I am conscientious, sensitive and hardworking with a desire to use all of my skills and knowledge to make a difference to people's lives. I have over 15 years experience in managed care within both medical and mental health settings and am more than able to track, monitor, and follow up on case management outcomes to ensure both cost effective and high quality care. On top of this I possess excellent communication skills th...
Clinical documentation improvement specialist/FMG With a doctorate in medicine. 9 years plus experience in acute care and ambulatory care . HEDIS/QARR Data Abstractor QM experience doing initial and concurrent reviews.
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cdis, fmg, hedis/qarr, clinical documentation improvement
I'm a case manager registered nurse with 11 years experience and 33 years experience in nursing and nursing supervisory. Admission assessment ,discharge planning and execution,utilization review, concurrent review,educating patients an families, strong end of life issues.
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miami, case management, nursing, hospice care, icu, floor care
I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines.
Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...
I'm a Registered Nurse with 7 years experience working in diverse areas and levels within nursing. Extensive knowledge of Medicare and Medicaid guidelines as well as Utilization Management.
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Utilization Management, MDS, Supervisor, Manager, Case Management, Utilization Review, Customer Satisfaction, Interdisciplinary Team, Teamwork, Acute Rehabilitation, Skilled Rehabilitation, Medicare, Medicaid, Concurrent Review, Managed Care, Insurance, Cost Control, Scheduling, Staffing, Communication, Discharge Planning
