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Online Resumes with "Clinical Review"

Featured Profile

Featured Profile

LMSW, licensed masters level social worker in the state of texas, 10 yrs of masters level experience in a variety of settings, crisis intervention, inpatient psych, substance abuse, and a history of home visits with elderly and disabled.

I am ultimately pursuing my LCSW or licensed clinical social worker license in order to work independently and bill insurance. I am also currently working to secure my LCDC or licensed clinical drug counseling license in Texas. I enjoyed my work as a substance abuse counselor. I am also open to learning about new skills or populations.

Ideal Companies: Hospitals, Drug and Alcohol Treatment Centers, Psychiatric Facilities and offices, Social Work posisitions

Tags for this Online Resume: LMSW, Substance Abuse Counselor, Psychiatric Social Work, Crisis Intervention

Clinical Review Specialist - 9 years experience

I am a Registered Nurse who has 15 years of experience in healthcare including 5 years in acute care and 9 years in doing medical review to ensure Medicare guidelines are followed.

Tags for this Online Resume: Medical Review, Case Management, Medicare

Managed care experience 6 yrs

Expand my skills to include supervision/management in a healthcare setting.

Tags for this Online Resume: Registered Nurse, Appeals Nurse, Quality management, Healthcare Administration, Appeals & Grievances, Clinical Review Nurse

Life experience yields more.

Eager and excited to learn, I almost put forth my best.

Ideal Companies: Blue Cross & Blue Shield, Fidelity, FEDEX, Mayo Clinic

Tags for this Online Resume: patient access, customer service, financial counselor

RN UM Case Manager , medical , and mental Health Clinical Reviews

I Have 15 years experience working in managed care in insurance companies , inpatient mental health and medical inpatient. I have computer experience using InterQual ,Word ,Power Point, & Outlook MediTech

Featured Profile

Registered Nurse & Consultant-over 40 years experience-Seattle

Dynamic, versatile Registered Nurse and Consultant with 40+ years of experience in the healthcare industry. A registered nurse with exceptional communication and consulting skills combined with a proven ability to provide counseling, patient care, and leadership to promote wellness, organization, and effective service to clients, companies, and patients. Outstanding entrepreneur and public speaker distinguished for proven l...

Tags for this Online Resume: Seattle, Nursng, Utilization Review, Clinical Appeals, Medicare & Medicaid, Education, Case Management, Regstered Nurse

Registered Nurse

Case Management Manager - 20 Years of Experience - Near 72023

I am a Registered Nurse with more than 22 years’ in clinical review, assessment, and reporting. Specialized expertise in care management, utilization review, prior authorization, Medicaid, Medicare and private insurance.

Tags for this Online Resume: Utilization Review, Quality Assurance, Case Review, RN, Registered Nurse, Medicaid Contract Manager, Medicaid Appeals, Health Care

Case Manager - 14 Years of Experience - Near 39649

My desire is to obtain a job as a case manager doing clinical reviews at home(telephonic),hospital setting, or as home health/hospice nurse. AS, a case manager I would also be interacting with payor sources

Tags for this Online Resume: Hammond,LA

Registered Nurse - 20 Years of Experience - Near 37172

A position as a Registered Nurse with a Health Care Organization.

Tags for this Online Resume: Nashville area, Medical record review, Eligibility review, Appeal hearings, Prospective reviews, Concurrent reviews, Clinical review, Medical Case Manager

Registered Nurse

Tags for this Online Resume: Auditor, Medication Administration, Patient Care, Documentation, Insurance, Quality Improvement, PEDIATRIC, Rehabilitation, Clinical Review, Documentation Review, Clinical Flow, Patient Care Review