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Online Resumes with "Utilization Reviewer"



Pharmacist - 2 Years of Experience - Near 20879

Summary: Highly knowledgeable, reliable, and quality-focused professional eager to launch career as Pharmacist and serve as trusted drug information resource for patients, family, and interdisciplinary team members alike. Equally effective in independent and collaborative roles exceptionally organized and detail oriented. Demonstrated commitment to achieving optimal therapeutic outcomes and contributing to improvements in p...

Tags for this Online Resume: pharmacist, Distribution, Infection control, Inventory, Pricing, Bilingual, BLS, Cardiopulmonary resuscitation (CPR), Compliance, Critical Care

Industrial Hygienist

2X Power and control schematics, fiber optic and LAN wiring, and balance of plant utilities * Review vendor equipment drawings, equipment Location and conduit plans, custom conduit / cable system, termination schedules for over 100+, DC/AC drives 2500+ sensors, and Genius IO Control Blocks etc. * On-Site engineering 4+ months: supervise designers, contractors Customer & Vendor interaction * Develop P&ID's, loop diagrams, sp...

Tags for this Online Resume: Scheduling, Project Scheduling, Local Area Network, Schematics, BMS, C++ Programming Language, Integrate, Instrumentation, Management, Reliability, Commissioning, Start-up, Power Distribution, Steam and Gas TG's

Registered Nurse - 20 Years of Experience - Near 45440

CAREER SUMMARY Healthcare Professional with experience in Nursing, Training (Staff Development and Electronic Medical Records), Management Experiences, and Information Systems Background (Epic, Next Gen, CPRS, and IKnowMed). NURSING EXPERIENCES * Pediatrics, Adults and Geriatrics * Acute Care, Emergency Room, Outpatient Surgery, Long Term Care * Staff Development & Training, Community Health & Education * Utilization Review...

Tags for this Online Resume: Emergency Room, ER, Outpatient Surgery, Surgery, Acute Care, Cardiopulmonary resuscitation (CPR), Documentation, Family Practice, General Practice, Geriatrics, Utilization Review, Inter Qual, Manager, training

Case Manager - 1 Years of Experience - Near 07032

Professional Summary To secure a challenging position in an organization where my experience will permit continued development of my professional and organizational skills. Thirty five years of diversified nursing experience including nine years of managerial status. Ability to work independently, take direction and work well with people of all levels. Communication facilitator between physicians, nursing staff, patients an...

Tags for this Online Resume: Surgical, Orthopedic, Orthopedics, Patient Care, Computer Aided Software Engineering, Nursing, Payroll, Rehabilitation, Acute Care, Assessments

Registered Nurse - 9 Years of Experience - Near 32548

Summary Driven and compassionate Registered nurse with extensive background in Healthcare including pediatric, nephrology, psychiatric, and hospice care, in addition to business and management. Strong desire to resume direct patient care role.

Tags for this Online Resume: Patient Care, Compliance, Infection control, Public Speaking, Utilization Review, Detail Oriented, Business Management, Discharge Planning, Quality Assurance

Case Manager - 6 Years of Experience - Near 21075

the position of RN - Case Manager/Utilization Review in an organization where I am able to make use of my expertise and knowledge in handling patients ER, OR, management of hospital data, quality and quantity control, for the progress/benefit of the organization. Responsible for managing the care and service of patients across a continuum by promoting quality care, effective utilization of resources with internal and extern...

Tags for this Online Resume: Documentation, Management, Computer Aided Software Engineering, Assessments, Process Improvement, Midas, Patient Care, VITAL SIGNS, Nursing

Application Support - 4 Years of Experience - Near 90650

SUMMARY Highly motivated professional in Healthcare Informatics with over 3 years' experience in healthcare. Extensive knowledge as a principle trainer and analyst, successfully installed Epic in six facilities along with two upgrades. Experience working with BED, CER, DEP, EAF, EAP, ELT, EMP, EPD, EPT, ERS, ETX, FLO, FLT, LGL, LOR, LPP, LPG, LPR, LRP, LSD, LTT, LVN, PAF, ROM, RPT, SER, VCN. Users and security, tasks, task ...

Tags for this Online Resume: Documentation, Communications, Health Care Industry, Information Technology, Install, Management, Medical, Medical Records, Nursing, Prime

Case Management Manager

Tags for this Online Resume: Nursing, compliance, Management, Patient Care, Rehabilitation, Acute Rehabilitation, Home Care, Managed Care, Medicare, Risk Management, appeals & denials, utilization review

Registered Nurse - 13 Years of Experience - Near 08004

Professional Summary Began nursing in a Med Surge Sub-Specialty Unit, which included a stroke institute, ventilators, and telemetry, then moved onto coronary critical care managing, and hospital wide codes. Finding a home in hospice care for the past 14 years having experience in office management and regional supervising, case management, utilization review, admissions, IPU, triage and visiting on call.

Tags for this Online Resume: Utilization Management, Management, Critical Care, CCU/ICU, Claims payable, Payroll, Quality Assurance, Scheduling, Education, Hospice, Audits, Health Care Telecommunications, Regional Supervision, Admissions, Discharge Planning and Review

Registered Nurse - 3 Years of Experience - Near 78374

Professional Summary Registered Nurse with 3+ years of clinical experience and 4+ of Supervisory/Case management experience. Solid clinical and utilization review experience within a managed care environment. Focus on providing high quality, evidence based care to diverse populations with both acute and chronic medical conditions.

Tags for this Online Resume: Patient Care, Assessments, Management, Nursing, Protocol, Nursing Education, Supervisor, Financial Management, Infection control, Insurance, Corpus Christi, Team leader

Case Management Manager - 11 Years of Experience - Near 32162

Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...

Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence