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Online Resumes with "use interqual"
I am an widely experienced RN, believing I can coordinate individualized patient care; making clinical judgements that will enhance the patient's clinical course and the payor's financial bottom line.
I am looking for a stimulating and challenging job where I work with RN and MD professionals making healthcare decisions. Those employers could be the Federal, State or local governments. I would like to work for an organization that is instrumental in directing our fee for service healthcare system to univeral healthcare should that day ever come.
Ideal Companies: I would like to work in the case management field with the decision makers, the insurance companies or the providers of care who need assistance with patient care coordination and commplex planning for their health care needs.
Tags for this Online Resume: Interqual-severity of illness and intensity of service, Electronic medical record review, Care coordination/complex discharge planning, Educating the public regarding Medicare's important message, Proactively assisting physicians with difficult discharge planning and alternative levels of care., Active professonal participation on committees
Veterinary Technician
Tags for this Online Resume: case manager, able to identify state reportable incidents, use interqual, bilingual english - spanish, chart review, emergency room experience
Utilization Review Nurse- 7 years experience
Continue working within the area of utilization review while using my nursing experience and clinical skills that I have already honed.
Tags for this Online Resume: medical review, clinical documentation, Medical policy & procedure, use of Interqual criteria, use of Milliman criteria, Medicaid and private insurance
Featured Profile
Utilization Management/Discharge Planner
As a highly trained Registered Nurse with over 20 years I have a comprehensive background working in diverse health care departments. Iam an expert at coordinating with all individuals and services to provide the finest, most cost effective and comprehensive care.
. Utilize a companionate attitude along with advanced nursing expertise to provide knowledgeable and empathetic patient care with responsibility for developing ...
Ideal Companies: CHA, Longmont United Hospital, Boulder City Hospital, Boulder Community Hospital
Tags for this Online Resume:
Utilization Management/Discharge Planning, Utilization Managment
Registered Nurse - 20 Years of Experience - Near 15227
•Case Manager Certified
•Facilitated results-oriented, empathetic and professional adult nursing care for over 23 years.
•Respect for compliance in all regulated environments while maintaining a clear vision to accomplish the company goals.
•Advocated for members to resolve health concerns.
•Communicated with all levels of personnel.
Skills Include:
•Demonstrated computer and internet literacy. ...
Tags for this Online Resume:
Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader
Case Manager - 20 Years of Experience - Near 29204
I am a Registered Nurse of 32 years with 12 years of DRG Integrity reviewing, 8 years of utilization Reviewing, and 5 years of Case Management. I am proficient in the use of Interqual and Milliman quidelines. My objective is to concentrate all efforts on further developing my skills in the area of information management, specifically as a Clinical Documentation Integrity Specialist, and enter the field of CDS consulting in ...
Tags for this Online Resume:
Clinical Documentation Integrity Specialist, Utilization Reviewer, Case Manager
Case Manager
Summary Director of Nursing in Long-Term Care I have been a Director of Nursing for nursing homes in the state of Texas for over15 years. During that time I have opened up # 1 nursing facility, directed that facility to a 4 Star rated facility, and maintained a good reputation with the Texas Department of Health and Human Services in Arlington, Texas. Medical-Surgical Nursing During my nursing practice I have worked the Acu...
Tags for this Online Resume:
Patient Care, Cancer, Computer Aided Software Engineering, Insurance, Psychiatry, Rehabilitation, Nursing, Quality Assurance, Test, Acute Care
Registered Nurse - 20 Years of Experience
Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...
Tags for this Online Resume:
Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care
Utilization Management/Discharge Planner
As a highly trained Registered Nurse with over 20 years I have a comprehensive background working in diverse health care departments. Iam an expert at coordinating with all individuals and services to provide the finest, most cost effective and comprehensive care. . Utilize a companionate attitude along with advanced nursing expertise to provide knowledgeable and empathetic patient care with responsibility for developing ...
Ideal Companies: CHA, Longmont United Hospital, Boulder City Hospital, Boulder Community Hospital
Tags for this Online Resume: Utilization Management/Discharge Planning, Utilization Managment
