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Online Resumes with "managed care "



Case Management Manager - 16 Years of Experience - Near 23666

Areas of Expertise: * Team Development and Leadership * Program development and management * Senior Service * Senior care Case Management * Care Coordination, Patient/Family support * Customer Service * Community relations. * Strong knowledge of Federal, State and local regulations Sentara PACE- Portsmouth VA August 2015 - present

Tags for this Online Resume: Management, Insurance, Leadership, Referrals, Cms, Team Development, registered nurse, healthcare, Transitional Care, Post Acute Care, Senior Services

Director - 20 Years of Experience - Near 18947

SUMMARY OF QUALIFICATIONS: * Award-winning Health Care Executive with more than twenty-five years of successful experience in healthcare management and business administration. * Skilled in the areas of operations' management, sales, marketing, recruitment and business development. * Strong planner, organizer and problem solver, who can develop national and regional marketing strategies, direct start-up of operations to dra...

Tags for this Online Resume: Critical Care, Billing, Managed Care, Occupational Therapy, Physical Therapy, Therapy, Long Term Care, Rehabilitation, Home Health, PEDIATRIC, Health Care

Sales Manager - 10 Years of Experience - Near 07036

Areas of Expertise: * Strategic Planning & Forecasting * Account / Personnel Management * Quality Assurance * Business Development * Statistical Analysis * Event / Project Management * Sales Planning & Marketing * Staff Training & Development * Problem Resolution

Tags for this Online Resume: Marketing Management, Multimedia, Managed Care, Process Improvements, Sales, Account Manager, Business Development, sales, account executive

Featured Profile

Claims Examiner - 17 Years of Experience - Near 68016

QUALIFICATIONS *Twenty-six years' experience in Managed Care and Cost Containment Services - sales and marketing *Seventeen additional years in the insurance/claims industry adjudicating claims

Tags for this Online Resume: Account Manager, Appraisals, Management, Marketing Management, Sales, Services, Managed Care

Registered Nurse - 15 Years of Experience - Near 40065

PROFESSIONAL SUMMARY I am a Registered Nurse with 15+ years experience in disease management, medication management and caring for patients as well as their families or caregivers. I am extremely passionate about taking care of patients and their needs. I am also a Licensed Life and Health Insurance agent.

Tags for this Online Resume: Disease Managment, Medication Management, Case Management, Quality Assurance, Quality Review, ICD-9, ICD-10, HCPCS Coding, Microsoft Office, Outlook, Word, Excel, Licensed Life & Health Insurance Agent

Licensed Nurse

My goal is to be a full time pharmaceutical rep in the Cleveland area. My work ethic is self directed, and organized. I am looking forward to establishing new physician relationships with the expectation of make cold calls, meeting the existing needs of existing clients, and expecting to be oriented. Ohio is one of the strictest states regarding prescription use and rationale, history of prescription drug abuse of pa...

Tags for this Online Resume: rn, physical therapy, outpatient rehabilitation, registered nurse

Case Manager - 20 Years of Experience - Near 45005

Professional Summary In-depth social work, case management experience. Very strong knowledge base of managed care products, Medicare and Medicaid regulations and community resources. Possess an understanding of the challenges faced by health care organizations and the ability to develop policies and practices that meet business objectives, while providing maximum quality service to various client populations. Accomplishment...

Tags for this Online Resume: Social Service, Assessments, Computer Aided Software Engineering, Long Term Care, Patient Care, Planning, Training, Customer Service, Discharge Planning, Documentation

In Between - 10 Years of Experience - Near 20748

PROFESSIONAL SUMMARY Dedicated professional with experience in office administration, human resources, outreach, and management. Other experience includes providing education/training, presentations, and development of strong partnerships with outside agencies. Able to uphold confidentiality, respect, necessary assistance, and discretion to the needs of those served. Detail oriented with excellent oral and written communica...

Tags for this Online Resume: Payroll, Documentation, Call Center, Management, Insurance, Program Manager, Billing, Statistics, outreach, data entry, customer service

Financial Manager, Branch or Department - 20 Years of Experience - Near 37027

SUMMARY Accomplished finance and operations manager, skilled at translating strategic direction and business intelligence into tactical plans and action. Experience includes director-level positions in financial planning & analysis, accounting, provider revenue cycle operations, health plan operations, internal audit and public accounting. Excellent communication skills and experienced working with cross-functional leadersh...

Tags for this Online Resume: cpa, accounting, finance, excel, gaap, healthcare, budgeting, forecasting, Process innovation, Managed Care, internal controls, compliance

Pharmacist - 20 Years of Experience - Near 19018

SUMMARY An experienced pharmacist in providing clinically appropriate pharmaceutical care for patients. Knowledgeable about various state requirements for a non-resident facility in dispensing medications into the patient's home states. PHARMACIST LICENSES Registered Pharmacist - Pennsylvania Issued 11/1979 Expires 09/2018 Registered Pharmacist - Arkansas Issued 06/2007 Expires 12/2017 Registered Pharmacist - Kentucky Issue...

Tags for this Online Resume: Pharmacist, Outpatient Clinic, Inpatient, Experienced, Documentation, Referrals, Managed Care, Management, Rational, Therapy

Physician - 19 Years of Experience - Near 98335

Tags for this Online Resume: Management, Test, Quality Assurance, Process Improvement, Quality, Quality Management, Trauma, Utilization Management, Integrate, Managed Care, healthcare, Chief medical officer, VP Medical Affairs

Licensed Nurse - 20 Years of Experience

COVER LETTER: To whom it may concern: My name is Tony Coward LPN, for more than 30 years, and have worked in various capacities in hospitals, Assisted Living Faculties, Skilled Nursing Facilities, and Home Care Agencies. Early in my career, I worked as a Rehab Nurse Specializing Spinal Cord injuries, CVA's and Traumatic Brain injuries. I also worked in various units, Telemetry, Medical Surgical, Orthopedics, ICU, and Sub Ac...

Tags for this Online Resume: Computer Aided Software Engineering, Emergency Room, ER, Documentation, Medical, Cord Injury, Rehabilitation, DRESSING CHANGES, Management, Nursing