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Online Resumes with "Utilation Review"



Registered Nurse - 21 Years of Experience - Near 44221

Professional Summary Twenty one years RN experience specializing in case management, utilization review, discharge planning, home care, long-term care, supervisory experience, post-acute care and behavioral health.

Tags for this Online Resume: Medication Administration, Wound Care, Assessments, Computer Aided Software Engineering, DRESSING CHANGES, Home Care, Home Health, Management, Discharge Planning, Planning, rn, registered nurse, RN Case Manager, Case Manager

Registered Nurse - 20 Years of Experience - Near 33157

Tags for this Online Resume: Quality, Quality Assurance, Quality Control, ICU, Infection control, Intensive Care, Intensive Care Unit, Management, Nursing, Patient Care, registered nurse, nurse, utilization review

Pharmacy Manager - 4 Years Experience - West Hartford, CT - Open to Relocation

• Gain employment as a pharmacist with a pharmacy benefit manager (PBM), managed care company, pharmaceutical company, community health organization, or other non-traditional role that offers opportunities for professional growth and career advancement. • Become a valuable contributor to the team or department to which I am assigned and utilize my expertise in pharmacotherapy and community pharmacy practice to either impro...

Tags for this Online Resume: Inventory, Insurance, Management, Clinical Programs, Pharmacist, Pharmacy, Managed Care Organization, Pharmacy Benefit Management, Pharmaceutical, Prior Authorization, Drug Utilization Review, Medication Therapy Management

Registered Nurse - 20 Years of Experience - Near 48174

My Career goal is to continue using my skills in Case Management, Hedis , Quality Management in a Remote setting.

Tags for this Online Resume: Nurse Case Manager, Utilization Review, Hedis, Medicare, Coding, ICD-9, Audit, Data Entry, Health Care Industry, Home Health, Managed Care, Management, physical therapist, physical therapy, outpatient physical therapy, rn, care, outpatient rehabilitation, registered nurse, healthcare, utilization review

Licensed Nurse - 20 Years of Experience - Near 21229

PROFILE: NURSE MANAGER ~ CASE MANAGER ~ UTILIZATION REVIEW Highly efficient and dedicated Nurse Case Manager and Clinician with 20+ years of success and contributions in clinical and educational settings. Significant Skills and Abilities Include: * Deep and rich knowledge of nursing field with a solid clinical, administrative, and medical acumen engage and collaborate with a host of healthcare professionals and specialists ...

Tags for this Online Resume: Nursing, Services, Patient Care, Quality, nurse, registered nurse, home health, long term care, home health field nurse, case manager home health, nurse supervisor weekend, nursing supervisor part time, nursing supervisor per diem

Registered Nurse - 8 Years of Experience - Near 55330

Professional Summary Diligent Utilization Review Nurse ensuring that patients get the appropriate level of medical care. Adept at efficiently allocating medical resources while ensuring that each patient is treated fairly. Specialize in finding a balance between the fiscal needs of the hospital or medical facility and the care needs of each patient. Core Qualifications * Outstanding ability to assess patient needs and provi...

Tags for this Online Resume: Nursing, Assessments, Direct Patient Care, DRESSING CHANGES, Patient Care, Payroll, Vitals, Wound Care, rn, nurse, healthcare, registered nurse

Pharmacist - 20 Years of Experience - Near 92078

Summary: I have experience working in Retail, Management, Compounding, Mail Order Pharmacy Key strengths: Filling Prescriptions * Pharmacy Operations * Retail Pharmacy * Pharmacy Management Prescription Dispensing * Drug Utilization Review * Drug Information * Non-Sterile Formulating Compounding Consulting Formulary Management * Mail Order Pharmacy Operations * Specialty Pharmacy Executive Leadership * Regulations * Microso...

Tags for this Online Resume: Consulting, Management, Retail, Mail Orders, Critical Care - Respiratory, Billing, Drug Information, Drug Utilization, Immunization, Leadership, Pharmacist

Case Manager - 20 Years of Experience - Near 33782

Tags for this Online Resume: Documentation, Nursing, Billing, ICU, Surgical, Audit, Health Care Industry, registered nurse, healthcare, nurse, Utilization Review

Environmental Scientist - 17 Years of Experience - Near 12180

Summary of Qualifications * BS in Biology, Chemistry minor / AAS in Biotechnology / 2+ years' professional scientific experience * Accounting Certificate / 4.5+ years' cumulative experience in accounting/auditing * 16+ years' experience working in industry / 10+ years' dedicated to maintaining high safety standards * 6 years Leadership / 5 years Project Management Experience / Raleigh, NC - Raleigh Airport * Ability to mana...

Tags for this Online Resume: Account Reconciliation, Accounts Receivable, Leadership, Audit, State Tax, Geographic Information System, Surveying, Accounting, Biotechnology, Cardiopulmonary resuscitation (CPR)

Licensed Nurse - 20 Years of Experience - Near 76048

PROFESSIONAL SUMMARY Highly analytical healthcare management professional combining more than 20 years of work in long term care with proficiency in financial management, leadership and positive clinical outcomes. Executive Director experienced at directing administrative and personnel matters in a 24/7 care facility for elderly clients. Strong problem-solver with excellent time management skills. Adaptable healthcare admin...

Tags for this Online Resume: Coding, Compensation, Computer Aided Software Engineering, Long Term Care, Managed Care, Policies and Procedures, Rehabilitation, Workers Compensation, Patient Care, Billing, Medicare/Medicaid, Consultant

Financial Analyst - 17 Years of Experience - Near 08872

Summary Registered Nurse with a Bachelor's degree in nursing, Certified Emergency Nurse. The general areas of experience : Trauma nursing in the state of New York and New Jersey, Quality Assurance and Utilization Review Coordinator, Home Health Care Administrator and Instructor, Homecare Field Supervisor for Certified Home Health Aides, Director of Nursing for a home healthcare agency, Case Management

Tags for this Online Resume: Home Health, Quality Assurance, Test, Assessments, Nursing, Payroll, Computer Aided Software Engineering, Health Care Industry, Homecare, Management

Case Manager

SUMMARY Kathleen Johnson combines the knowledge and experience gained from extensive clinical practice with administrative experience such as utilization review and case management, and working extensively with managed care organizations. Her strengths and skills are the positive relationships with coworkers, clients, members, providers and customers.

Tags for this Online Resume: Computer Aided Software Engineering, Management, VITAL SIGNS, Coding, Documentation, Quality, Quality Assurance, Patient Care, Utilization Management, Nursing