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Online Resumes with "managed care "
Registered Nurse - 20 Years of Experience - Near 33813
To promote health education, health and wellness to individuals, patients, and families. To aid employer in reducing costs of health care through case management, disease management, and patient - centered education to achieve this goal.
Tags for this Online Resume: registered nurse, healthcare, outpatient clinics, community liaison, coumadin, care management, care coordinator, manager,, Management, Cms, Data Entry, Direct Patient Care, Documentation, Emergency Room, ER
Registered Nurse - 20 Years of Experience - Near 29456
Tags for this Online Resume: Budgeting, Managed Care, Operating Budget, Nursing, Audit, Cardiopulmonary resuscitation (CPR), Cms, Microsoft, Microsoft Office
Family or General Practitioner
FACEP Contact Loava McCarthy (903) 821-3392 Broadmoor Medical Lodge & Royce City Health and Rehab
Tags for this Online Resume: Diabetes Mellitus, Managed Care, Patient Care, Cardiac Monitoring, Clinical Management, Email, Emergency Medicine, Intensive Care, Intensive Care Unit, Management
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
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Medical Office Manager - 20 Years of Experience - Near 28626
Quality-Driven leader with years of experience assessing operations, improving productivity through re-engineering of processes and procedures and forgoing future managers through stellar training and mentoring skills. Provide ongoing management in physician practice operations, improving financial, operating and service performance. Especially skilled at strategic planning, budget controls, and problem resolution. Outstand...
Ideal Companies: Cone Healthcare, Gastroenterology, Wake Forest Medical Center, Forsyth Hospital, Novant, Ophthalmology, Surgery Centers, Ambulatory Surgical Centers.
Tags for this Online Resume: Surgery, THORACIC, VASCULAR, Billing, Deposits, Insurance, Medical, Medical Records, Medicare, healthcare, nurse, registered nurse, Practice Administrator, Revenue Cycle, Credentialing, Healthcare, Quality, Risk Managment, HIPAA, OSHA, Gastroenterology, Pediatrics, Surgery Center, Ambulatory Surgery Center, Providers, Nurse Practitioner, Physician Assistant
Insurance Underwriter - 20 Years of Experience - Near 48302
Consulting and expert services related to: Risk transfer needs, available commercial insurance policies, and Alternative Risk options, * Product Development for Insurers-focused on Professional and Managerial Liability Policies, * Broker & Insurer selection, including RFP's, Performance Assessments, * Outsourced Risk Management for RE and HC organizations, and * Assist RE & HC organizations decrease their Total Cost of Ris...
Tags for this Online Resume: Insurance, Executive Management, Real Estate, Health Care, Product Development, Insurance Broker Selection, Chartered Property & Casualty Underwriter, Consulting, Managed Care, Risk Management, Insurance Reviews, Outsourced Risk Management, Captive & RRG's, Lawyer, strategy consultant
Insurance - Senior Business Development Executive
Over 30 years leadership experience in every facet of the insurance and reinsurance industry in positions
Tags for this Online Resume: Compensation, Medical, Workers Compensation, Benefits, Distribution, Business Development, Managed Care, Marketing Management, Marketing Support, New Business Development
Registered Nurse - 15 Years of Experience - Near 07040
Phone: * Prepare program for re-accreditation and ensure that program is in compliance with federal, state and accreditation standards * Manage curriculum design, evaluations and security of curriculum resources * Coordinate instructional technologies, clinical placements and ensure all program operations meet training, certification requirements and regulation standards. * Serve as College Liaison to the New Jersey Board o...
Tags for this Online Resume: Medicare, Public Health, Security, Pharmacology, Quality Assurance, Test, Nursing, Insurance, Leadership, Assessments, Management / Educator
Case Management Manager - 15 Years of Experience - Near 48442
PROFESSIONAL SUMMARY Responsible Registered Nurse with excellent communication skills demonstrated by 20+ years of experience in healthcare. Nurse Case Manager with valid State RN License. Solid clinical, utilization review and case management experience within a managed care environment. Professionally trained RN with experience ensuring high standards of culturally competent care for wide variety of patients with diverse ...
Tags for this Online Resume: Assessments, Patient Care, Wound Care, Marketing Management, Network Attach Storage, Computer Aided Software Engineering, Quality, Quality Assurance, Quality Control, Referrals
Billing/Coding Specialist - 15 Years of Experience - Near 19446
Tags for this Online Resume: Audit, Help Desk, Inventory, Billing, Compliance, Managed Care, Microsoft Excel, Microsoft Word, Outstanding Communications Skills, Software
Sales Representative - 15 Years of Experience - Near 28270
Career Focus Accomplished and Results-oriented Sales Representative with more than 13 years of Pharmaceutical Sales and Sales Training experience in the Dermatology and Respiratory therapeutic market's. High energy, team-oriented professional that consistently exceeds sales goals and builds strong customer relationships focused on values and integrity. Accomplishments
Tags for this Online Resume: Dermatology, Account Manager, Critical Care - Respiratory, Family Practice, PEDIATRIC, Sales, COPD, Managed Care, Quality Assurance, Retail, business development, sales representative, account executive
