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Online Resumes with "Interqual Criteria"
I am looking for a position within the healthcare field where I can continue to expand my skills while making solid contributions. I offer over 15 years of progressive healthcare experience beginning with nursing and direct patient care continuing into roles including Hospice Team Manager and Admission Nurse, Branch Director for a proprietary home care agency, marketing/nurse liaison for a rehabilitation hospital. to each...
Tags for this Online Resume: Registered Nurse, Hospice, Rehabilitation, Healthcare Sales and Marketing, Physician and Community Relations, Discharge Planning, Program Management, Business Development, Volume Expansion, Medicare and Medicaid CoPs, Recruitment, Training, Personnel Management, Admissions, Insurance Verifications, Scheduling, Forcasting, Staff Development, Customer Service, Nursing Assessments, Problem Solving, Quality and Compliance, Educator, Pediatrics, Teacher of Exceptional Student Education, Branch Director, Front Office Administrator, Account Managment, Case Management, Patient Advocate
My ideal job in Health insurance is to achieve solid sales growth, and acquire new clients while maintaining current clients. As a claims adjuster I'm seeking opportunity to utilize my current experience with a company that is growing to provide me the opportunity to advance my skills.
Ideal Companies: I would like to work with any company that I can utilize my professional skills whether it's health insurance or claims adjuster that will offer stability and growth.
Continue working within the area of utilization review while using my nursing experience and clinical skills that I have already honed.
Rn with extensive managed care, utilization review/management, seeking a job in Utilization review. Also experienced in Interqual criteria and familiar with Milliman criteria as well as Medicare and Medicaid. I would like to become certified in UR or CM in the near future.
I am looking for a managerial position. I have done relief Surgical Services Manager. My school of nursing stressed leadership. I have a varied background in surgery, home health and case management.
full/part-time job using my skills and knowledge of triage and Interqual criteria
Continued professional growth and achievement within an organization where InterQual Criteria training, medical claims training, CPT Coding training, SIU medical training, and medical consulting can be utilized to enhance fraud identification, improve medical claims handling and ensure the appropriate level of patient care is being delivered
NELLY GAZMEN CONROY, RN, BSN Cellular: (305) 926-0725 email@example.com ------------------------------------------------------------------------------------------------------------------------ CAREER OBJECTIVE: A position in a progressive growing company which affords opportunities and advancement for motivated, hardworking, qualified ...
Ana B. Francisco RN BSN LNC LHRM 510 NW 109th Avenue, #5, Miami, Florida 33172 (786) 286-7160 W O R K E X P E R I E N C E: 2007-2009: DIRECTOR OF NURSING / ALTERNATE ADMINISTRATOR: Advantis Home Care, Inc., 2921 SW 8th St Miami, Florida 33135 Supervision of clinical and non-clinical staff operation; update of agency Policies and Procedures books, case management, utilization review, initiated the Quality Assurance ...
Ideal Companies: health care
I am a Nurse Case Management professional with upwards of 16 experience. My experience includes but is not limited to Telephonic Complex Case Management, Occupational Health/Worker’s compensation, and Psychiatric Nursing. Additionally, my proficiency with Utilization Review software, namely InterQual criteria and guidelines as well as Epic allows me the opportunity to make determinations on admissions, prior authorization, ...
Tags for this Online Resume: Utilization Review, ICD-9, Health Care Industry, Interqual, MCG, Communication Skills, Computer Aided Software Engineering, Patient Care, Coding, ICD-9, Health Care Industry, Management, Benefits, Communication Skills, Computer Aided Software Engineering, Patient Care, Utilization Review Nurse, Allscripts, Powerchart, Epic, EMR, CPT Codes