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Online Resumes with "Utilization management "



Case Management Manager - 20 Years of Experience - Near 02188

Summary A dynamic and results-driven senior healthcare clinician with extensive experience in managed care environments, including the design and implementation of training programs for front-end users. Recognized for leading clinical teams to achieve measurable results in administration, physician/health maintenance organization relations, and patient care. Strengths include strategic planning positioning in anticipation o...

Tags for this Online Resume: Behavioral Health, CCA, Clinical Management, Documentation, HR, Human Resources, Management, McKesson, Procurement, Training

Administrative Services Manager - 20 Years of Experience - Near 07734

Tags for this Online Resume: Microsoft, Management, Utilization Management, Video, Microsoft Excel, Administrative Assistant, Oracle, Vendor Management, Forecast, T&E, Travel Arrangements, Calendar maintenance, Pro-Active

Quality Assurance Director

SUMMARY OF QUALIFICATIONS Over 39 years' experience in broad range of clinical, administrative, and quality and risk management experience . Longtime health care professional with in-depth, versatile experience establishing and managing programs such as risk management, performance improvement, education, infection control, utilization review and case management. Contract work with Indian health of Oklahoma 2014-2016 CLNC O...

Tags for this Online Resume: Infection control, Management, Quality, Quality Assurance, Risk Management, Complaints, Customer Service, Quality Management, Surgical, Surveys

BIM/ VDC manager - 10 Years of Experience - Seattle

Contributing to successful BIM implementation, utilization and management for projects requiring BIM Level 2 and beyond by leveraging multiple virtual design and construction software packages and emerging technology to be part of this exciting time in the built environment industry .

Tags for this Online Resume: VDC, BIM, Architecture, Digital Design, Documentation, Leadership, Manager, Revit, Architectural

Database Administrator - 12 Years of Experience - Near 85757

Tags for this Online Resume: Management, Medicare, Microsoft, Microsoft Excel, Spreadsheet, Toad, Utilization Management, Project Management, Project Manager, database

Physician - 19 Years of Experience - Near 98335

Tags for this Online Resume: Management, Test, Quality Assurance, Process Improvement, Quality, Quality Management, Trauma, Utilization Management, Integrate, Managed Care, healthcare, Chief medical officer, VP Medical Affairs

Clinical Director - 30 yrs exp - 60k+

Internal Behavioral Health Consultant/Licensed Clinical Social Worker - Whiteman Air Force Base - 509th Medical Group 331 Sijen Ave. Whiteman AFB Mo. 65305. Civilian Contract Employee with Kahuna Associates Llc. Manage the Behavioral Health Optimization Program (BHOP) Provide integrated care integrating behavioral health services into primary care practice * Provide mental health support to military personnel and their depe...

Tags for this Online Resume: Policies and Procedures, Referrals, Behavioral Health, Microsoft PowerPoint, Planning, Social Service, Strategic Planning, Utilization Management, DFS, HIV, social services, non-profit, mental health, lcsw, substance abuse, social work, casac, case management, nonprofit, behavioral health clinical director

Featured Profile

Case Manager - 20 Years of Experience - Near 92630

I am looking for a full time permanent opportunity with a growing Case Management Company with excellent comprehensive benefits including Health Insurance, dental, vision and 401k option. I am a dedicated, highly skilled, self-motivated, registered nurses that that has significant experience with workers compensation & commercial case management as well as Utilization Management. I am also highly skilled in using Microsoft...

Ideal Companies: Strong and Stable, Kaiser, Hoag, St Joseph.

Tags for this Online Resume: healthcare, rn, case manager, utilization review, Registered Nurse, Milliman Care Guidelines, care coordination

Sales and Operations Leadership - 20 Years of Experience - Near 33701

SUMMARY OF KEY STRENGTH PEx Training-six sigma Strategy Routing Sales Team Management Ops Process Improvement COR Management Product Management Customer Service Satisfaction Loss Ratio Management Budgeting / P&L Management Recruit, Training & Retention Sales Planning & Forecasting Competitive & Pricing Analysis Territory / Market Expansion Performance Management Program & Project Management & ACHIEVEMENTS developed and impl...

Tags for this Online Resume: Customer Service, Management, Budgeting, Forecasting, Training, P&L, Sales, Distribution, Forecast, Inventory

Business Manager

To acquire a management position where I can grow and excel my knowledge base in a professional environment. Utilize the management skills I have and to show profit. A challenging position with team players. To be a producer for the company.

Tags for this Online Resume: Payroll, Accounting, Management, Audit, Bookkeeper, Insurance, Financials, Clubs, Customer Service, Property Management, management

Medical & Health Services Manager - 16 Years of Experience - Near 30506

Areas of Expertise Strategic Planning Multi-Site Operations Leadership & Mentorship Recruitment & Training Employee Satisfaction Process Improvement Finance & Accounting Customer Satisfaction Account Management Healthcare Administration Variance Analysis Budget Planning Cost Control Client Relations and Retention * Project Management Change Management Utilization Management Policy & Procedure Development

Tags for this Online Resume: Strategic Initiatives, Accounting, Assistant Controller, Financial Industry, Planning, Process Improvements, Strategic Planning, Imaging, Management, Retention

Registered Nurse - 13 Years of Experience - Near 61822

SUMMARY Accomplished Masters prepared nurse with more than 13 years of extensive clinical and leadership experience with a focus on exceptional quality and service standards. Recognized as a natural leader and valued member of the interdisciplinary team with the ability to collaborate and make meaningful connections with patients, families, and colleagues. Seeking a new opportunity to apply my knowledge, experience, and ski...

Tags for this Online Resume: Rehabilitation, Benefits, Inpatient Rehabilitation, Insurance, Managed Care, Medicare, Referrals, Software AG Natural, Strategic Planning, Team Development, MSN, Telecommute, Nurse educator, Utilization Management, registered nurse, nurse, healthcare, Regulatory compliance, Appeals