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Online Resumes with "managed care "



Licensed Nurse

Professional Summary I was an Lpn for 8 years and then returned to college and received my RN in 1998. I have been a nurse for 27 years. At this point in time I am seeking a FT 7pm-7am shift position, I will however consider other opportunities. I have been very fortunate and have gained a lot of experience in a variety of settings throughout my career. I've worked in Long term health care an alzheimers unit, a medical surg...

Tags for this Online Resume: Patient Care, Management, HIV, LPN, Wound Care, Nursing, Managed Care, Medical, Quality, Quality Assurance

Manager

Tags for this Online Resume: Insurance, Account Management, Information Technology, Management, P&L, Business Development, Consolidations, Fraud, Help Desk, Managed Care

Project Manager

Tags for this Online Resume: Medicare, A SERIES, CMOS, Documentation, Health Insurance, Insurance, Integrate, Managed Care, Management, Architect

Claims Adjuster - 20 Years of Experience - Near 08520

Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...

Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross

Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster

Director

Professional Summary A seasoned healthcare executive with over twenty years of experience in healthcare finance, operations and clinical management with accomplishments in P&L management, mergers and acquisitions, client relationships, business development, contract negotiations, strategic planning, implementations and staff development. A leader of national teams, with success in managing multiple managed care and healthca...

Tags for this Online Resume: Medicare, Account Management, Management, P&L, Reinsurance, Accounting, Behavioral Health, CFO, Financial, Forecast

Registered Nurse

Summary of Qualifications * Nursing process * Medication and treatment administration * Care planning

Tags for this Online Resume: Customer Service, Management, Cms, VITAL SIGNS, Benefits, Managed Care, registered nurse, EHR/EMAR, care planning, trach experience, G-tube experience

Medical or Health Services Manager

Professional Summary Healthcare professional with over 17 years of Healthcare Management experience, dedicated to achieving profitability and delivering high-quality patient care. Extensive background includes regulatory stabilization, revenue enhancement, cost control, and labor containment. Energetic professional with exceptional analytical, organizational, and people skills. Strong personal ethics and integrity. Work wel...

Ideal Companies: Skill Nursing Facility, Assisted Living Facility, Healthcare

Tags for this Online Resume: Documentation, Billing, Managed Care, Medication Administration, Nursing, Accounting, Assessments, Cms, Complaints, Cost Control

Featured Profile

CEO

My current Career objective is to help outpatient Health system grow, increased access, increased revenue, increased Market Share and increased target market and community knowledge of companies Brand.

Tags for this Online Resume: Insurance, Management, Health Insurance, Trend Analysis, Medicare, Managed Care, SAN (Storage Area Network), Behavioral Health, Community Development, Emergency Room

Lawyer

Tags for this Online Resume: Fraud, Labor Relations, Licensing, Litigation, Long Term Care, Managed Care, Nursing, Insurance

Pharmacist

Professional Summary Certified bilingual pharmacist with 8 years' work at a leading national drugstore chain. Dedicated, hard-working, reliable and meticulous professional who delivers courteous service at all times.

Tags for this Online Resume: Billing, Clinical Programs, Immunization, Insurance, Managed Care, Management, Policies and Procedures, Therapy, Training, Bilingual

Clinical Care Supervisor Managed Care

Seeking a leadership position where my education, experience, and leadership skills can be used to the benefit of the organization. My experience in providing excellence in Behavioral Healthcare Management Services to a multicultural population in the state of New Jersey and on a National level have prepared to coordinate successful company initiatives that have helped improve overall financial.

Tags for this Online Resume: Management, Assessments, HIV, Computer Aided Software Engineering, Documentation, Quality, Quality Assurance, Quality Control, Business Development, Leadership