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Online Resumes with "Utilation Review"



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

Registered Nurse - 20 Years of Experience - Near 15227

•Case Manager Certified •Facilitated results-oriented, empathetic and professional adult nursing care for over 23 years. •Respect for compliance in all regulated environments while maintaining a clear vision to accomplish the company goals. •Advocated for members to resolve health concerns. •Communicated with all levels of personnel. Skills Include: •Demonstrated computer and internet literacy. ...

Tags for this Online Resume: Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader

Featured Profile

Registered Nurse - 10 Years of Experience

I love people! I love learning their stories, and I love touching their lives. I work with a culturally diverse team of doctors,beginning with 100% locums and currently with only 1 FTE (of 12) remaining open. I have extensive critical care experience which has helped me cultivate relationships with specialty consult physicians, who use me exclusively as their direct point of contact. I want to continue working on quality ma...

Tags for this Online Resume: Administration, Innovation, Hospitalist practice management, Quality management, CPC, Practice management, Critical care

Utilization Review, RN

Case Manager - 20 Years of Experience - Near 19075

My objective is to return to nursing after a two experiment in cooking and catering which I did prior to becoming a nurse. In spite of my absence from nursing I feel I am still very much in tune with the requirements of being an excellent nurse.Empathy,compassion and excellent assessment skills along with good clinical judgement are qualities that are not taught or easily forgotten.I am a team player and have good service r...

Tags for this Online Resume: Abington, McKesson, Home Care Home Base, Microsoft, Quality, Utilization Review , Compassion

Registered Nurse - 28+ Years of Experience - Near 32504

Seeking a senior level management position to apply 28 plus years of Registered Nurse experience in the focus areas of utilization, case management, coding, authorizations, and quality assurance.

Tags for this Online Resume: Case Manager, Utilization Review nurse, Pensacola,FL, HEDIS Review, Home Health, Authorizations, Word/Excel, Productive

Case Manager - 15 Years of Experience - Near 98501- Olympia WA

Tags for this Online Resume: RN, Case Manager, Olympia, Utilization Review, Milliman, InterQual, CCM

RN Case Manager, Louisville KY

To find a position with a quality company that I will be able to give me the ability to utilize my expertise to help people, and educate and evaluate their healthcare needs.

Tags for this Online Resume: Case Manager, RN, Managed Care, Provider Relations, Utilization Review

Licensed Nurse - 20 Years of Experience - Near 33317

RN professional with twenty plus years experience including; field workers comp and telephonic case management, inpatient acute patient care, HHC case manager and supervisor, Utilization review, discharge planning, also experience in transplants and chronic ill patients. See Resume. In addition I am interested in a position as a legal nurse consultant.

Tags for this Online Resume: South, Fla

Registered Nurse - Utilization Review-Case Manager-Care Coordinator-Discharge Planner

As a Registered Nurse with over 25 years of experience, I bring case management, discharge planning, patient advocacy and process improvement expertise. I have served in various positions throughout my career including Clinical Nurse Liaison, Transitional Care Nurse, Staff Nurse, Health Care Coordinator, and Pre-op Coordinator.

Tags for this Online Resume: Utilization Review, Case Management, Care Coordinator, Patient Advocate

RN Utilization Review Analyst

Would be interested in integrating my clinical expertise in the computer software/implementation arena.