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Online Resumes with "utilization review "
Registered Nurse - 20 Years of Experience -all types of psychiatric patients Little Rock, AR
I have spent most of my nursing years in some form of psychiatric nursing starting as a hospital staff nurse at the University Hospital on a child psychiatric closed unit. I worked 26 years as a Medicaid auditor traveling the state of Arkansas, Tennessee and Austin Texas and my position was a Utilization review RN as Director of the Health Services Management Unit for DC&FS to create electronic records for foster care ...
Tags for this Online Resume: hospital staff and charge nurse, part-time in residential (teen-agers), Medicaid auditor for medical services, Utilization review of medicaid recipients, RN for DC&FS organizing system for all health care records for foster children, Billing for procedures by Physicians on medicaid pts.
Pharmacist w/ Management, Prior authorization, Formulary Management and Managed Care experience
A Registered Pharmacist in OH, KY, CT, NY and MA with strong analytical and problem solving skills. Proven ability to multi-task, work autonomously, manage projects and a diverse set of responsibilities, 10+ years of management experience. Team player who works well with cross functional groups and adapts well to changing environments. Skilled in building excellent relationships with a wide audience from support and pharmac...
Ideal Companies: United Healthcare, Anthem, Express Scripts, Humana, Mercy Healthcare,
Tags for this Online Resume: prior authorization, medicare, pharmacist, managed care, project management, six sigma, Cincinnati, long term care
Case Manager, Detroit, MI
Dependable, detail-oriented individual highly-skilled in the medical field who works well with diverse people, makes appropriate decisions, and balances emotional stability in a demanding, fast-paced work environment.
Tags for this Online Resume: RN Case Manager, Hospitals, Long term care, Discharge planning, Utilization review, health insurance company
Quality Assurance Director - 20 Years of Experience - Near 33319
Stephen Paul Mirfield, MD , MHA www.linkedin.com/in/drsmirfield January 19, 2016 Dear Sirs or Madam: I am responding to your job listing and, I wish to apply for a position with your institution. Attached is my resume for your consideration. As indicated I have several years’ experience in Healthcare Administration & Management. In my job duties I have directed recruitment and retention of supervisors, office manage...
Tags for this Online Resume: Fort Lauderdeale, Assessments, Management, Planning, Professional Services, Services, Strategic Planning, Billing, Leadership
Registered Nurse : unit manager , nursing supervisor , ADON
A challenging position in nursing,where as,to be progressive in responding with the challenges,of the present,as well as the future demands of the health care market maintaining competent dedication in encompassing compassionate patient care to its highest standard
Tags for this Online Resume: Unit Manager, Nursing Supervisor, Utilization Review, Case Manager, ADON, RNAC
Registered Nurse - 17 Years of Experience - Near 33172
Ana B. Francisco RN BSN LNC LHRM 510 NW 109th Avenue, #5, Miami, Florida 33172 (786) 286-7160 W O R K E X P E R I E N C E: 2007-2009: DIRECTOR OF NURSING / ALTERNATE ADMINISTRATOR: Advantis Home Care, Inc., 2921 SW 8th St Miami, Florida 33135 Supervision of clinical and non-clinical staff operation; update of agency Policies and Procedures books, case management, utilization review, initiated the Quality Assurance ...
Ideal Companies: health care
Tags for this Online Resume: RISK MANAGER LICENSED, DIRECTOR OF NURSING, QUALITY ASSURANCE NURSE, UTILIZATION REVIEW
R/N-UTILIZATION REVIEWER/CASE MANAGER
Tags for this Online Resume: REGISTERED NURSE, LIAISON, CLINICAL, CASE MANAGEMENT
Licensed Nurse - 20 Years of Experience - Near 07876
R. N. BSN, MPHA seeking a flexible schedule/ part time as a Case Manager, Discharge Planner, Health Insurance, Utilization Reviewer,Case Manager and/or Advocate
Tags for this Online Resume: Management, Evaluate, First Aid, Insurance, Utilization Management, Assessments, AT&T, Compliance
Case Manager - 20 Years of Experience - Near 78610
I am in search of a Case Manager Utilization Review position where I may use my 35 years of clinical nurse experience in a clinical facility or MCO as Case Manager. I have both adult and pediatric clinical nurse experience as well as management experience.
Tags for this Online Resume: Utilization Review Case Manager, Case Manager , Disease Case Manager , Registered Nurse , Clinical Educator , Medicare and Medicaid , Care Coordinator , Health administration, Immunization, RN
Case Manager - 20 Years of Experience - Near 04444
Tags for this Online Resume: Managed Care, Insursnce Review, Case Management, Home health, Utilization Review, Sales, Nursing, Trainer
Registered Nurse - 30 Years of Experience - Near 21228
I am interested in Per Diem work in Utilization Review, Cardiac patient education, Preventative Healthcare.
Tags for this Online Resume: Howard County, Utilization Review, Preventative health, Cardiac patient education, Per Diem, community Health, Teaching BLS, Case Management
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
