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Online Resumes with "Utilization Reviewer"



Featured Profile

Experienced Utilization Management RN

Results-driven, dedicated, and compassionate healthcare professional with more than 30 years experience delivering high-quality patient care and nursing operations in a variety of areas, including, pediatrics, cardiac critical care, military/emergency nursing, occupational health, commercial health insurance case management, and travel insurance case management. Extensive knowledge of medical illnesses and treatments, hospi...

Ideal Companies: Health Insurance Organizations, Utilization Management, Travel Health insurance

Tags for this Online Resume: Registered Nurse, Utilization Management, Call Centers, Occupational Health, Microsoft Office Suite, Managed Care, Process Improvement, Training and Development

Featured Profile

A seasoned professional with 25+ years of systems development and operational management experience.

A seasoned professional with 25+ years of systems development and operational management experience in the IT consulting Industry. A dependable professional with good communication and presentation skills. A proven a team member, team leader and technical trainer. With success at all stages of systems maintenance and development, Mr. Priore is seeking a place to utilize years of experience doing what he does best.

Ideal Companies: Corporate Training

Tags for this Online Resume: Corporate Training, Technical Training, Account Management, Mainframe Developer

RN audit/utillization review for Medicaid, more than 20 years in Healthcare

Tags for this Online Resume: RN, audit, Utilization review

Mental Health Therapist - 20 Years of Experience - Near 60619

I would like to add value to a mental health organization in the areas of trauma-informed services, level of care assessment, and utilization review with cognizance of client determined goals. I have a background in public community health agencies covering long-term psychotherapy, and short term solution focus interventions

Tags for this Online Resume: Chicago, Solution focus, non-profit, trauma, seniors, adolescents, Assessments, Computer Aided Software Engineering, Health Care Industry, Management, Custody, Patient Care, Patient Education, Trauma

Registered Nurse - 20 Years of Experience - Case Management- Near 32643

Looking for a full-time or part-time RN Case Management position that allows me to utilize my extensive skills and experience in Utilization Review, Care Coordination, Discharge Planning and patient/caregiver Teaching.

Tags for this Online Resume: Case Manager, Gainesville, Alachua County, Hospital, Rehab Facility, Home Health

Featured Profile

Experienced Pharmacist exploring a change in practice setting.

Leverage my skills to be a part of virtual pharmacy--providing remote support to rural hospitals and skilled nursing facilities or expanding the role of computer order entry by physicians and other health professionals

Ideal Companies: PipelineRx, Expert Global Solutions, Veteran's Administration, Cleveland Clinic, PharMed

Tags for this Online Resume: pharmacist, retired military officer

Registered Nurse - 20 Years of Experience - Near 01833

Looking to return to hospital or insurance-based Case Management or Utilization Review.

Tags for this Online Resume: Nurse Case Manager, Utilization Review, Case Manager

Case Management Manager - 15 Years of Experience - Near 87020

Former President of home Health Agency. Sound knowledge of the Medicare regulations, Federal and State Laws for the Medicaid and Medicare services Strong ethical work with over 13 years in upper management. Project management skills: Strong understanding and application of quality and risk management principles Expertise in all areas of healthcare management, including budgeting, program planning, project management and sta...

Tags for this Online Resume: CaseManagement, Accreditation Standards, Quality Improvement, Albuquerque , Supervisory, Team Management, Critical Care, Proficient

RN Case Manager with wide ranging experience

Strong leadership, team building and decision making capabilities. Excellent communication and organizational skills for managing workflow, patients and families, physicians, and others under stressful conditions. Ability to set priorities, identify, assess, and-triage patients. Demonstrates superior reliability and maintains confidentiality. Looking to work with a team of professionals who place the patient/member first.

Tags for this Online Resume: case manager, RN, Nurse, precertification, utilization review, concurrent review

Case Manager - 20 Years of Experience - Near 29204

I am a Registered Nurse of 32 years with 12 years of DRG Integrity reviewing, 8 years of utilization Reviewing, and 5 years of Case Management. I am proficient in the use of Interqual and Milliman quidelines. My objective is to concentrate all efforts on further developing my skills in the area of information management, specifically as a Clinical Documentation Integrity Specialist, and enter the field of CDS consulting in ...

Tags for this Online Resume: Clinical Documentation Integrity Specialist, Utilization Reviewer, Case Manager

Case Manager - 20 Years of Experience - Near 72002

To find a stable company that I can utilize my 25 years experience working with individuals with disabilities. Strong emphasis with experience in Case management, customer satisfaction, problem solving, follow up, utilization review, supervisory experience, and discharge planning.

Tags for this Online Resume: Social Worker/Case Manager

RN Case Manager - 20 Years of Experience - Near 45458

REGISTERED NURSE CERTIFIED CASE MANAGER Patient & Family Advocacy |Utilization Review |Pre-Certification |Liaison, Workersâ?? Comp & Acute Care Multifaceted and resourceful healthcare professional with comprehensive experience in leadership of complex case management, managed care, telephonic nursing and telecommuting. Patient-focused and detail-oriented RN Case Manager with demonstrated success in ability to identify, ...

Tags for this Online Resume: RN Case Manager, detail oriented, , patient focused, collaborative team player, telephonic nursing, Excellent communication and interpersonal , strives for excellance, exceeds expectations