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Online Resumes with "manage care "
Human Resource Training Specialist - 0 Years of Experience
Tags for this Online Resume:
Training, Cms, Managed Care, Medicare, Microsoft Excel, Process Improvement, Software, Web, Adobe, project management, material development
Claims Investigator
SUMMARY OF QUALIFICATIONS Experienced insurance management professional with expertise in provider relations, contract development, compliance, operations, call center management, reinsurance, and account/program management. Organized, self-starter with in-depth knowledge of employee benefits, group and individual health, life, Medicare and Medicaid products. Extensive experience in managing professional staff, developing e...
Tags for this Online Resume:
Compliance, Insurance, Managed Care, Policies and Procedures, Process Improvement, Process Improvements, Management, Networking, Pricing, Project Management
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume:
Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
Medical & Health Services Manager
Tags for this Online Resume:
Managed Care, Management, Project Management, Sales, Sales Trainer
Healthcare Executive with 20 years exsperience in Post Acute Care, Quality and Nursing Leadership
I have an extensive background in healthcare administration and has a successful track record with business development, multi –hospital leadership experience and leading a successful team. I also have an extensive background in Post-Acute Care Services, Clinical and Quality Services, Regulatory and Care Management.
Tags for this Online Resume:
Patient Care, ICU, Pulmonary, Nursing, Infection control, Managed Care, Wound Care, DSC, Home Health, Rehabilitation, registered nurse, healthcare, LEADERSHIP, NURSING, MANAGED CARE
Registered Nurse - 30 Years of Experience-Phoenix AZ
SUMMARY Highly skilled Registered Nurse with 30 years of experience in Managed Care, Community, Clinical, Leadership and Administrative settings of Behavioral Health Hospital, Medical Hospital Home Health and Hospice/Palliative Care. Seeking full time employment with
Tags for this Online Resume:
Home Health, Homecare, Assessments, Coding, Compliance, Data Analysis, Hospice, ICU, healthcare, registered nurse, care, Utilization Review, Leadership
State Government - 20 Years of Experience - Near 06067
Tags for this Online Resume:
Compliance, Managed Care, Management, POS, Procurement, Program Manager, Purchasing, Rehabilitation, Services, Communication Skills
Sales Manager - 15 Years of Experience - Near 36532
Summary A proven sales professional with experience selling market leading, injectable biologic and oral therapies within the diabetes and cardiovascular space. A disease state/product specialist with the ability to deliver high quality interactions with various healthcare professionals by leveraging customer insights, challenging the status quo, changing customer behavior and providing value to the physicians and their pat...
Tags for this Online Resume:
Sales, Business Acumen, Business Plan, Customer Accounts, Managed Care, Management, Territory Sales, Universe, Utilization Management, Cardiovascular
Featured Profile
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting.
I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume:
contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern: Anthems Dear To Whom It May Concern: I'm pleased to be writing today regarding my application for the RN Nurse Medical Management 1/2/Utilization Management advertised. I believe my qualifications and experience make me an ideal candidate for this job. I have a BSN in nursing and 29 years of experience effectively and efficiently managing both patient and staff and medical records. I am...
Tags for this Online Resume:
Ideal, Management, Medical, Medical Records, Nursing, Rational, Utilization Management, Home Care, LPN, Patient Care, physical therapist, nursing(remote)
Registered Nurse - 22 Years of Experience
CAREER HIGHLIGHTS I received my RN/BSN in 1996 from Gannon University. I worked at a busy HealthSouth for 2 yrs. and in '98 started travel nursing. From Indiana, Maryland, South Carolina, Ohio and California I worked at large, small facilities including a stint as a Clinical Instructor for senior ADN students. I relocated back to Erie in 2004 and have worked on a busy post-op GI/Colon Rectal/Plastic Surgery floor as well as...
Tags for this Online Resume:
Dialysis, ICU, Plastic Surgery, Surgery, Travel, Managed Care, Transportation, Health Care Industry, Services, English Language
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
