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Online Resumes with "Milliman Care Guidelines"

Highly skilled career professional with more than 20 years practical experience in hospital, home health, and insurance companies verifiable.

I have experience in prior authorization review, utilization review and case management. I have worked in this field for over 10 years and I have knowledge in both Milliman Care Guidelines and Interqual. I am organized and detail oriented. I have strong communication skill both verbal and written and I am a strong team player. I have effective time management skills and I have no problem meeting deadlines

Tags for this Online Resume: Case Manager, Utilization Review Nurse, Prior-Aothorization RN, Healthcare, Insurance Industry

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LVN with 23 years experience from Infants to Case Management

I'm an LVN with over 20 years of experience in patient care, assessment, IV certified, medication management, medical documentation, and now Case Management working with SNP members, home health agencies, referrals and authorizations, seeking employment with an IPA or Health Plan to grow with.

Ideal Companies: St Jude Medical Center, Fullerton CA, United Healthcare, Children's Hospital of Orange County, CA

Tags for this Online Resume: Case Management, Nurse, LVN, Discharge Planner, Cross Trained, Healthcare, Case Manager

Case Manager - 4 Years of Experience - Near 75070

AREAS OF EXPERTISE * Patient Relations/ Counseling Experienced with Milliman Care Guidelines. CCU and IMC Units at both Providence and Sierra Hospitals.

Tags for this Online Resume: Case Manager, Bilingual, Milliman Guidelines, Work from home, Transplant,, Medical, Certified Case Manager, Case management, Management

Case Manager - 19 Years of Experience - Near 07110

SUMMARY OF QUALIFICATIONS: Nursing professional with diversified clinical and leadership background in case management, utilization review and discharge planning independent consultant as a Health and Wellness Advisor. * Experience with acute / critical care settings, insurance companies, skilled nursing and assisted living facilities. * Proven record in obtaining high quality outcomes, reduction in length of stay and cost-...

Tags for this Online Resume: Management, Referrals, CCU, registered nurse, healthcare

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Case Manager - 20 Years of Experience - Near 92630

I am looking for a full time permanent opportunity with a growing Case Management Company with excellent comprehensive benefits including Health Insurance, dental, vision and 401k option. I am a dedicated, highly skilled, self-motivated, registered nurses that that has significant experience with workers compensation & commercial case management as well as Utilization Management. I am also highly skilled in using Microsoft...

Ideal Companies: Strong and Stable, Kaiser, Hoag, St Joseph.

Tags for this Online Resume: healthcare, rn, case manager, utilization review, Registered Nurse, Milliman Care Guidelines, care coordination

Registered Nurse - 20 Years of Experience - Near 60616-3903

Summary: My professional experience has been extremely diversified. My focus has always been "customer service oriented." My professional experience has also included several stints as a Temporary Nursing Staff member, which has allowed me to be able to expand my base knowledge on Milliman Care Guidelines, as well as increase my computer skills. Most recent Professional Experience: SNF- Rehab- Transplant Coordinator- Cigna ...

Tags for this Online Resume: Critical Care - Respiratory, Acute Rehabilitation, Documentation, Rehabilitation, Surgical, Microsoft Outlook, Nursing, Computer Literate, Medical, Medical Technician, physical therapist, physical therapy, rn, registered nurse