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Online Resumes with "hedis"
Clinical Documentation Improvement Specialist - 9 Years - New York City
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.
Tags for this Online Resume: cdis, fmg, hedis/qarr, clinical documentation improvement
Registered Nurse, Lake Charles,LA
Continue to use my nursing knowledge and skills in a non-clinical setting to further help improving nursing care and be a patient advocate in medically necessary care.
Tags for this Online Resume: RN, medical coding, case manager, chart auditing, HEDIS audit, medical documentation abstraction, drug and chemical addictive treatment
Agricultural Technician
Senior Director Healthcare Quality and Safety- 20+ years experience-Providence, RI
Senior healthcare leader with proven experience in oversight and leading performance improvement in clinical quality, preventive health, service and patient safety processes towards top decile performance. Experienced in healthcare regulatory standards compliance and interpretation and ability to engage staff in reliable process adherence towards safe and optimal patient outcomes. I am interested in the north east (RI. MA. ...
Ideal Companies: CVS CAREMARK, Hospitals, HCA, CareNew England, UnitedHealth Care
Tags for this Online Resume: Performance Improvement, Patient Safety, Patient Experience, Data analysis, Facilitate project teams, Healthcare regulation expertice, Medical staff peer review, Physician engagement, System integration, Accreditation expert(DNV, TJC, CMS, NCQA), Root Cause Analysis, Taproot facilitator, Patient Engagement, Health and Wellness, Community Outreach
Operations Manager- Registered Nurse-15 years experience- Raleigh, NC
Tags for this Online Resume: Raleigh-Durham, NC, Insurance, Case Management, HEDIS, DIsease Management
Case Manager RN
Identify and educate potential high risk patients and help them to seek appropriate health care and keep them safe and redirected. Refer patients to the right doctor, right treatment and right care. Excellent customer service as a Case Manager.
Ideal Companies: UCSD, Scripps Mercy Hospital
Tags for this Online Resume: Patient's education, Patient redirected to appropriate care, Disease Management, Hedis, APS, Hospice health related
Manager Quality Assurance- 12 years experience
Managed Care Healthcare Reform in a Director of QA role, helping with implementation of ACA and different models, NCQA & HEDIS measures, Lean Six Sigma project management, Regulatory Mgmt,Healthcare Consultant
Tags for this Online Resume: director quality assurance, healthcare consultant, Managed Care- NCQA & HEDIS, project management (Certified Lean Six Sigma), Staff management & Professional Development, Clinical Laboratory Management, Compliance & Safety
Licensed Practical Nurse
To continue my nursing career, but in a non-traditional setting. Currently studying medical coding. 7 years experience as a HEDIS medical record abstractor.
Tags for this Online Resume: Medical Record reviewer, Coder, Nursing, CNA training
Patient Care Advocate, Healthcare Administrator/Precert/Prior Authorization/Appeals and Review Nurse
To obtain employment with a company that will allow me utilize my healthcare knowledge and nursing skills in efforts to afford me career growth opportunities
Tags for this Online Resume: Healthcare, Licensed Practical Nurse, Precert Nurse Specialist, Patient Care Advocate, Hedis Nurse Abstractor, Medical Review Nurse
Experienced Staff Nurse- 5 years Experience- Lowell
Reliable and motivated registered nurse with five years of recent clinical experience grounded in pediatrics and internal medicine, seeking career transition from primary care to a hospital setting.
Tags for this Online Resume: Internal Medicine, Staff Nurse, RN, Hospital, HEDIS, Medical-Surgical
Registered Nurse & Consultant-over 40 years experience-Seattle
Dynamic, versatile Registered Nurse and Consultant with 40+ years of experience in the healthcare industry. A registered nurse with exceptional communication and consulting skills combined with a proven ability to provide counseling, patient care, and leadership to promote wellness, organization, and effective service to clients, companies, and patients. Outstanding entrepreneur and public speaker distinguished for proven l...
Tags for this Online Resume: Seattle, Nursng, Utilization Review, Clinical Appeals, Medicare & Medicaid, Education, Case Management, Regstered Nurse
Experienced, Versatile Board Certified Physician
From my earliest encounters all aspects of Medicine have been fascinating to me and you can tell from my versatile background that I have always been open to change and a challenge. From saving lives in Emergency Medicine, focusing on health maintenance and disease prevention in primary care to helping the terminally ill comfortably transition in their last days, I have found meaning and fulfillment in all aspects of my me...
Ideal Companies: University of New Mexico Medical Center, Presbyterian Hospital, Centers for Medicare/Medicaid, Hospices
Tags for this Online Resume: Physician, Board Certified Emergency Medicine, Board Certified Hospice and Palliative Medicine, Board Certified Hospice Medical Director, Medical Director, QAPI, EPERC, AAHPM, University of Nevada Reno School of Medicine Associate Clinical Professor, Nurse Practitioner Preceptor, Palliative Care Consults, Pharmacological Formulary development, Policies and Procedures, Allscripts, HCHB, Interdisciplinary Team Involvement, Inpatient rounds, Homecare visits, HCP-Davita, managed care training and experience
