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Online Resumes with "care management "



Claims Examiner

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Documentation, Management, Quality Assurance, Test, Customer Service, customer service skills, Process Improvement, Fraud, Policies and Procedures

Project Manager

Summary I will ensure strategic IT projects are delivered on time, on budget and to all quality specifications. I will carefully manage project costs and escalate serious project issues to IT management, project sponsors and stockholders as required by specific projects. Communicating and collaborate closely with-it team members in a virtual environment to ensure that they understand what is expected in their specialization...

Ideal Companies: Amazon

Tags for this Online Resume: Routers, Troubleshooting, Management, Project Management, Budgeting, Call Center, Cisco, Cisco Certified Network Associate, Evaluate, Green Belt

Customer Service Manager - 15 Years of Experience - Near 22015

Profile A dedicated Customer Care Manager with 18+ years of experience in tolling and airline industries. A Proven leader of a 200 enthusiastic, motivated and goal oriented front/back office teams.

Tags for this Online Resume: Call Center, Licensing, Retail, RFID, Statistics, Hub, Competitor Analysis, Training, Back Office, HR

Medical or Health Services Manager - 5 Years of Experience - Near 28262

I have a Master’s in Public Health with a concentration in Health Care Management and Policy. I am also a foreign medical graduate certified by the Education Commission for Foreign Medical Graduates (ECFMG) to do a clinical residency in US. I also have working knowledge of SQL queries as I was involved on the front end of MEDPROS and AHLTA systems used by the DOD for service members and veterans. I have a deep understanding...

Tags for this Online Resume: Inpatient Care, Patient Care, Public Health, Surgery, Biomedical Industry, Immunology, Oncology, Research, Cancer, Clinical Research, military

Registered Nurse - 20 Years of Experience

SUMMARY OF QUALIFICATIONS * Over 27 years' experience in pediatric nursing encompassing 8 years of school nursing. * Strong assessment skills in identifying medical conditions, anticipating potential complications and providing the appropriate medical intervention. * Experience in newborn care, neonatal care, pediatric care, diabetic and asthma monitoring/treatment as well as many other childhood conditions and diseases. * ...

Tags for this Online Resume: Pediatrics, Cardiopulmonary resuscitation (CPR), Evaluate, Health Care Industry, Inventory, Leadership, Management, Medical, Monitoring, Newborn Care

Admissions Director - 12 Years of Experience - Near 20850

PROFESSIONAL SUMMARY * Business Marketing and Revenue Generation: Extremely well versed and knowledgeable in markets services among targeted referral sources. Successfully generating revenue of approximately $13.5M per year. * Clinical Coordination specialist:: Highly motivated individual who specializes in managing pediatric patients with severe anoxic brain injuries in addition to congenital mental and physical disorders....

Tags for this Online Resume: Medical, Outpatient Care, Surgical, Patient Care, Services, CENTRAL LINES, Forth Programing Language, Home Care, Management, Ventilators

Case Manager - 15 Years of Experience - Near 48111

Professional Summary * Registered Nurse licensed in the State of Michigan with over Twenty+ years experience * Skilled care and management of patients with chronic and acute conditions * Five+ years as a Home Health Care professional with successes in complex organization change, strategic re-direction and re-organization to support Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accreditation * Fourte...

Tags for this Online Resume: Evaluate, Patient Care, Assessments, Nursing, Computer Aided Software Engineering, Desktop Computer, Health Care Industry, Health Insurance Portability And Accountability Act, Home Care, Home Health

Learning & Development Stategist - 20 Years Experience

Strategic * Learning & Development SME on numerous service-design and systems change initiatives, leveraged Design Thinking to identify business opportunities and reframe legacy barriers to success. * Launched new service initiatives and established long-term consultative internal partnerships. * Managed project budget and team of designers and vendors implementing multiple innovation programs customized to identify new mar...

Tags for this Online Resume: Learning and Development, Training, Instructional Design, Organizational Development, Adult Learning, Training, Consulting, Layout, Legacy, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word

Featured Profile

Director - 20 Years of Experience - Near 67671

CAREER HIGHLIGHTS CAREER HIGHLIGHTS Possessed P&L responsibility while providing leadership and spearheading a $120 million in Sales and $12 million in Profit Business Unit at a $500 million consumer outdoor products manufacturer while increasing market share. * Geographical Business Insight spearheaded product development, branding, positioning, and process development at executive business dealings across the Americas, As...

Tags for this Online Resume: Integrate, Aerospace, Distribution, Engineering, Sales, Sales Engineer, Systems Engineer, Expert in P&L/Sales/Marketing Leadership, Leader in Managing High-Volume Operations, Specialist in Maximizing Growth, Conumer Products, Construction Equipment, Marketing, Product Development, Managing Director, Customer Engineer, Market Research, Distribution Channel Strategy, Product Positioning

Telephonic Nurse Case Manager

Qualifications * Polished professional with diverse years of business experience. * Successful career transition from tangible consumer products to healthcare provider. * Seasoned health care manager with 21 years of clinical experience. * 15 years experience in Nurse Case Management. * 13 years experience in Workers' Compensation Case Management.

Tags for this Online Resume: Management, Drug Interaction, Medical, Nursing, Planning, Referrals, Compensation, Audit, Inventory, Medicare, nurse, healthcare

Financial Manager, Branch or Department

SUMMARY HIGHLY EXPERIENCED HEALTH CARE MANAGER WITH A WEALTH OF EXPERIENCE IN THE regulations governing reimbursement of Graduate Medical Education cost and adept at coordinating academic programs to meet regulatory requirement goals.

Tags for this Online Resume: Audit, Financial Industry, Iris, Medical, Medicare, Settlements, Audit Policy, Health Care Industry, Management

Featured Profile

Marketing Intelligence Director - 10 Years of Experience

able to expand role and integrate technical /clinical knowledge with business strategic business role. medical affairs, phamacovigilance. Training manager for sales department

Ideal Companies: Pharmaceutical company or healthacare related product or project manager, pharmaceutical product development and ideation, market intelligence on pharmaceuticals and devices

Tags for this Online Resume: operational management, Pharmaceutica Marketing research and analysis, Clinical and Technical knowlwedge, Pharamecutical sales and marketing, forecast, Pharmaceutical project and product management, portfolio management , product ideation and selection , product and market analysis, Pharmaceutical, Infectious Diseases, Pyxis