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Online Resumes with "Certified case manager"
Seeking a full time position. strong background in insurance as well as hands on acute and hospice
Patient-focused Licensed Registered Nurse and Certified Case Manager with track record of effectiveness facilitating case management, concurrent and utilization review, precertification, triage, and medical records management processes to ensure patient access to quality healthcare services.
I am a certified case manager who has worked with fully insured/medicare and Medicaid. I have also done disease education/management. I have experience with several computer programs,windows,outlook,lotus notes.interqual,Milliman and Roberts. I have also done authorizations, medical records review, education,training, presentations, HEDIS collection and referrals. I have worked at home and in office/ clinical settings.
I am a Licensed Masters of Social Work as well as a Certified Case Manager. I have experience in the hospital setting as well as hospice.
I am a Registered Nurse with 33 years diverse experience, 11 years as a Case Manager in the commercial insurance industry, Certified Case Manager since 2005, and 11+ years experience with Medical Management.
As a registered nurse who has worked in a variety of environments where I acquired an abundance of knowledge and skills and now with a Master of Science degree in nursing education, I am more than prepared to teach each nursing student to accomplish their goal of becoming a nurse. I bring a passion to nursing education and enthusiasm that has followed me throughout my nursing career. For me it is a desire to teach the next ...
I am a RN Certified Case Manager with 41 years experience. The last 4 years of experience in Complex and Chronic care management for clients age 18 to 100 years of age. Responsible for assessment, care planning, decreasing utilization of urgent and ED with improvement in client's ability to self manage their chronic conditions.