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Online Resumes with "Utilization Reviewer"



Pharmacist Project Manager

Licensed Washington DC pharmacist with 25 year’s experience. Knowledge of computerized drug distribution systems. Comprehensive knowledge of drug utilization and review and evaluation. Committed to multidisciplinary team work approaches. A team builder project oriented pharmacist with experience in pediatrics, retail, mental health, forensic medicine and consultant services. Past preparation for site visits from the joi...

Tags for this Online Resume: Pharmacist, Healthcare

Registered Nurse - 20 Years of Experience - Near 62234

Infusion Nursing, Concurrent/Utilization Review, Nurse Analyst, Coordination of Services

Tags for this Online Resume: coordinator, case manager, cardiac, infusion, oncology, RN, utilization, review, coordinate, Nursing, Chemotherapy, Home Care, Oncology, Radiation, Medicare, Cardiovascular, Intensive Care

Case Management, Johnson City, TN

Tags for this Online Resume: Case Manager, Care Coordinator, Utilization Review, QA/QI, Nursing Educator, Employee Health

Featured Profile

Chief Financial Officer - 20 Years of Experience - Near 75087

The Substance abuse facilities offering treatment in multi modalities. I report to the CEO and am responsible for all financial and non-clinical departments, including Accounting, Administration, Client Accounting, MIS, Dietary, Facilities, Housekeeping, and Human Resources. Responsibilities include Board reporting, Banking, Grant and Contract fiscal management, Cash Management, and Regulatory Compliance. The Water Store - ...

Ideal Companies: Hospitals, Clinics, Physician Practices, Credit and Collections

Tags for this Online Resume: Accounting, Cash Management, Financial, Housekeeping, Human Resources, Management, Accounts Receivable, Accounts Receivable, Receivables, Practice, Hospital, Reports

Registered Nurse - 20 Years of Experience - Near 64507-1973

Summary Summary Summary Education Care Manager/Utilization Review (Most recent position) * Worked in Critical Care 16 years as a staff RN caring for critically ill patients and supporting the patient and their families during the acute/chronic illness Provided care planning, implementation of care plan and revisions of individual patient plans * Managed ventilators/IABP/continuous IV infusions/ conscience sedation/ * RN Car...

Tags for this Online Resume: ACLS, Automobile Claim Law Specialist, BLS, Critical Care, PALS, Ventilators, Documentation, Insurance

Featured Profile

Mental Health Therapist - 18 years Experience - Los Angeles

Work with a multidisciplinary team of behavioral health professionals in order to share my clinical expertise in a supervisory role while developing a strong reputation for the organization I represent.

Ideal Companies: Cedars-Sinai Medical Center, Kleen, California Hospital, The Blvd, Kaiser Permanente

Tags for this Online Resume: Los Angeles , Mental Health, Addiction Recovery Specialist, Licensed Marriage and Family Therapist, Clinical Senior Director, Motivational Speaker, University Adjunct Professor , Email, Microsoft SMS, Security, Supervision, Public Relations, Meditech, President, CEO, Java, Linux, Corporate, Marketing, Media

Featured Profile

Outpatient Pharmacy Manager -14 years Experience -Portsmouth,NH

Be a member of a Healthcare team providing patient care in a capacity that benefits the organization and where I can provide much valued clinical expertise.

Ideal Companies: Envision RX Pharmacy, Envision RX, PillPack

Tags for this Online Resume: Business Development, Purchasing, Territory Sales, Patient Care, Benefits, Billing, Customer Service, Patient Counseling, Pharmacy Benefit Management, Inventory Management, Drug Utilization Review

Case Management Manager - 20 Years of Experience - Near 60409

I am a Nurse Case Management professional with upwards of 16 experience. My experience includes but is not limited to Telephonic Complex Case Management, Occupational Health/Worker’s compensation, and Psychiatric Nursing. Additionally, my proficiency with Utilization Review software, namely InterQual criteria and guidelines as well as Epic allows me the opportunity to make determinations on admissions, prior authorization, ...

Tags for this Online Resume: Utilization Review, ICD-9, Health Care Industry, Interqual, MCG, Communication Skills, Computer Aided Software Engineering, Patient Care, Coding, ICD-9, Health Care Industry, Management, Benefits, Communication Skills, Computer Aided Software Engineering, Patient Care, Utilization Review Nurse, Allscripts, Powerchart, Epic, EMR, CPT Codes

Featured Profile

Implementation Consultant, Application Support

Looking for a position that will allow me to use my skills and knowledge. Would like to have the ability to work from home and travel up to 25% of the time.

Ideal Companies: Google, Relay Health, United Healthcare, Blue Cross Blue Shield

Tags for this Online Resume: STAR Patient Processing, STAR Medical Records, McKesson HzERM, STAR ESD, Forms and Menu Certification, Help Desk Support, McKesson STAR Patient Processing, McKesson STAR Medical Records, McKesson STAR ESD, McKesson STAR Forms and Menu Certification, HEAT,and Remedy Help Desk Support, Project Implementation, Consultanting, McKesson Paragon Medical Records and Registration, Cerner Registration EMPI, HL7 Interfaces, ADT (Admission, Discharge, Transfers), Customer Support, Integrated Testin, Revenue Cycle Soultions, Project Management, Customer Relationship Management and Resolution, SQL, Java Scripting, Mirth Connect

Case Manager - 20 Years of Experience - Near 32210

Tags for this Online Resume: Jacksonville, Case Management, Utilization review, CMS Guidelines, Physician collaboration, Hospice