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Online Resumes with "utilization review "



Case Manager

Tags for this Online Resume: Insurance, Home Health, Management, Medical, Medical Records, Referrals, Compensation, Computer Aided Software Engineering, Health Care Industry, Nursing

Registered Nurse - 14 Years of Experience - Near 83646

Dedicated RN with several years of clinical experience including Critical Care Nursing in Telemetry and Emergency Room, Community Health Nursing and Medical Policy and Utilization Review. Successful in learning new computer programs and systems. Proven ability to build positive relationships with patients, family members, physicians and other medical professionals. Detail oriented and multi-tasks well. Proficient in Microso...

Tags for this Online Resume: Benefits, Managed Care, Management, Network Services, Networking, Referrals, Services, Surgical, Utilization Management, Documentation

Registered Nurse - 0 Years of Experience

COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...

Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse

Registered Nurse - 30 Years of Experience-Phoenix AZ

SUMMARY Highly skilled Registered Nurse with 30 years of experience in Managed Care, Community, Clinical, Leadership and Administrative settings of Behavioral Health Hospital, Medical Hospital Home Health and Hospice/Palliative Care. Seeking full time employment with

Tags for this Online Resume: Home Health, Homecare, Assessments, Coding, Compliance, Data Analysis, Hospice, ICU, healthcare, registered nurse, care, Utilization Review, Leadership

Featured Profile

Chief Financial Officer - 20 Years of Experience - Hands On - Works Collaboratively - Problem Solver - Multi-tasks - New York City (Tri-State)

Selected Achievements: Functioned effectively Selected Achievements: * Analyzed budgeted expenses and successfully reduced expenses, other than payroll, by 12% through cooperative purchasing and the sharing of ideas. Significantly reduced payroll and related employee benefits by 22% and operating expenses by over $1.5 million. * Successfully streamlined and increased the efficiency of staff resulting in a 20% reduction in p...

Tags for this Online Resume: Accounting, Financial, Management, Financial Statements, Electronic Funds Transfer, General Ledger, Integrate, Audit, Benefits, Insurance

Case Manager - 1 1Years of Experience

Highlights of Qualifications: * Outstanding work ethic, including high productivity, leadership and role modeling as well as ability to multi-task consistently exceeded the expectations of my supervisors as evidenced by annual reviews throughout my career. * Strong critical thinking skills, excellent decision maker and problem solver with the ability to accurately perform utilization review as well as resolve variances. * P...

Tags for this Online Resume: Surgical, Medical, Computer Aided Software Engineering, Intensive Care, Management, Services, Reviews, Compensation, Workers Compensation, Leadership, rn, registered nurse, workers comp, Case management, utilization review

Project Manager - 10 Years of Experience

EXECUTIVE PROFILE Both PMP - and ITIL-certified a highly accomplished, Program/Project Management (PMO) professional with over 20 years progressively responsible client-facing service delivery, consulting experience, the past 10 on Medicare projects supporting the 1-800 Medicare enterprise SDLC and IT Service Delivery for the Centers for Medicare and Medicaid Services (CMS). A proven, motivated self-starter, with demonstrat...

Tags for this Online Resume: Management, Coding, Medicare, Scheduling, Support, Call Center, Health Insurance, Insurance, Insurance Claims, Monitoring, Program/Project Manager, Program Manager, Operations Manager

Licensed Nurse - 0 Years of Experience

LVN III-Sub acute Facility 326 Treatments, Medications, Telemetry monitoring/Hemodynamic Monitoring, IV Therapy, Documentation, Patient education, Patient Transfers, assist with IV Therapy, and with other departments as needed. LVN III Staff-ER, ICU/CCU, PACU TELEMETRY-DOU, CASE MANAGEMENT, UTILIZATION REVIEW, DISCHARG PLANNING - 4531 642 (760) 326-4531 LVNII Med/Surg, DOU-Medications, Treatments, Patient care, Charting, IV...

Tags for this Online Resume: Documentation, Patient Care, IV Therapy, Therapy, Back Office, Telemetry, Triage, ICU, Patient Education, ACLS

Nurse Case Manager, Lodi New Jersey

To become a Director in Case Management

Tags for this Online Resume: case manager , registered nurse, utilization review, discharge planning, insurance companies, Telemetry, Management, Planning, ICU, Pediatrics

Licensed Nurse

Tags for this Online Resume: Rehabilitation, Scheduling, Nursing, Infection control, Management, Pain Management, Wound Care, Planning, Patient Care, Tracheostomy

Case Manager - 21 Years of Experience - Near 19406

Baccalaureate-prepared Registered Nurse with extensive experience in case management and utilization review. Combining acute care experience, interpersonal communication skills and documentation expertise to optimize the care provided to patients. Skills/Areas of Expertise Case Management * Utilization Review * ICD-10 * InterQual Criteria * CMS Regulations * Electronic Medical Records

Tags for this Online Resume: Management, Computer Aided Software Engineering, Critical Care, Medical, Pulmonary, Surgical, Therapy, Acute Care, Nursing, Medical Records

Registered Nurse

Tags for this Online Resume: ENT, Transcription, Budgetary, Cms, Management, Patient Care, Cardiovascular, CHF, COPD, Emergency Room