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Online Resumes with "Utilation Review"



Case MNager/ Utilization Review Master Degree with 6 yr UR and 6 yrs Case Management and 2 yrs as Senior Case Manager . Strong leadership experiance with .with 19+ yrs in Maryland National Guard as a Nurse rank of MAJ (P) to LTC.

I'm a Nurse BSN, MS with strong medical, ICU/CCU/PCU/OR background. Case Mnager certification. Senior Nurse Case mnager for the Maryland National Guard. Ability to keep, run reports and data collection. Ability to work without supervision.

Tags for this Online Resume: Nurse, Officer, Loyal, Hospital, Insurance, team player

Physician Executive with focus on leadership in managed care, expertise in utilization management, and medical policy development.

Physician executive with 20 years of experience in managed care, talent for problem resolution through process management, strategic collaboration and consensus-building techniques. Proven ability to assess and optimize utilization management operations for successful achievement of regulatory compliance. Reputation for support of appropriate medical policy development through acquisition, assimilation and application of kn...

Tags for this Online Resume: Medical Policy Administration, Utilization Management, Case manageme me, Problem solver, Innovator, Utilization Reviewer

Experienced Long Term Care RN

Tags for this Online Resume: Director of Nursing, Nurse Manager, Supervisor, Infection Control, Staff Development, Utilization Review

RN, Emergency Dept; pt advocate, case management

Seeking position as Case Manager in ED or hospital. Have 25+ years experience in many areas. formal training at UCSD Case Mangement. Ideal job would be W/C or CM in ED. I enjoy a challenge and working with a team, have spent the past 18 years with private practice CM and patient advocacy, as well as full time in ED as a RN.

Tags for this Online Resume: Case Manager, Emergency Dept, Triage, Utilization Review, Behavioral Health, San Diego

Registered Nurse Healthcare Management

Secure a position with a healthcare provider in the Charlottesville VA area which would provide an opportunity for me to contribute to the success of the organization by application of my experience and knowledge: medical management, utilization management, case management, accreditation, process improvement

Tags for this Online Resume: Charlottesville, Quality Assurance, Management, Utilization Review, Case Management, Health Plan

Corporate Healthcare Compliance, Educator, RN, RHIT,& EHR Certification, Administrative & Management capabilities

RN, RHIT,& EHR Certification: Obtain a challenging position utilizing proven experience in Health Care management, Corporate/Healthcare Compliance, Risk Assessment/Management,Utilization Review, and CDI (improve clinical documentation & reimbursement). To utilize all my administrative and management capabilities in a rewarding position. To establish an excellent work environment for staff.

Tags for this Online Resume: Healthcare, Compliance, Quality Assurance, Educator, Coding,Documentation&Reimbursement, Medicare&Medicare Regulations, Quality Assurance & CDI

Director of Nursing,Case Manger in Acute Setting,Nurse Consultant,Utilization Review

Case Manager and Quality Manager, 20 years Nursing experience, 4 years case manageage

My objective is to work in quality, disease or case management. I am a case manager with a diverse background in nursing. Worked in pediatrics, neuro-surgical, medical-surgical, ICU and Pediatric ICU. Worked in a hospital as a case manager, and for Indiana Medicaid as a case manager.

Tags for this Online Resume: Consultant, Case Management, Insurance, Utilization Review, QA, Trainer

staff/manager pharmacist, quality control,cost containment,time management,crisis management,managed care,turnaround time,team player,goal oriented,interpersonal communication,people skills

full time permanent retail/long term care/mail order-PBM/ pharmacist position

Ideal Companies: retail, long term care, mail order, cvs/caremark, walgreens, walmart, publix, target, sweetbay, winn-dixie, omnicare, wellcare, costco, sams club, express scripts, curascript

Tags for this Online Resume: pharmacist full time permanent

Registered Nurse - Behavioral Heallth - 8 years experience, Long Island, NY

I am a Registered Nurse with an 8-year specialty in Behavioral Health. My experienced includes acute care inpatient adult year, home care and utilization review

RN nurse behavioral health utilization review psychiatry case manager

Looking to use my nursing experience in new setting Experience includes inpatient, outpatient, case management Primarily in behavioral health, geriatric psychiatry Would be interested in alternative field -willing to train

RN-CASE MANAGER OR UTIZATION REVIEW FOR COMMERCIAL INSURANCE OR OFFICE JOB

I want tohelp as many people as I can.I would also be very interested in any RN lead grief programs.....

Tags for this Online Resume: management, grief management, healthcare, RN case manager, RN Utilization Review, RN School nurse