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Online Resumes with "concurrent review "
Business Analyst - 4 Years of Experience - Near 60440
AREAS OF EXPERTISE Web/Performance Metrics Production Support Quality Assurance Software Implementation Report Design Data Warehousing Data Analytics Writing Concurrent Review Medical Terminology eCommerce CAREER PATH
Tags for this Online Resume: Information Technology, Data Dictionary, Dba (Database Admin), Management, Support, Web, Account Management, Applications, Health Care Industry, HyperText Markup Language
Medical or Health Services Manager - 20 Years of Experience - Near 33534
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Quality Coordinator
To apply for a position in appeals, medical record review, or concurrent review
Tags for this Online Resume: Internal Auditor, Medical, Medical Records, Medicare, Medical appeals, utilization review, concurrent review
Registered Nurse - 20 Years of Experience - Near 95670
Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...
Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management
Registered Nurse - 20 Years of Experience - Near 92405
Profile: Currently 29+ years work experience as a Registered Nurse in many specialties to include: In-patient Case Management Insurance Care Coordinator State Compensation Concurrent Review Nurse, Utilization Review Nurse, Air Force Urgent Care Flight Nurse Officer, Staff Nurse/ Rehabilitation Charge Nurse, Medical Surgical Nursing, Step down ICU, and Psychiatric RN.
Tags for this Online Resume: Nursing, Imaging, Management, Pain Management, Rehabilitation, Patient Care, Compensation, Insurance, Transportation, Workers Compensation, rn case manager
Registered Nurse
Profile * More than 15 years of experience in the field of nursing and serving people. * Strong Disease Management and Telephonic Case Management Knowledge base * Integrated Case Management which include prior authorization, concurrent reviews and manage case management * Sharpened skills regarding appropriate Disease Management of Diabetic, Complex and Cardiac clients
Tags for this Online Resume: Management, Benefits, Nursing, Surgical, Trauma, Cancer, Computer Aided Software Engineering, COPD, Dialysis, Disease Management
Registered Nurse
Profile * More than 15 years of experience in the field of nursing and serving people. * Strong Disease Management and Telephonic Case Management Knowledge base * Integrated Case Management which include prior authorization, concurrent reviews and manage case management * Sharpened skills regarding appropriate Disease Management of Diabetic, Complex and Cardiac clients
Tags for this Online Resume: Management, Benefits, Nursing, Surgical, Trauma, Cancer, Computer Aided Software Engineering, COPD, Dialysis, Disease Management
Family or General Practitioner - 19 Years of Experience - Near 76123
* Utilization, Post-partum Care. Post -partum, pediatric and newborn nursery. and Concurrent Review.
Tags for this Online Resume: Patient Care, Assessments, Management, C Programming Language, Medicare, Surgical, Surgery, THORACIC, Cardiovascular, Insurance
Registered Nurse - 20 Years of Experience
Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...
Tags for this Online Resume: Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care
LVN CASE MANAGER
Tags for this Online Resume: LVN CASE MANAGER, UM NURSE, IN-PATIENT CASE MANAGER, CONCURRENT REVIEW
