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Online Resumes with "Utilization Manager"



Registered Nurse - 20 Years of Experience - Near 81212

I would like to expand my career into the utilization management for the US military, Tri-care entitlement program.

Tags for this Online Resume: Patient Care, Documentation, PEDIATRIC, Long Term Care, Assessments, ICU, Management, Medication Administration, registered nurse, utilization review specialist

Managing Director - 12 Years of Experience - Near 76028

Professional Summary I have 20+ years' experience working in Managed Care. The last 17 years of my career have been focused on managing Clinical Quality Management and enhancing organizational performance. I have experience managing HEDIS, NCQA accreditations and URAC accreditations.

Tags for this Online Resume: management, Networking, Complaints, Quality, Quality Assurance, Quality of Service, Utilization Management, Negotiation Skills, Project Management, Quality Management

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

Case Management Nurse - 10 Years of Experience - Near 55445

Tags for this Online Resume: Medicare, Insurance, Management, Satellite, Utilization Management, Documentation, Medical, Medical Records, nurse, Telemetry

Retail Manager - 22 years experience- Near 19136

Profile * Extensive experience relating to leading and managing operations in the retail industry. * Expertise in motivating a diverse workforce that makes continual contributions for professional and organizational growth. * Resourceful, solution-focused individual recognized regionally and nationally for the ability to develop and maintain business goals and objectives. * Multidimensional, well-respected professional with...

Tags for this Online Resume: Accounting, Inventory, Retail, Sales, Merchandising, Financial, Financial Models, Management, Operational Efficiencies, retail manager, store manager, management, leadership, change management, sales, P&L statements

Case Manager - 17 Years of Experience - Near 28315

Tags for this Online Resume: Behavioral Health, Neurological, Intrepid, Management, Utilization Management, Pain Management, Referrals, Patient Care, Surgical, nurse

Case Management Manager - 20 Years of Experience - Near 60559

Tags for this Online Resume: Cardiovascular, Intensive Care, Nursing, Computer Aided Software Engineering, Medical, Oncology, Surgical, Therapy, Utilization Management, registered nurse, healthcare

Residential Real Estate Sales Agent - 7 Years of Experience - Near 78737

Accomplishments Summary Complete understanding of how to operate and grow a consistently profitable business. Innovative and experienced construction, sales and marketing manager. Proficient in semi-custom homebuilding. Skilled in talent recruiting and team building, asset protection, financial management and customer relations of multiple communities. Committed to cost - effective utilization and management of resources.

Tags for this Online Resume: Financials, Management, Statistics, Benefits, Budgeting, Construction, Sales, Purchase Agreements, Advertising, Cost Control, property management, real estate, financials

Educational Administrator - 10 Years of Experience

Profile * Dedicated and results driven professional with more than 10 years of extensive experience in management in diverse industries. * Expertise in government programs. * Demonstrated outstanding communication skills in dealing with vendors, customers, management, clinical staff, employees, and other professionals at all levels of organization

Tags for this Online Resume: Management, Payroll, Audit, CFO, Utilization Management, Government, Outstanding Communications Skills, Billing, Catalogs, Layout

Registered Nurse Occupational Health Clinic Infection Prevention and Control

Encompasses a unique and experienced Health Care Career oriented position which demands a well versed individual able to perform independently in clinical and administrative realms with focuses to include regulatory compliance, instruction, research, consulting, staff development, employee health public speaking, seminar presentation, and adult education.

Tags for this Online Resume: Nursing, Management, Utilization Management, Infection control, Medical, Program Manager, Staffing, Staffing & Recruitment, Support, Urology, rn, registered nurse, outpatient rehabilitation

Featured Profile

RN with experience in multiple nursing disciplines.

To secure a position with a well- established organization with advancement opportunities utilizing my skills in the field of Case Management Utilization Management and years of Nursing Experience.

Ideal Companies: United Healthcare, Anthem, Blue Cross, Centene

Tags for this Online Resume: Patient Care, Surgical, Trauma, Critical Care, Medical, Medical/Surgical, Neurological, Orthopedic, Cardiac Monitoring, rn, physical therapy, nurse, registered nurse, care, Case Manager, Case Management, Remote RN, MCO, Clinical Education, House Supervisor, Plasmapheresis, Home Health, physical therapist

Medical or Health Services Manager

Areas of Expertise * Acute Care Facility & Ambulatory Care Experience * Radiation Oncology & Medical Oncology * Utilization Management-Inpatient & Outpatient Review * Transplantation & Genetic/Molecular Marker Testing * Clinical Research via National Clinical Trials * McKesson, Interqual, NCCN, ASCO, & CMS National Guidelines FDA Approval * Guidelines and policies written and maintained * Multi-tasking in fast-paced environ...

Tags for this Online Resume: Oncology, Radiation, Acute Care, Ambulatory Services, ARIA, Biopsy, Brachytherapy, Chemotherapy, Clinical Research, Cms