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Online Resumes with "Clinical Review"

Research Assistant - 20 Years of Experience - Near 21702

Qualifications Profile Counselor and Therapist with over 10 years of experience in all facets of client care, clinical review, and support to operations management in various settings (behavioral/mobile therapy, case management, family outreach, outpatient clinics, substance-use, and wrap-around programs). * Versatile professional, with facility in various counseling approaches for adults, children, couples and families bas...

Tags for this Online Resume: Support, Therapy, Trauma, Management, Training, Assessments, Best Practices

Computer Programmer - 13 Years of Experience - Near 63368

PROFESSIONAL SUMMARY * 12 years of vast experience in Agile methodologies, Waterfall methodologies, Resource Management, Team Building, Technical Project Manager, Application Support, Production Support, Technical System Analysis and Evaluation, Senior Technical Business Analyst, Rules Architect, Rules Analyst, Blaze Advisor with Dot net Version, Blaze advisor with Java Version, iLOG Jrules ILOG with Dotnet version and BRMS...

Tags for this Online Resume: Software, Management, ILOG, Project Management, GFS, Integrate, Servers, Structured Query Language, Architect, C# Programming Language, it jobs

Physician - 20 Years of Experience - Near 15243

an opportunity to utilize my clinical, sales, business development, marketing, HR skills, knowledge and experience in the business and clinical arena. Professional highly experienced in the business arena. Healthcare entrepreneur with superb leadership qualities from a highly diverse background. Dedicated team player who is goal oriented, diligent, passionate and driven. Excellent communicator who excels in start-ups, custo...

Tags for this Online Resume: Chiropractic, Therapy, healthcare

Case Manager and UR nurse

AREAS OF EXPERTISE * Insurance Notification Process * Clinical Review Submissions * Inpatient vs. Observation Criteria * Concurrent Denials & Appeals * Staff Mentoring * Electronic Medical Record * Case Management * Cross-cultural Communication * Process Improvement

Tags for this Online Resume: Medical, Nursing, PEDIATRIC, Trauma, Documentation, Management, Neurological, Utilization Management, Cardiovascular, Patient Care

Medical or Health Services Manager - 20 Years of Experience - Near 22556

COVER LETTER: Dear Hiring Manager, In the interest of exploring employment opportunities, enclosed is my resume for your consideration. I am a licensed Nursing Home Administrator since 1998, in the states of Virginia, Maryland, DC, New York, and Pennsylvania. I have also been a Registered Nurse since 1988. In the year 2000, to further advance my career, I earned a Master's Degree in Health Services Administration from Centr...

Tags for this Online Resume: Nursing

Registered Nurse

Tags for this Online Resume: Documentation, Insurance, Management, Clinical Programs, Cms, Managed Care, Nursing, Intensive Care, Medicare, SAN (Storage Area Network)

Registered Nursen45 years of experience"Case management, UR, Appeals, ICU/EER

To find a position which will challenge me and allow me to interact positively with patients.

Tags for this Online Resume: Documentation, Insurance, Management, Cms, Managed Care, Nursing, ICU, Intensive Care, Medicare, registered nurse

Clinical Review, RN: Chapel Hill, NC

To make sure all that project, federal,and company specific guidelines are followed by personel connected to the study (patient) to ensure patient safety and accurate data.

Tags for this Online Resume: RN , review, CRF, CRA, legal, case

Featured Profile

Payment Integrity / Payment Review Manager, Over 19 years in healthcare adminstration a team motivator and corportate collaborator.

Accomplished professional offers extensive experience in organizational leadership and operations within the healthcare insurance industry, demonstrating particular strengths in clinical and pharmaceutical claims, customer service, business processes, project lead, and medical review. Proven management and leadership skills in developing cross-functional teams via HR processes, training, supervision, and successfully leadin...

Ideal Companies: Pharma Company, Health Insurance Company

Tags for this Online Resume: Healthcare, Insurance, Payer, Reimbursement, HIPPA, CLAIMS, Coding, Reimbursement Policies, Medical Review Policies, SOP, Facets, Clinical Review, Customer Service, Salesforce, Tableau

Medical Sales Representative - 8 Years of Experience - Near 39212

Ideal Companies: Health

Tags for this Online Resume: Inside Sales, Sales, Management, Quality Assurance, Social Service, Test, Documentation, Account Manager, Benefits, Business Development

Billing/Coding Specialist - 14 Years of Experience - Near 75043

Tags for this Online Resume: Chemotherapy, Oncology, Benefits, Insurance, AVAYA, Billing, Claim Processing, Coding, Internet, Internet Protocol

Quality Coordinator

Tags for this Online Resume: Documentation, Immunization, Triage, Quality, Quality Assurance, Cms, Data Entry, Inventory, LPN, Wound Care