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Online Resumes with "managed care "
Manager of case Management and concurrent review LPN
I am conscientious, sensitive and hardworking with a desire to use all of my skills and knowledge to make a difference to people's lives. I have over 15 years experience in managed care within both medical and mental health settings and am more than able to track, monitor, and follow up on case management outcomes to ensure both cost effective and high quality care. On top of this I possess excellent communication skills th...
Senior Credentialing Representative - 13 Years Healthcare Experience - Nashville, TN
Dynamic Managed Care Professional with extensive experience in provider relations, credentialing, and provider contracting. Highly effective leader in situations that require prioritizing to reach a certain goal with a strong track record of performance in large organizations. Fluent in interpretation of CMS Policies and Procedures while providing excellent customer service and analytical skills.
Tags for this Online Resume: Effective , Leader , Credentialing, Provider Relations
National Account Director Managed Care Government- 18 years Experience
I am a National Account Director covering Aetna and Catamaran for a large biotechnology pharmaceutical company covering oncology and inflammation products.
Clinical Quality Reviewer/Focus Study Ananlyst
I am a Registered Nurse who has worked in Managed Care for medical insurance companies for the last 22 years in prior authorization, utilization review and clinical quality.
Medical Director, NY
Medical Director for managed care, health and wellness center using utilization review and evidence based medicine as an integral part of health care management. Working with other health care professionals to develop protocols and guidelines for patient assessment and health maintenance.
Tags for this Online Resume: Managed Care, Utilization Review, Utilization Review, Health Care Management, Evidence Based Medicine, Health and Wellness, Health and Wellness, Bariatric Medicine, Bariatric Medicine
Nurse Executive
Director Operations,Business Development, QI, HMO, Hospital, HomeCare, Hospice. 22+ yrs managed care experience. Road Warrior Health care Executive willing to relocate.
SVP
Tags for this Online Resume: Network Development, Managed Care, Product Development, Product Management, Business Development
CEO/Administrator
Dear whom it may concern, I am writing in response to your job opening of within your company. There are many requirements and my skills are a perfect match. As you’ll see on my enclosed resume, I have the educational background, professional experience, and track record for which you are searching. In addition, I am motivated and enthusiastic, and would appreciate the opportunity to contribute to your firm’s success a...
Ideal Companies: Surgery Centers, Hospitals, Management Companies, Practice Management
Tags for this Online Resume: CEO, COO, Administrator
Safety Manager - 6 years experience; Safety Coordinator - 6 years experience
Healthcare professional with experience in Hospital Safety / Plant Operations, Quality/Risk Management, Health Information Services Supervision and Medical Group Operations. Familiar with healthcare oversight entities and regulations, including but not limited to OSHA, JCAHO and DNV. Analytical and detail-oriented with strong verbal and written skills.
Tags for this Online Resume: Safety Manager, Quality Improvement Manager, Risk Manager, Safety Coordinator, Quality Improvement Coordinator, Managed Care Manager, Facilities Assistant Manager
Seasoned Physician Executive-Problem Solver-Able to relocate
Dr. Rhonda Robinson Beale is a seasoned healthcare executive with over 30 years of experience in health care systems, managed care and quality improvement for behavioral health and medical systems
Tags for this Online Resume: health systems development, managed care, performance measurement, innovative, problem solver, relocate-able
Admissions Director
Tags for this Online Resume: Managed Care, Specialty Pharmacy, Home Health Care, Virtual Position, Sales, Marketing, Market Strategy, Communications, Sales Operations
Experienced Nurse seeking career change into the insurance world,managed care,caring ,loyal
Seeking new skill as call nurse,casemanagement,quality improvement,I have done a variety of nursing ob/gyn;medsurg;ambulatory clinics and out patient ambulatory settings,homehealth care,skilled nursing facilities,willing to obtain education needed to further my career.I only want a chance!
Ideal Companies: call center, disease management, nursing home
