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Online Resumes with "medical record review"



Registered Nurse - 20 Years of Experience - Near 37040

SUMMARY OF QUALIFICATIONS Nurse with 40+ years' experience in training and coaching employees, peers, and superiors and quality assurance and medical record reviews experience resulting in outstanding results. * Active RN licensure in all compact and non-compact states * Experienced in medical record review, clinical data/chart review and quality improvement Experience with utilization review, review criteria development an...

Tags for this Online Resume: Reviews, Nursing, Managed Care, Phone Triage, Planning, Support, Long Term Care, LPN, Medicare, Ophthalmology

Adjudicator

Tags for this Online Resume: medical records review, time lines, medical, medical fraud, insurance defense audits, reports, osha compliance, HEDIS Reviews, CARA reviews, Diagnose coding, electronic medical records, research, billing audits, investigate cps cases, special investigations, Define applicable standars of care

Featured Profile

Registered Nurse and Certified Compliance Officer - 20 Years of Experience in healthcare including patient care, clinical and corporate leadership roles. Certified Compliance Officer with a proven track record.

I am currently looking for challenging leadership position in a clinical or corporate setting.

Ideal Companies: United Health Group, Optum Healthcare, Dignity Health, Valley Health Systems, Optum, Aetna, Humana, HCA, Care Now, Navigant

Tags for this Online Resume: Audit, Leadership, Management, Ambulatory Services, Compliance, Legal, Healthcare compliance, Medicare regulations, Staff Development, Microsoft office, Patient Safety, Registered Nurse, Acute care, Training and education, Collaborate, Committee involvlement, Communication, Monitor, Analyze, HIPAA, Root cause, Work Plan, Risk Mitigation, Medical record review

Featured Profile

Registered Nurse, Certified Case Manager, Legal Nurse Consultant Certified, Lifetime Nurse Care Planner - Certified

To continue my lengthy career in Case Management, Legal Nurse Consulting and Life Care Planning, which is to offer clients of all venues, superior experience of services in case management, legal nurse consulting, risk management consulting and nurse life care planning - with the distinct edge of genuine and proven practices in efficiency and cost containment. My experience in the Iowa and Illinois worker compensation arena...

Ideal Companies: United Healthcare, Aetna, Sedgwick, Cincinnati, Rising Medical, VA, Sentry, Coventry, Great West Fire & Casualty, General Casualty, Blue Cross Blue Shield

Tags for this Online Resume: Field Case Manager, RN, Legal Nurse Consultant Certified, home based, telecommute, care coordination, Medical records review, Risk assessment

Featured Profile

Program Manager

I hope to become a part of an innovative and diverse management team that is leading the company through focused action, planning, coaching, and mentoring in fulfilling the agency's mission.

Ideal Companies: I am open to working for any private industry company that is innovative in its approach to healthcare and is committed to ensuring the health and safety of the community it serves, sure to be around in decades to come, ethical in its practices, and an industry leader or well on track to becoming one. I am open to working for and with both private, Tribal, local, state, and federal government agencies.

Tags for this Online Resume: Policy Analysis, Problem Solving, Regulatory Compliance, Operational Streamlining, Process Improvement, Conference&Training Sessions, Emergency Management, Advocacy, Conflict Resolution, Research, Training, Compliance, Governmental Affairs, Military Dependent, Hospital Services, Account Executive, Public Speaking, Incident Command System, HSEEP, Continuity of Operations, Planning, NIMS, NRF, Occupational Health & Safety

Licensed Nurse - 20 Years of Experience - Near 33702

Tags for this Online Resume: Patient Care, Assessments, Management, Documentation, Patient Education, VITAL SIGNS, Geriatric Care, LPN, Amazon Elastic MapReduce, Clinical Research

Licensed Nurse

Tags for this Online Resume: Audit, Medicare, Nursing, Assessments, Documentation, Home Health, Infection control, Medical, Process Improvements, Wound Care