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Online Resumes with "Utilization Reviewer"
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
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
