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Online Resumes with "utilization management "
Case Manager - 20 Years of Experience - Near 46208
Summary of Qualifications: * Registered Nurse with BSN in Nursing. * Broad clinical experience with inpatient care, ambulatory care, and home health. * Medical case management in multiple areas including predetermination, utilization management, discharge planning, transitions of care, and complex care. * Experience with case management with multiple insurance products. * Experience with new program development including po...
Tags for this Online Resume: Insurance, Management, Computer Aided Software Engineering, Home Health, Long Term Care, Nursing, Program Management, Ambulatory Services, Compensation, Customer Service
Registered Nurse - 13 Years of Experience - Near 08004
Professional Summary Began nursing in a Med Surge Sub-Specialty Unit, which included a stroke institute, ventilators, and telemetry, then moved onto coronary critical care managing, and hospital wide codes. Finding a home in hospice care for the past 14 years having experience in office management and regional supervising, case management, utilization review, admissions, IPU, triage and visiting on call.
Tags for this Online Resume: Utilization Management, Management, Critical Care, CCU/ICU, Claims payable, Payroll, Quality Assurance, Scheduling, Education, Hospice, Audits, Health Care Telecommunications, Regional Supervision, Admissions, Discharge Planning and Review
Registered Nurse
COVER LETTER: Please accept my resume as an expression of interest for the R.N. position at your company. I have proven clinical skills and management capabilities. I am detailed oriented with strong organizational abilities. I am able to act as a liaison between patients, medical staff and peers to provide excellence in patient care. I have helped establish new areas in several different hospitals with impressive success. ...
Tags for this Online Resume: Home Care, ICU, Management, Medical, Medical/Surgical, Nursing, Surgical, TERMINALLY ILL, Trauma, Utilization Management
Registered Nurse - 16 Years of Experience - Near 78521
Tags for this Online Resume: Surgical, Policies and Procedures, Documentation, Oncology, Medical, Medical/Surgical, Nursing, Diagnostics, Orthopedics, Telemetry
Project Manager - 19 Years of Experience - Near 34653
Conscientious candidate with strong work ethic, looking for position related to Project Management, Project Implementation or Reporting Services, Industrial processes. Over 20 years on diverse Analyst role experience in large corporate environment, currently seeking for an opportunity that offers a continuously fulfilling and diversified career. Currently, on process of PMP and ITIL certifications and looking to continue hi...
Quality Engineer - 20 Years of Experience - Near 03110
Secure a challenging position in Process, Quality or Manufacturing Engineering which I can utilize management, SAP, ISO 9001-2008 and AS9100 knowledge, experience and auditing skills to realize growth and development opportunities for my employer. Utilize my talents, assisting my employer and/or vendors performing root cause problem identification, analysis, corrective action and C/A verification. Support new product introd...
Tags for this Online Resume: Failure Analysis, ISO 9000, Lean Manufacturing, Manufacturing, Quality Assurance, SAP, ISO, Management, Documentation, Account Management
Case Manager - 6 Years of Experience - Near 01033
To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...
Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals
Billing/Coding Specialist/ auditor - 2 Years of Experience - Near 18222
SUMMARY OF QUALIFICATIONS Certified as a Billing and Coding Specialist. Eleven yearsâ?? diverse leadership experience as a supervisor with significant accomplishments in developing process and procedures, improving quality, utilization of management programs and coaching staff on healthcare business and practice issues. Selected areas of skill include: â?˘ Certified Billing and Coding Specialist â?˘ Management skills â?˘...
Tags for this Online Resume: billing and coding from home, medical background, management skills, ASCP, HHS, NHA certified, MT, Microbiology, Performance Evaluations, Coding
Psychologist, LCSW
Tags for this Online Resume: Management, Utilization Management
Director - 20 Years of Experience - Near 19525
Tags for this Online Resume: Maintenance anc Manager, Maintenance, Facilities, Engineering, Maintenance Engineer, Utilities Manager, Plant Engineer, HVAC, RETROFIT, Soldering
Manager
Summary * 19+ years of Experience in IT industry * Certified Project Management Professional (PMI) with 10 years of Strong Delivery/Program/Project Management experience * Excellent at Managing Stakeholders * Strong End to End management of Delivery People, Process, Operations, Profitability in Products and Projects development and Maintenance * Expertise include Delivery of Digital Programs/Projects in Microsoft, SFDC, Jav...
Tags for this Online Resume: HP, Information Technology, Agile, Budgeting, D.O.T., Health Care Industry, Insurance, Java Programming Language, Java Technologies, Management
Health and Wellness consultant - 13 Years of Experience - Near 60618
SUMMARY An experienced bilingual (Spanish/English) therapist with knowledge of mental illnesses and effective treatment plans for children, adults, and seniors. Has experience with therapy and case management dealing with diverse client populations in both inpatient and outpatient settings. Has provided therapy in both individual and group settings. Has an educational background in social work and art therapy. Has LCPC cred...
Ideal Companies: Blue Cross, Humana, Northshore
Tags for this Online Resume: Management, Insurance, Assessments, Inventory, Benefits, Documentation, Health Unit, LCPC, psychotherapist, behavioral health, utilization management, therapy, therapist, social worker, claims, case manager, case management, insurance, group benefits associate, group health benefits, health benefits broker, benefits consultant, employee benefits, psychotherapy, counselor
