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Online Resumes with "utilization review"
Registered Nurse - 30 Years of Experience, 20 years experience in Utilization Review - Near 43068
I am seeking a position in Utilization Review. I have been a Registered Nurse for 30 years with the last 20 doing Utilization Review. I have experience with InterQual and Milliman Criteria.
Tags for this Online Resume: RN, Case manager, Utilization Review, insurance
Registered Nurse - 20 Years of Experience - Near 45069
+Summary of Qualifications: Obtain a full-time position as a Registered Nurse Case Manager utilizing over 20 years of seasoned management skills & compassionate holistic care to clients. Core Qualifications: * Licensed RN in Ohio * Excellent time-management skills * Professional strong clinical judgment * Client and family focused * Demonstrates interpersonal skills & competency in leadership, supervision, & management of ...
Tags for this Online Resume: RN casemanager, RN manager, Director of Nursing, Utilization reviewer, RN chart reviewer, RN occupational health nurse, Unit Manager, claims specialists, Management, Computer Aided Software Engineering
Licensed Nurse - 20 Years of Experience - Near 11764
Tags for this Online Resume: registered nurse, clinical documentation, utilization review, clinic, education, care management, hedis
Registered Nurse
Tags for this Online Resume: nurse, supervisor, director/ sales, , utilization review , management, lpn
Certified Facilities Management leader with over 20 years with large complex facilities including; healthcare, insurance, academic, manufacturing, insurance and headquarters ranging $50M to $120B.
Certified Facilities Management leader with over 20 years with large complex facilities including; healthcare, manufacturing, insurance and headquarters ranging $50M to $120B. Proven leadership in developing and executing “best-in-class” Facilities Management programs for Fortune 500 and midsize organization, leading multi-disciplined teams as large as 450 with annual operating budget of 22M. Strategic leader with substanti...
Ideal Companies: Google, JLL, CBRE, GE Healthcare, Abbot, ITW, Motorola, Elgin Community College, harper College, Microsoft, Amazon
Tags for this Online Resume: Operations and Maintenance, Preventative Maintenance, Space Planning, Project Management, Real Estate, Facility Planning, Facility Engineering, Facilities, Vendor Services, Service Level Agreement, Facility Inspection, Housekeeping, Budget Planning, Capital Improvement, Condition Assessment, Build outs, Office Standards, Building Efficiency, Training and Development, Communication, Risk Management, Asset Management, Budget Control and Implementation, Root Cause Analysis, Purchasing Management, Contracts Management, Critical Equipment, Critical Facilities, Remote Sites
Registered Nurse - 20 Years of Experience - Near 47639
I have my case management and Utilization Review certification. I have done case management & UR in the hospital setting, field case management, in office for commercial/work comp companies, Home based per internet/computer doing CM & UR for medical risk services company based out of my state for workers compensation. I
Tags for this Online Resume: Utilization Review, Ococcupational Health, Case Management, Excel, Microsoft , Excellent typing skills, Home office, Evansville
Registered Nurse - 10 Years of Experience - Near 85132
I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...
Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid
Case Manager - 16 Years of Experience - Near 85224
I am well-seasoned RN of 22.5 years. I have been a case manager for all lines of business. I am currently a Utilization review nurse for an acute psychiatric facility for eight years. I am seeking employment to utilize my nurse management skills as well as meet the clinical and business needs of your organization.
Tags for this Online Resume: utilization, psychiatry, case management, insurance, nurse, acute rehab, telecommute, autonomous, Computer Aided Software Engineering, Nursing, registered nurse, legal nurse consultant, Utilization Managment, Case Manager, Autonomous
Seasoned IT and Managment Veteran
An enthusiastic, highly motivated professional with over twenty years experience in virtually all aspects of information services, recruiting and management. Analytical problem solving ability with strong mediation skills. Ability to develop cooperative working relationships while coordinating with various departments to achieve objectives and goals.
Ideal Companies: Mortgage and Banking.
Health and Wellness consultant - 15 Years of Experience - Near 94580
I enjoy working in both community home health setting (short term care, private duty & Hospice), and also interested in obtaining employment in a clinical setting: SNF, wound clinic, hospital as Discharge Planner and Utilization Review, private MD office, cosmetic clinic, dialysis facility or home dialysis, insurance industry as field case manager, telephonic case manager and utilization review.
Tags for this Online Resume: Saff RN, Home Health, wound care, SNF, medical surgical, workers compensation, discharde planner, Utilization Review
Case Manager - 16 Years of Experience - Near 33066
I am a highly qualified and experienced clinical case manager in the field of mental health with experience in utilization review, case management of short term disability claims, and in appeals. I have stellar documentation skills, hold licenses as a clinician in the state of Florida, and nationally certified counselor with a Ph.D. in Counseling. I have strong clinical skills and use sound judgment when managing claims. I ...
Tags for this Online Resume: Workability, Excel, MSOffice, Microsoft Word
Patient Services Manager - 4 Years Albuquerque, NM; Billing/Coding Manager; Utilization Reviewer; Carrier Contract Reviewer, Collections and Adjustments, Patient Care and Satisfaction
My final goal is to one day obtain a doctorates. Right now, my directions are open, I can either move towards a career with billing and coding while achieving a PhD in Administration or obtain a PhD in Clinical Psychology. I'm going to wait and see which way the wind carries me.
Tags for this Online Resume: Billing, Coding, Credentialing, Case Management, Psychology, Sociology, Mental Health, MS, Management, Financial, Financial Management, Accounts Receivable, Behavioral Health, Billing, Coding, PHP Programming Language
