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Online Resumes with "Milliman"

Certified Case Manager, Indianapolis, IN

Tags for this Online Resume: integrated case management, Stastics, Milliman Criteria, Interqual Criteria , Discharger Planning, Care Coordinating

Business Development, Service Manager- 8 years experience- Anchorage

Featured Profile

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

Registered Nurse Case Management, Clinical Educator-12 + years experience - Epic- Acuity

I'm a RN Clinical Trainer with 12 + years in Medical Management with HMO commercial, Medicare & Medicaid Health Plans. Expertise in the use of Epic, TCS Acuity, Cerecons, IDX, MS Outlook, Siebel, MCG (Milliman). Effective training in formal presentation settings: one-on-one, small and large groups, with peers, and bosses; both inside and outside of the organization, on both cool data and hot and controversial topics; the ...

Tags for this Online Resume: Tulsa, Educator, Trainer, Case Management, Medical Management

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 - 20 Years of Experience - Near 85048

Tags for this Online Resume: Case Manager, Utilzation review, Milliman, Computer skills

Registered Nurse - 20 Years of Experience - Near 15227

•Case Manager Certified •Facilitated results-oriented, empathetic and professional adult nursing care for over 23 years. •Respect for compliance in all regulated environments while maintaining a clear vision to accomplish the company goals. •Advocated for members to resolve health concerns. •Communicated with all levels of personnel. Skills Include: •Demonstrated computer and internet literacy. ...

Tags for this Online Resume: Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader

Case Manager - 15 Years of Experience - Near 98501- Olympia WA

Tags for this Online Resume: RN, Case Manager, Olympia, Utilization Review, Milliman, InterQual, CCM

Case Manager - 20 Years of Experience - Near 33169

It is my goal at this time to complete my Bachelors degree. I a would love to get back into floor nursing, My most recent experience is utilization review and case management.

Tags for this Online Resume: Ft. Lauderdale, Miami, Interqual , on site review, Milliman, Memorial Health systems, Jackson Memorial Health Care

Registered Nurse - 30 Years of Experience, 20 years experience in Utilization Review - Near 43068

I am seeking a position in Utilization Review. I have been a Registered Nurse for 30 years with the last 20 doing Utilization Review. I have experience with InterQual and Milliman Criteria.

Tags for this Online Resume: RN, Case manager, Utilization Review, insurance

Registered Nurse - 10 Years of Experience - Near 85132

I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...

Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid

Case Manager - 20 Years of Experience - up to 25 miles from 33176

NELLY GAZMEN CONROY, RN, BSN Cellular: (305) 926-0725 ------------------------------------------------------------------------------------------------------------------------ CAREER OBJECTIVE: A position in a progressive growing company which affords opportunities and advancement for motivated, hardworking, qualified ...

Tags for this Online Resume: Miami, Broward, Case Management, Director of Nursing, Teaching, Consulting, Computer, Gen Orientation