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Online Resumes with "Utilization management "
Case Manager - 13 Years of Experience - Near 90805
Professional Summary Accomplished and energetic (Registered Nurse Licensed in California) Worked with different ages of patient from children to older adults. Motivated leader with strong organizational and prioritization abilities. My area of expertise includes, Case Manager/Care Management, Home Health Nurse, and Utilization Management
Tags for this Online Resume: Documentation, Nursing, Home Health, Patient Care, Ambulatory Services, Computer Aided Software Engineering, Home Care, Management, Microsoft, Microsoft Excel
executive sales - 30 years
A career where I can utilize the management, business development and sales skills to create relationships, build consistent and future revenue.
Tags for this Online Resume: Cash Management, Equity, Fixed Income, Management, Portfolio Management, sales, outside sales, inside sales, account executive, business development, sales representative, Account Manager, account manager, marketing
Registered Nurse - 15 Years of Experience - Near 76018
* To participate with the Utilization Management team in such a way that improves quality of patient care, identifies potential business losses, increases profitability, and encourages new skills and professional growth.
Tags for this Online Resume: rn, registered nurse, nurse
Director of Clinical Operations
SKILLS SUMMARY: * Proven leadership and management abilities combined with analytical, organizational and communication skills. * Able to works independently and manage multiple dispersed teams. * Several years of medical services experience with continual progression in responsibilities. * Demographic research of area population for Medical Centers expansion. * Lease contract review and negotiation with landlords. * Comple...
Tags for this Online Resume: Management, Policies and Procedures, Complaints, Training, Monthly Statistical Reports, Procurement, Referrals, Deposits, Documentation, Medical, Medical Centers Operation, Policies and Procedures implemetation, state and federal regulation specialist, AHCA Consultant, Medical Centers build out, grow and expansion, Project Manager, Managed Care Experience, Utilization Management, Staff development, OSHA and HIPPA Compliance Specialist
Licensed Nurse - 19 Years of Experience - Near 91356
Qualifications Licensed Vocational Nurse * IV and Phlebotomy Certificate Committed to Professionalism highly organized, worked under strict deadline schedules with attention to detail have excellent written and verbal communication skills. Proficient in P/C Mac, Microsoft Office, Adobe Photoshop, Microsoft Excel, and Internet Explorer. Available Upon Request.
Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy, Utilization management, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi-Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist
Case Management Manager - 13 Years of Experience - Near 33436
Tags for this Online Resume: CFO, Documentation, Medical, Medical/Surgical, Surgical, Computer Aided Software Engineering, Management, NICU, Trauma, Utilization Management, registered nurse
Case Manager and UR nurse
AREAS OF EXPERTISE * Insurance Notification Process * Clinical Review Submissions * Inpatient vs. Observation Criteria * Concurrent Denials & Appeals * Staff Mentoring * Electronic Medical Record * Case Management * Cross-cultural Communication * Process Improvement
Tags for this Online Resume: Medical, Nursing, PEDIATRIC, Trauma, Documentation, Management, Neurological, Utilization Management, Cardiovascular, Patient Care
Logistics Professional
Trained as logistics manager with experience in the military as well as production facilities and distribution warehouses with an emphasis on Transportation HR Management and Warehouse Utilization and Management.
Tags for this Online Resume: Scheduling, Management, Distribution, Transportation, Payroll, HR, Budget, P&L Analysis, Filing, Sales
Business Analyst
Summary of Qualifications: Results orientated Business analyst with 8+ years track record improving customers' performance through collecting, analyzing, and reviewing information. Proven ability to document and collaborate to foresee end to end solutions due to business challenges and limitations. A team player who is known for excellent verbal and written communications Managed project for client's Claims Editing Software...
Tags for this Online Resume: Services, Business Analysis, Business Analyst, Certified Pension Consultant, Data Mapping, JIRA, Management, Medicare, Microsoft Visio, Process Improvements, sql, agile
Food Service Manager - 20 Years of Experience - Near 63389
Utilize management experience to improve guest service, sales and overall productivity with a company moving forward to being a leader in the industry. Professional Highlights 22 Years in the gaming industry with over 21 years in the management capacity in the Casino Operations Department. Lead Casino Supervisor (2/98 to 7/2016) Overseeing an operating the daily functions in the Table Games and Slot Divisions for the design...
Tags for this Online Resume: Oracle Parallel Server, Policies and Procedures, Management, Training, restaurant manager, hospitality, Forth Programming Language, Inventory, Licensing
Medical or Health Services Manager - 11 Years of Experience - Near 95210
US Army, Dual masters MBA, MSM, graduated with 15+ years of experience and expertise in providing Business and supervising, Warehouse logistics, Business Management, Communications, Safety Management, support to US Army Communication Command Sector. Ability to utilize Management skills to bring about change to any industry as one of their Mid -Level or Senior Supervisors with strong customer service, the ability of working ...
Tags for this Online Resume: Audit, Automotive, CNC, Forklift, Light Emitting Diode, Management, Manufacturing, Policies and Procedures, Manager, Forklift Operator
Construction Trade Worker Manager - 19 Years of Experience - Near 33486
A leadership position in Construction Management or Project Management within the Telecommunication Industry where my leadership and organizational skills as well as my overall knowledge of engineering, operations and development will contribute to overall profitability and effectiveness. BACKGROUND SUMMARY * Experienced in all phases of construction The last 19 years specializing in telecommunication construction managemen...
Tags for this Online Resume: Assessments, Autocad, Autodesk AutoCAD, Real Estate, Wireless, Site Acquisition, Due Diligence, Microsoft Access, Triton, Cellular
