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Online Resumes with "appeals management"
Grievances and Appeals Manager
CEO
Nonprofit Management/Fundraising/Public Relations/Communications/Consulting: If you're looking for a well-organized, wholistic-thinking, conscientious, articulate, personable and professional addition to your team, look no further!
Simply, I want to make a difference! I want to offer my gifts to an organization to help it accomplish its vision and mission. Relationships within and beyond the organization are very important. I believe I have the skills, interest and ability to lead an organization to effectively reach their goals, whether as an administrator, fundraiser, communicator, or sales person.
Tags for this Online Resume: Nonprofit, Public Relations, Communications, Management, Fundraising
Director of Annual Giving
Director of Annual Giving for a not-for-profit camp and retreat center focused on children with special needs. I am familiar with a variety of areas of fundraising and marketing for non-profit organizations. I also have experience with program and educational curriculum development, with a special focus on environmental education and advocacy.
Tags for this Online Resume: Non-profit, Fundraising, Development, Environmental Education
Desktop Operations Technician
I am a computer enthusiast who enjoys helping anyone utilize their PCs and expand their expertise on the job or for other interests. This position meets these expectations.
Ideal Companies: Boeing, Creative Assembly, ID, General Dynamics
Tags for this Online Resume: desktop, MCP, MCDST
Healthcare Risk Management/Performance Improvement/Patient Safety Leader
Leadership position in Patient Safety/Risk Management/ Performance Improvement
Ideal Companies: Health Systems, Pharmaceutical Companies, Medical Device Companies, Healthcare Software Companies, Healthcare Consulting Firms
Tags for this Online Resume: Patient Safety, Risk Management, Performance Improvement
Nurse Manager
A seasoned and energetic healthcare professional possessing a unique clinical (RN) and business skill set (MBA), experienced in managing a demanding array of challenging operational and financial initiativesfor an evolving healthcare industry.
Tags for this Online Resume: utilization management, care management, appeals management, RAC
Admissions Director
Tags for this Online Resume: RN Managed Care case manager, Director of Managed Care Authorizations/Claims, Medicare Appeals for Managed Care, RN Certified Case Manager, RN Consultant, Director of Nursing
Case Manager
Tags for this Online Resume: Case Management, Utilization Management, Appeals Management
Nurse Auditor and Appeals Management
Nurse Auditor with greater than 20 years of varied experience in multiple settings (acute, outpatient, quality assurance, leadership and nurse auditing). I am interested in contract work either short or long term.
Tags for this Online Resume: Regulatory Compliance, EPIC EHR, Auditing, Appeals Management
Experienced Registered Nurse -EHR/ICD-9, HEDIS documentation expert
My career uniquely combines a solid understanding of medical health care practice and business management and my goal is to continue as a hospital provider advocate within the medical auditing and clinical documentation career path.
Tags for this Online Resume: Registered Nurse, Medical/Surgical, Home Health, Infusion Therapy, Director of Nurses, CCU/ICU/Telemetry, Documentation Review EHR, Quality Assurance, Telecommute, Medicare Recovery Auditor, IternQual, ICD--9 ICDCCU/ICU/Telemetry, Integrated Case Manager, Quality Assurance/HIM; Healthcare Information & Documentation Manager, Medicare Denials appeal and Managed Care Risk/ medical necessity auditor, InterQual/ICD-9/MCG;Millliman/DRGs/Lean/CMS Guidelines MS Office, telephonic/remote, CCU/ICU/Telemetry/evidence based best practice provider and physican advocate, HEDIS abstractor, internal risk auditor, EHR quality assurance, ICD-9, Interqual/Milliman, clinical coordinator
Appeals Manager, Chicago
Project Manager - 20 Years of Experience - Near 78052
Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...
Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager
