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Online Resumes with "utilization management "
Registered Nurse - 20 Years of Experience - Near 81212
I would like to expand my career into the utilization management for the US military, Tri-care entitlement program.
Tags for this Online Resume: Patient Care, Documentation, PEDIATRIC, Long Term Care, Assessments, ICU, Management, Medication Administration, registered nurse, utilization review specialist
Managing Director - 12 Years of Experience - Near 76028
Professional Summary I have 20+ years' experience working in Managed Care. The last 17 years of my career have been focused on managing Clinical Quality Management and enhancing organizational performance. I have experience managing HEDIS, NCQA accreditations and URAC accreditations.
Tags for this Online Resume: management, Networking, Complaints, Quality, Quality Assurance, Quality of Service, Utilization Management, Negotiation Skills, Project Management, Quality Management
Registered Nurse - 20 Years of Experience - Near 95670
Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...
Tags for this Online Resume: Compliance, Management, Quality Management, Assessments, Medical, Medicare, registered nurse, healthcare, Managed Care, Utilization Management
Case Management Nurse - 10 Years of Experience - Near 55445
Tags for this Online Resume: Medicare, Insurance, Management, Satellite, Utilization Management, Documentation, Medical, Medical Records, nurse, Telemetry
Retail Manager - 22 years experience- Near 19136
Profile * Extensive experience relating to leading and managing operations in the retail industry. * Expertise in motivating a diverse workforce that makes continual contributions for professional and organizational growth. * Resourceful, solution-focused individual recognized regionally and nationally for the ability to develop and maintain business goals and objectives. * Multidimensional, well-respected professional with...
Tags for this Online Resume: Accounting, Inventory, Retail, Sales, Merchandising, Financial, Financial Models, Management, Operational Efficiencies, retail manager, store manager, management, leadership, change management, sales, P&L statements
Case Manager - 17 Years of Experience - Near 28315
Tags for this Online Resume: Behavioral Health, Neurological, Intrepid, Management, Utilization Management, Pain Management, Referrals, Patient Care, Surgical, nurse
Case Management Manager - 20 Years of Experience - Near 60559
Tags for this Online Resume: Cardiovascular, Intensive Care, Nursing, Computer Aided Software Engineering, Medical, Oncology, Surgical, Therapy, Utilization Management, registered nurse, healthcare
Residential Real Estate Sales Agent - 7 Years of Experience - Near 78737
Accomplishments Summary Complete understanding of how to operate and grow a consistently profitable business. Innovative and experienced construction, sales and marketing manager. Proficient in semi-custom homebuilding. Skilled in talent recruiting and team building, asset protection, financial management and customer relations of multiple communities. Committed to cost - effective utilization and management of resources.
Tags for this Online Resume: Financials, Management, Statistics, Benefits, Budgeting, Construction, Sales, Purchase Agreements, Advertising, Cost Control, property management, real estate, financials
Educational Administrator - 10 Years of Experience
Profile * Dedicated and results driven professional with more than 10 years of extensive experience in management in diverse industries. * Expertise in government programs. * Demonstrated outstanding communication skills in dealing with vendors, customers, management, clinical staff, employees, and other professionals at all levels of organization
Tags for this Online Resume: Management, Payroll, Audit, CFO, Utilization Management, Government, Outstanding Communications Skills, Billing, Catalogs, Layout
Registered Nurse Occupational Health Clinic Infection Prevention and Control
Encompasses a unique and experienced Health Care Career oriented position which demands a well versed individual able to perform independently in clinical and administrative realms with focuses to include regulatory compliance, instruction, research, consulting, staff development, employee health public speaking, seminar presentation, and adult education.
Tags for this Online Resume: Nursing, Management, Utilization Management, Infection control, Medical, Program Manager, Staffing, Staffing & Recruitment, Support, Urology, rn, registered nurse, outpatient rehabilitation
RN with experience in multiple nursing disciplines.
To secure a position with a well- established organization with advancement opportunities utilizing my skills in the field of Case Management Utilization Management and years of Nursing Experience.
Ideal Companies: United Healthcare, Anthem, Blue Cross, Centene
Tags for this Online Resume: Patient Care, Surgical, Trauma, Critical Care, Medical, Medical/Surgical, Neurological, Orthopedic, Cardiac Monitoring, rn, physical therapy, nurse, registered nurse, care, Case Manager, Case Management, Remote RN, MCO, Clinical Education, House Supervisor, Plasmapheresis, Home Health, physical therapist
Medical or Health Services Manager
Areas of Expertise * Acute Care Facility & Ambulatory Care Experience * Radiation Oncology & Medical Oncology * Utilization Management-Inpatient & Outpatient Review * Transplantation & Genetic/Molecular Marker Testing * Clinical Research via National Clinical Trials * McKesson, Interqual, NCCN, ASCO, & CMS National Guidelines FDA Approval * Guidelines and policies written and maintained * Multi-tasking in fast-paced environ...
Tags for this Online Resume: Oncology, Radiation, Acute Care, Ambulatory Services, ARIA, Biopsy, Brachytherapy, Chemotherapy, Clinical Research, Cms
