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Online Resumes with "Prior Authorization"

Featured Profile

Nursing- Case Manager

Continue career in case management. Efficiently and effectively determine the necessity of individualized treatment plans. Become a valuable, positive addition to the company, contributing to the good reputation of the company.

Ideal Companies: Blue Cross Blue Shield, United Health

Tags for this Online Resume: timely, effective, cost efficient, appropriate treatment plan, nurse educator, safe discharge, organized, case manager, nurse case manager, supervisor, clinically sound, CCM, Prior Authorization Unit, insurance eligibility

Registered Radiology/CT Technologist-combined 11 years

I'm a registered X-ray/CT Technologist with fifteen years experience. I've worked in hospital and clinical environments. I've also worked as a medical asst allowing me to acquire phlebotomy,electronic medical record,EKG, and referral/prior authorization experience. I enjoy rotating different areas and acquiring new skills. I'm open minded to progressing to different areas of healthcare as well whether it be business or teac...

registered nurse, columbus oh

full time work in case management, nurse review, precertification

Tags for this Online Resume: nurse, certified case manager, years of clinical experience, COLUMBUUS, OH, certified nurse case manager, precertification, nurse reviewer, prior authorization, triage or office nursing

Featured Profile

Experienced Managed Care Planning & Strategy Lead

Over ten years of patient advocacy experience in field of biopharmaceutical healthcare with proven strengths in investigational and analytical skills. Exceptionally skilled in process management with recognized ability to assimilate new information and ideas quickly with the ability identify develop and implement organizational processes. Obtained a Masters of Business Administration in December of 2013 from the University ...

Ideal Companies: Gilead, United Healthcare, UCSF, UnitedHealth Group, Theravance Biopharma, Sutter, Crescendo, Health, Abbott, Novartis, Acclarent, Adamas, Agilent, Amgen, Bayer, BioMarin, Biologics, Boston Scientific

Tags for this Online Resume: Process Management, Analyzing, Developing Strategy, Reimbursement, Creative, Problem solver, Innovative, Payer Inteligence, Managed Care, Case Management, Patient Case Management, Private and Public Payers, Coverage, Patient Assistance, Government Payers

registered nurse

I am a registered nurse looking for a job. I have a broad selection of work experience and am pretty open to what I can and would like to do. As you will see in my resume, I have worked both with adults and children, in acute care setting as well as clinic work. I have also done 2 years of telephone triage. In my years as a clinic nurse I did prior authorizations/precerts for several of the clincs in the health system whe...

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

Patient Care Advocate, Healthcare Administrator/Precert/Prior Authorization/Appeals and Review Nurse

To obtain employment with a company that will allow me utilize my healthcare knowledge and nursing skills in efforts to afford me career growth opportunities

Tags for this Online Resume: Healthcare, Licensed Practical Nurse, Precert Nurse Specialist, Patient Care Advocate, Hedis Nurse Abstractor, Medical Review Nurse

Senior Registered Nurse with 28 years of experience in a variety of healthcare roles

Experienced, energetic registered nurse with 28 years of experience looking for a rewarding career in a case management, utilization review, prior authorization review, or clinical liaison position.


Tags for this Online Resume: PBM, Specialty Pharmacy, Medication Therapy Management, Consulting Pharmacist, Clinical Pharmacist, Prior Authorization

Featured Profile

Pharmacist - 7 Years of Experience - Near 11561

As a pharmacist, my goal is always to go above and beyond to build professional relationships with area physicians and trust with my patients. I pride myself on always striving to be the best possible patient guardian by expressing to patients how important it is to use one pharmacy so drug-drug interaction can quickly be identified and an appropriate intervention can be made.

Ideal Companies: Institutional Facilities

Tags for this Online Resume: Immunizer, Medicare B vs. D, Prior Authorizations, Efficient, DUR Review, Insurance Billing Fully-Competent in Formulary Management, RX2000 and RxConnect, Fully-Competent in IV Aseptic Compounding and Trissel's Clinical Pharmaceutics, Manhattan and Long Island

Registered Nurse - 25 Years of Experience - Near 33023

Registered nurse position in a health care setting. Dedicated healthcare professional with 25 years of practical experience in a fast paced hospital setting, knowledge of home health, case management, disease management, pre-cert/prior-authorization, and experience with medically fragile individuals.

Tags for this Online Resume: case management, disease management, prior-auth, Interqual

Medical Secretaries - 10 Years of Experience - Near 30214

Tags for this Online Resume: medical records, prior authorization, insurance, checkout, check in