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Online Resumes with "utilization management "
Director
Areas of expertise: Cross Functional Team Leadership, Process Improvement, Business Analysis, Strategy and Vendor Management DST Systems/Argus Health Systems, Kansas City, Missouri * Oct 2014 - present Director, Government Program Operations (April 2016 - present) Leader of newly formed Operations team accountable for Medicare, Medicaid and Health Insurance Marketplace (HIM) program service, quality and cost by overseeing a...
Tags for this Online Resume: Management, Project Management, Medicare, Pdp, Reliability, Leadership, Business Process Modeling, Business Requirements, Capital Planning, CIO, Operatons, Quality
Registered Nurse
I am a Registered Nurse with thirty years of experience ranging from direct patient care in a hospital setting and as a school nurse in an elementary school clinic. I also have experience as a Telephonic Triage Registered Nurse including the triage of adults children and infants. In addition I have other experience listed below. Experienced with chronic diseases, such as Diabetes and COPD. * Created and/or modified a plan o...
Tags for this Online Resume: Insurance Registered Nurse, Telephonic triage Registered Nurse, Telephonic Health Nurse, Bilingual
Civil Engineer - 20 Years of Experience - Near 95757
AREAS OF EXPERTISE * Project Management * Operations Management * General System Engineering * Civil Construction PROFESSIONAL HIGHLIGHTS Project Management: Mr. Dumas' has completed project management assignments on projects throughout the United States. He has managed complex design and construction of large scale public works projects such as the $800 million Kaiser Modesto Medical Center, the South Corridor Extension of...
Tags for this Online Resume: Design Build, Civil/Structural, Heavy Construction, Medical, Program Manager, Estimating Scheduling, Highway/Rail, Electrical Power, Water/Waste Water, Project Control, Surveying, Civil Design
Quality Assurance Director - 20 Years of Experience - Near 78247
Tags for this Online Resume: Management, Risk Management, Utilization Management, Insurance, Audit, Documentation, Risk Management Activities, Nursing, Complaints, Medical
Registered Nurse - 14 Years of Experience - Near 40065
PROFESSIONAL SUMMARY I am a Registered Nurse with 15+ years experience in disease management, medication management and caring for patients as well as their families or caregivers. I am extremely passionate about taking care of patients and their needs.
Tags for this Online Resume: Case Management, Disease Management, Medication Management, Utilization Review, Utilization Management, RN, Management, Patient Care, Microsoft Word, Microsoft Excel, Microsoft Outlook
Business Analyst - 20 Years of Experience - Near 91710
Summary of Qualifications * Over 20 years of experience in Healthcare, Informatics Analysis and Report Developing * Strong analytical and organizational skills and ability to identify and implement process improvement strategies with positive business results * Microsoft SQL Server, SSRS, SSIS * Tableau 9 Essential training * SAP Business Objects training * Certified EZ-CAP Database Administrator * Certified Crystal Report ...
Tags for this Online Resume: Report Developer, Informatics Analyst, Claims, Developer, Documentation, Medical, Utilization Management, Database, Crystal Report, Business Intelligence
System Engineer - 8 Years of Experience - Near 37924
Professional Summary: * 8 years of experience in IT Industry with ability to accomplish all aspects of the software configuration management (SCM) process, AWS, DevOps and Build/Release management. * Extensive experience in Linux/Unix system Administration, System Builds, Server Builds, Installations, Upgrades, Patches, Migration, Trouble shooting on RHELH 4.x/5.x * Experience in Server infrastructure development on AWS Clo...
Tags for this Online Resume: Management, Servers, Configuration Management, Configure, Information Technology, SCM, Software, Software Configuration Management, Integrate, Jenkins
Case Manager
SUMMARY Currently practicing registered nurse offering experience in Case Management, Transplant Management, Liver Transplant/Hepatic Medicine, Renal Transplant, Medical/Surgical, and Surgical Nursing with an emphasis in lasers. ( WORK HISTORY 2012 to Present Integris Health Edmond, 4801 INTEGRIS Parkway, Edmond, OK 73034 Case Manager. Provides utilization management, discharge planning, and social services consultations fo...
Tags for this Online Resume: Medicare, Surgery, Emergency Room, ER, ICU, Lasers, Management, Operating Room, Outpatient Surgery, Utilization Management
Case Manager - 19 Years of Experience - Near 08850
Position where my skills & abilities would be applicable to the applying position.
Tags for this Online Resume: Pre-certifications/Updating and obtaining new Authorizations, Insurance/Benefits, Management, Medicare//Medicaid Specialist, Utilization Management, Assessments, Medical Adult Day Care Center, Referrals, Community Resources, Customer Service, Project Management, Microsoft Word, Excel, Power Point
Case Management Manager - 16 Years of Experience - Near 21044
To obtain a Quality Management or Case Management position with a stable organization, who promotes my professional and personal development, utilizing my skill sets and talents.
Tags for this Online Resume: Management, Audit, Policies and Procedures, Utilization Management, Benefits, Computer Aided Software Engineering, Data Analysis, Home Health, Managed Care, Medical
Registered Nurse - 10 Years of Experience - Near 54840
SUMMARY OF QUALIFICATIONS * Well developed interpersonal communication skills, both written and verbal * Effective public speaking skills. * Successful partnership/teambuilding skills. * Strong, enthusiastic work ethic all with a positive attitude. * Ability to be a positive change agent. * Strong effective and positive leadership abilities.
Tags for this Online Resume: Nursing, Management, Utilization Management, Patient Care, Acute Rehabilitation, Compensation, NOC, Occupational Safety and Health Act, OSHA, Policies and Procedures
Customer Service Manager - 9 Years of Experience - Near 60030
Experienced and passionate individual with 10+ years in customer service role seeking Customer Service Manager position to utilize management experience, communication and organizational skills.
Tags for this Online Resume: e-Commerce, Management, Microsoft Word, Process Improvements, Inventory, Pricing, Billing, Cardiopulmonary resuscitation (CPR), Customer Service, Email, Training
