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Online Resumes with "Utilization reviewer"
Medical or Health Services Manager - 15 Years of Experience - Near 48221
Accomplishments Mental Health / Quality * Managed a $100,000 budget * Entrusted to maintain ongoing compliance with operational policies and procedures leading to swift and fully compliant audits * Led staff operations and administrative tasks from point of hire through team management * Facilitated a variety of sessions to empower clients to identify and address their needs * Developed diagnostic treatment plans to address...
Tags for this Online Resume: Compliance, Quality, Quality Assurance, Administrative Tasks, Budgeting, Collection, Database, Financial, Financial Analysis, Focus, healthcare, pt
Pharmacy Manager
Detail-oriented and driven pharmacist over 20 years’ experience. Thrive in team-based environment with strong communication skills, though self-sufficient and able to work independently. Flexible, having produced results for various companies within differing communities – quickly-learning new skills and policies. Calmly handled upset customers and reassured nervous patients.
Ideal Companies: Hospital, Retail , Pharmaceutical
Tags for this Online Resume: pharmacist, Registered pharmacist, Pharmacy Manager, Clinical pharmacist
Registered Nurse
Manage time well and self-motivated. SUMMARY SKILLS EXPERIENCE 01/2015 to 06/2017 02/2006 to 01/2015 08/2004 to 01/2005 MCKNIGHT FL 33805 H: 863-680-2091 C: 863-604-6096 weeezie@aol.com Results-oriented Quick learner Client-focused Proficiency in Quality Assurance Proficiency in Patient Assessment Proficiency in Medical Record Review and Assessment Nurse First Response/Utilization Review Conduent - Lakeland, FL . Assessed p...
Ideal Companies: Cornerstone Hospice, Chapters Healthcare, Lakeland Regional Health
Tags for this Online Resume: Computer Aided Software Engineering, Documentation, Legal, Quality Assurance, Referrals, Test, Transportation, Triage, Wound Care
Case Manager - 4 Years of Experience - Near 72687
Summary Worked at Vanderbilt Medical Center as a Transition Case Manager by collaborating processes that assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the client's healthcare needs. Assisted Arkansas Children's Hospital with their PCMH program by conducting interviews to identify patient needs and navigated clients through a complex healthcare environment. Worked in the...
Tags for this Online Resume: Computer Aided Software Engineering, Cms, Emergency Room, ER, Evaluate, Health Care Industry, Home Health, Hospice, Medical, Nursing
Registered Nurse - 20 Years of Experience - Near 07601
RESUME Summary: Professional Nurse with more than 15 years of experience in a leadership position in a Magnet hospital and other healthcare organizations. Possesses excellent clinical and administrative skills, i.e. organization, recruitment & retention, problem-solving with corrective action planning, staff development, coaching/mentoring, performance evaluation, utilization review, medical records review, budget planning,...
Tags for this Online Resume: registered nurse, healthcare, Leadership, Payroll, Performance Evaluations, Scheduling, Administrative Skills, Budgeting, Coaching, Health Care Industry
RN Case Manager Huntsville, AL
I am relocating to the Huntsville, AL area seeking an RN Case Manager position, Worker's Comp, or Utilization Review Nurse position.
Tags for this Online Resume: Case Management, Utilization Review, Worker's Comp, RAC audit, InterQual
Director - 20 Years of Experience - Near 92952
PROFILE CLINICAL OPERATIONS, BUSINESS DEVELOPMENT & OUTREACH DIRECTOR Driven to expand the reach of life-saving recovery programs at world-class treatment facilities aimed at providing the highest standard in Individualized Patient Care while maintaining the utmost integrity and compassion for families and individuals suffering from addiction and substance abuse. * Substance Abuse & Addiction Industry Expert * Medication As...
Tags for this Online Resume: Sales, Advertising, Inventory, Inventory Control, Quality, Business Operations, Management, Compliance, Referrals, Support
Case Manager
SUMMARY Over 20 years of experience in healthcare. A strong background in worker's compensation case management, overseeing appropriate treatment and return-to-work of the injured. Excel at communication with workers, employers and medical providers. Additional strengths include: - Assessment capabilities - Evidence Based Best Practices - Utilization review - Marketing skills - Official Disability Guidelines - Accounting ba...
Tags for this Online Resume: Best Practices, Documentation, Medical, Assessments, Managed Care, Rehabilitation, Computer Aided Software Engineering, Management, Accounting, Acute Rehabilitation
Case Manager
Summary Director of Nursing in Long-Term Care I have been a Director of Nursing for nursing homes in the state of Texas for over15 years. During that time I have opened up # 1 nursing facility, directed that facility to a 4 Star rated facility, and maintained a good reputation with the Texas Department of Health and Human Services in Arlington, Texas. Medical-Surgical Nursing During my nursing practice I have worked the Acu...
Tags for this Online Resume: Patient Care, Cancer, Computer Aided Software Engineering, Insurance, Psychiatry, Rehabilitation, Nursing, Quality Assurance, Test, Acute Care
health administration pittsburgh pa
operational management in healthcare rehabilitation
Tags for this Online Resume: health care, full time, utilization review, 23 years exp., administration, sales
Registered Nurse - 9 Years of Experience - Near 11735
QUALIFICATIONS HIGHLIGHTS: * Motivated, responsible professional committed to the highest standard of care to all patients. * The ability to handle many tasks at once in a fast-paced environment. * Strong commitment in coordinating patient care with members of a Multi-Interdisciplinary Treatment Team. * Utilizes the nursing process of assessment, diagnosis, implementation and evaluation for optimum patient outcomes. * Exper...
Ideal Companies: sept-
Tags for this Online Resume: First Aid, Management, Assessments, Behavioral Health, Documentation, HIV, HYGIENE, Insurance, Medical, Medical Records
Registered Nurse - 20 Years of Experience - Near 36606
Professional Summary: Highly skilled RN with 38 years experience ( 16 years hospital inpatient care, 15 years home health care experience and 7 years of remote medical coding as well as chart auditing). Core Qualifications: 1. Hospital Inpatient Patient care (Med-Surg, Telemetry and PACU) 2. Excellent client/customer relationship 3. Team player 4. Home Health Care Patient Manager (direct and indirect patient care) 5. Experi...
Tags for this Online Resume: Coding, Medical, Management, Wound Care, Patient Care, Nursing, Oncology, outpatient rehabilitation, registered nurse, ICD-9
