, Human Resources, Intel, Local Area Network, Management, Microsoft, Noise, NPI, Oracle
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
Manager - 20 Years of Experience - Near 18353
Consulted as a trusted member of the region CEO's board on financial investment decisions. * Transformed IT from being an expense cost canter organization to a strategic and enabling business partner. Designed staffed and directed vendor consolidation and simplification initiative in MENAT * Aligned with business leaders to introduce new products change or approach. Defined Go-to-market strategy * Member of the leadership s...
Tags for this Online Resume: Leadership, Information Technology, Services, Infrastructure, Integrate, Management, Blue Prints, Engineering, Evaluate, Forth Programing Language
Case Manager - 6 Years of Experience - Near 10031
Accomplishments are: - Ongoing training in Inpatient Utilization Procedures to audit and review medical records - Conduct on-site/off site review of medical records for quality of care and utilization. - Review process including DRG validation and Interqual criteria approval. - Utilized review criteria with the use of InterQual, 3M coding book and grouper, SIMS Plus. - Increased knowledge base on medical comorbidities in ad...
Tags for this Online Resume: Infrastructure, Support, Technical Support, Services, Public Health, Reviews, Quality, Acquired Immune Deficiency Syndrome (AIDS), physical therapist
RN Case Manager Huntsville, AL
I am relocating to the Huntsville, AL area seeking an RN Case Manager position, Worker's Comp, or Utilization Review Nurse position.
Tags for this Online Resume: Case Management, Utilization Review, Worker's Comp, RAC audit, InterQual
Medical Sales Director - 20 Years of Experience - Near 92078
PROFILE A highly motivated and polished business leader with extensive experience in the healthcare field. Business Development, Sales/Marketing, National Accounts responsibility as a Vice President and Corporate Director with a proven and established track record in relationship development, negotiating, business operations, consulting due to exceptional strategic business plans, organizational skills, and communication sk...
Tags for this Online Resume: Business Development, Corporate Accounts, Information Technology, CT, Green Belt, Outsourcing, Power (Os Enhancemnt Tool, Power Systems, Purchasing, Quality, sales, outside sales, business development, inside sales, sales representative, account executive, account manager, technical sales, marketing, National Accounts Director
