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Online Resumes with "Medi Cal"
Results-focused with proven energy and capability leading all aspects of health care services (clinical and non-clinical). Grew a successful business providing in-home personal care services to elderly and disabled. Extensive experience in JCAHO accreditation, Medi-Cal and Medicare conditions of participation as well as HIPPA regulations. Expertise includes: A/P & A/R • Budgeting and Financial Analysis • Customer Servi...
Licensed Marriage and Family Therapist, with a career objective toward transitioning into Geriatric Case Management. 18 years total clinical experience. Burbank, CA
I am a licensed marriage and family therapist, with 13 years of case management experience in, and strong passion in serving, the aging population and their families. This includes providing the case management and counseling necessary to support elderly patients in maintaining and improving their quality of life, while successfully coping with the mental, emotional, and physical stressors of aging. I also work with the ad...
Tags for this Online Resume: case management, treatment planning, social work, older adults, family therapy, crisis intervention, teaching alternate coping skills, clinical team collaboration, Management, Therapy
3382DALEYCENTERDRIVE#609 267-331-1677 ·OVERBROOK1979@OUTLOOK.COM STEPHEN B.ROTHWELL OBJECTIVE To secure a position in PFS Clinic Hospital Clerical Admin Support SUMMARY OF QUALIFICATIONS 6/2005-2/2014 SCRIPPS HEALTHCARE La Jolla California PSR 3 Ancillary Services Obtain required insurance authorizations for all outpatient services Verify ICD-9 CPT codes on all orders completed by physicians...
Tags for this Online Resume: Patient Service Rep, San Diego, Customer Service, Epic, Mecical, Billing, Call Center, Cardiopulmonary resuscitation (CPR), CAT, Cms, SurgeryScheduler, Ancillary Scheduler, Medical Records, Dept Lead, Admin Asst2, Auth Insurance Verf, AdmittingER Urgent Care, Financial Counselor ER, physical therapist, physical therapy, CPT Coding ICD1O. HCPC Modifiers
Over 20 years’ experience as a results-oriented Medicaid Health Plan manager with expert knowledge in program operations focused on Medicare and Medicaid quality and cost-effective solutions. Main area of expertise has primary focus on Provider Intergrity, Fraud and Abuse, performing Project Management role, coordinating and organizing auditing of the state of California Medi-Cal processes and procedures for multiple audits...
A consummate, bilingual Executive Assistant/Projects Manager dedicated to making the lives of busy executives easier. Strong general management skills in Medi-Cal/Managed Care, provider contracting, claim submission, member grievances, benefits interpretation, provider office operations and authorizations. Recruited, hired, trained and managed those engaged in managed care. Earned Office Manager/Computerized Accounting Cer...
23 Year's working within Healthcare Finance. Generating revenue for hospitals via Medi-Cal,SSI,TPL also workers' Compensation. Conducted audits for lost revenue, also training staff to screen Self-pay patient for eligibility programs ie..Medi-Cal, Medicaid,SSI/SSDI and Workers' Compensation. I have dedicated my career to helping the community with eligibility programs but now it's time to take on new projects.
Tags for this Online Resume: Big Data Analyst, SQL, Cognso,m, Software Project Lead, SDLC, Global Product Manager, agile, SCRUM, Business Analysis, Reqirements Gathering, Process Engineering , Healthcare-Medicaid, MediCal, Medicare, Crossfunctional teams, VirtualAnalyst, SQL, Cognso, Report writer, Multimedia Communications Specialist, Entertainment/Product Developement, Crossfunctional virtual team leadership, Analyst, SQL, Java, HTML, XML, Cognso, Report writer, Software lifecycle, SDLC, Agile, SCRUM, program management, product lead, CRM, technical and creative writing, B2B, C2B, Internet Products an Applications development, Global Programs, Oversee cultures, Operations management, editor, and visual communications, promotions, marketing campaigns, , Multimedia, Digiital media, & Visual Communications Specialist, IT, Entertainment, Marketing, Product development indiustries/Web-based applications and interfaces, high tech, PMO/PMI, ITTL, ISO 9000, networking, operations, asset management, vendor management, supply chain, procurement, trade shows, comentary, custom, Healthcare Products, Medicaid, MediCal, Medicare, CCS, HIPPA compliance and regulations, strategic planning, resource management, budgeting, finance, SOW, RFP, articles, press releases, reports and criteria, annual reports, visual aids, Executive and C-le, IT, Entertainment, Marketing, Product development indiustries/Web-based applications and interfaces, high tech, PMO/PMI, ITTL, ISO 9000, networking, operations, asset management, vendor management, supply chain, procurement, trade shows, comentary, custom, Healthcare Products, Medicaid, MediCal, Medicare, CCS, HIPPA compliance and regulations, strategic planning, resource management, budgeting, finance, SOW, RFP, articles, press releases, reports and criteria, annual reports, visual aids, Executive and C-le, IT, Entertainment, Marketing, Product development indiustries/Web-based applications and interfaces, high tech, PMO/PMI, ITTL, ISO 9000, networking, operations, asset management, vendor management, supply chain, procurement, trade shows, comentary, custom, Healthcare Products, Medicaid, MediCal, Medicare, CCS, HIPPA compliance and regulations, strategic planning, resource management, budgeting, finance, SOW, RFP, articles, press releases, reports and criteria, annual reports, visual aids, Executive and C-le, Web content management
Experienced effective geriatric specialist, social services manager; specializing in elderly social services, dementia care, responsive comprehensive home assessments, long term care planning for Health Net and Secure Horizons, community resource referrals, coordination of services with multiple providers, conflict resolution, meeting facilitation, charting, and consulting. Facilitated the training and development of new ca...
CARING FOR HANDICAPPED CHILDREN HAS BEEN SO REWARDING TO ME THROUGHOUT MY NURSING CAREER.I'VE CARED FOR INFANTS TO ADOLESCENCE THAT HAVE MUSCULAR DEGENERATIVE DISEASES,NEUROMUSCULAR DISEASES,SIEZURE DISORDERS AND THE MENTALLY DISABLED. EVERYONE OF THEM INSPIRED ME TO KEEP DOING WHAT I'M DOING . MY CARE AND COMPASSION FOR THEM HAS GIVEN ME THE STRENGHT TO OPEN UP A SMALL FAMILY HOME FOR DISABLED CHILDREN IN THE NEAR FUTURE.
To obtain a full time position in the field of recovery where I can utilize my education and experience and grow within the company. COVER LETTER: To Whom It May Concern: OBJECTIVE: a full time position where I can contribute to your mission from my education and experience as well as advance, learn and gain more knowledge to increase my value to you. As you can see by my resume, I have experience working with juvenile and...
SPECIALTY PHARMACEUTICAL SALES REPRESENTATIVE Dynamic Pharmaceutical, Medical Sales Professional and Consultant with eight years of territory sales experience. Demonstrated pharmacy and small pharmaceutical sales expertise increasing contacts, introducing new products, providing patient education and billing support. Proven success creating and launching programs to increase revenues and commissions. Skilled at improving...
Tags for this Online Resume: Distribution, Sales, Territory Sales, Critical Care - Neurology, Family Practice, Neurology, Pharmaceutical Sales, Medical Sales, Consulting, Endocrinology, Primary Care, Pain Management, Psychiatry, OBGYN, Podiatry, Orthapedic, Dermatology, Cardiology, Product Launch, President's Club, Midicare, Medicaid, Sales Cycle Management, Territory Management, Lead Generation, Team Leadership, Leadership, B2B Sales, Marketing, Specialty Pharmaceutical Sales, Territory Revitalization, Client Relations, Business Development
SUMMARY: Highly-skilled IT professional with 25 years of experience in architecting, data modeling and implementing EDW and BI with analytical reporting solutions in mainframe, client server, desktops, web-based in Healthcare MDM, Labs and Pharmacy, BI Analytics, HL7 and EDI x 12 transactions, Insurance, Finance, Retails, Utility, HR, CRM, Telecom. wireless environments. * Managed pharmacy and MDM (pharmacy, medical, claims...
Tags for this Online Resume: Teradata, Teradata (NCR Data Warehouseing product), IBM DB2 Database, Java Programming Language, Architect, Billing, Informatica, Informatica PowerCenter, PowerCenter, Project Management