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Online Resumes with "Utilization Review"



Licensed Nurse

Tags for this Online Resume: Rehabilitation, Scheduling, Nursing, Infection control, Management, Pain Management, Wound Care, Planning, Patient Care, Tracheostomy

Case Manager - 21 Years of Experience - Near 19406

Baccalaureate-prepared Registered Nurse with extensive experience in case management and utilization review. Combining acute care experience, interpersonal communication skills and documentation expertise to optimize the care provided to patients. Skills/Areas of Expertise Case Management * Utilization Review * ICD-10 * InterQual Criteria * CMS Regulations * Electronic Medical Records

Tags for this Online Resume: Management, Computer Aided Software Engineering, Critical Care, Medical, Pulmonary, Surgical, Therapy, Acute Care, Nursing, Medical Records

Registered Nurse

Tags for this Online Resume: ENT, Transcription, Budgetary, Cms, Management, Patient Care, Cardiovascular, CHF, COPD, Emergency Room

Quality Assurance Director

Tags for this Online Resume: ENT, Transcription, Budgetary, Cms, Management, Patient Care, Cardiovascular, CHF, COPD, Emergency Room

Featured Profile

Experienced Clinical Pharmacist with 20+ years of keeping patients healthy and happy

Experienced pharmacist, empathetic and intuitive during personal interactions with patients, health care workers and co-workers. Highly qualified and bringing management, administrative and medical expertise to retail and institutional settings. Member National Association of Pharmaceutical Sales Representatives and strong desire to further my career in patient care as a Pharmaceutical Sales Representative.

Ideal Companies: Any Pharmaceutical company, Kroger, Publix, Walmart/Sam's Club, Buford Road Pharmacy, Aetna, Anthem, Express Scripts

Tags for this Online Resume: Intercom Plus, Health Screening, Scheduling, Insurance requirements, Drug Utilization Review, Medication Therapy Management, Inventory, Retail, Billing, Insurance

Featured Profile

Clinical Hospital Pharmacist

Extremely skilled, knowledgeable and humble Clinical Pharmacist who conveys a steadfast longing to develop pharmacy students, staff and self, to continually improve patients health and pharmacy reputation. Not only participating in interdisciplinary team and P & T committee meetings, but also to grow, manipulate and defend the formulary, while developing policies and procedures to ensure all Joint Commission and hospital po...

Ideal Companies: Ohio Health, Mount Carmel Health Systems, Trinity Health Systems, Genesis Health Systems, Prime Healthcare Foundation, Akron General Health Systems, University Hospitals of Cleveland, Select Specialty Hospital, Suma Health Care

Tags for this Online Resume: pharmacokinetic dosing, Leadership, antibiotic stewardship, superior work ethics, regulatory, audits, management, aseptic technique, pharmacology, information resource, mentoring, preceptor, verification, humility, compassion, communication, exceed, workflow, patient care

Featured Profile

Dr. Vic Professional Resume

Highly Accomplished Recent Doctorate in Health Administration Graduate who successfully drives dynamic administrative, case management, and program initiatives to align with an employer’s mission while continually promoting safety- and quality-focused performance. Influential Strategist who exhibits solutions-centric critical thinking to facilitate insightful, change-oriented outcomes, including maintaining up-to-date awar...

Ideal Companies: Healthcare Related Companies

Tags for this Online Resume: HEALTH ADMINISTRATION │ CASE MANAGEMENT │ PROGRAM MANAGEMENT STRATEGIC ANALYSIS / PLANNING │ TEAM BUILDING / TRAINING │ BUDGET CONTROL RISK MITIGATION / MANAGEMENT │ POLICY / PROCEDURE IMPLEMENTATION │ HIPAA │ OSHA EMPLOYEE BENEFITS ADMINIST, Computer Aided Software Engineering, Legal, Research, Home Health, Infection control, Management, Patient Care, Quality, Quality Assurance

Licensed Nurse

Tags for this Online Resume: Scheduling, Nursing, Infection control, Management, Pain Management, Wound Care, Planning, Patient Care, Tracheostomy, Rehabilitation

Registered Nurse - 0 Years of Experience

To effectively manage and teach nursing staff. To be involved in reaching goals and objectives. As a Registered Nurse with 5+ years' experience in a clinical setting providing nursing care to diverse populations. With nursing management, utilization review, and case management experience.

Tags for this Online Resume: Patient Care, Assessments, Management, Nursing, EMT, Health Insurance Portability And Accountability Act, HIPAA compliance, LPN, Behavioral Health, Compliance

Featured Profile

Quality Management System Auditor/Director for Healthcare - 11 Years of Experience - Near 25271

Master Degree Licensed Registered Nurse, Master Degree in Business Administration/Health Care Management and Certified Professional in Healthcare Quality. * Member of the American Society for Quality (ASQ) and am an ASQ Certified Quality Auditor, ISO 9001:2015 Management Systems Auditor/Lead Auditor Developed an Internal Audit Program for Healthcare. Have Trained 91 auditors to date, worked with Information Technologist a...

Ideal Companies: DNV GL Healthcare, Studer Group, Centers for Medicare (CMS), The Joint Commission, Healthcare Facilities, Chan Consultants, Crowe Healthcare, BMI, Saiglobal, any healthcare quality management director, co-consultant or auditor position

Tags for this Online Resume: registered nurse, healthcare, Telemetry, Management, Audit, Benchmarking, Quality Management System-Healthcare

Featured Profile

Pharmacist - 20 Years of Experience - Near 10977 10595

Senior Hospital Pharmacist specializing in medication therapy management and hospital pharmacy operations. Expertise is providing a premiere patient and customer experience, while maintaining a sharp, consistent focus on maintaining safety and compliance standards. Offering 20 years of experience, well-versed in acute care, long-term care, and infusion. Thrive when collaborating with other members of the clinical team in or...

Ideal Companies: United Health group, NYU Langone health /New York Presbyterian or MSK Hospital, VA NY Harbor health Care Or Montrose

Tags for this Online Resume: New York, Patient Relations Patient Education Medication Disbursement Drug Interactions/Utilization Cost Reduction and Avoidance Compounding USP797/800 Workflow Management Customer Service Relationship Building Drug Information Quality Assurance and Control Regulat, Prescription Dispensing Inventory Control Project Management Business Development Problem Resolution Drug Interaction Drug Disease Management Siemens EPIC McKesson Pharmacy Systems and Automation Pyxis Medication Management Care Fusion Pysis-Connect Medic, therapy assessment, care planning and medication reconciliation, care planning, medication reconciliation, inpatient pharmacist, SQL

Featured Profile

Licensed Nurse - 20 Years of Experience - Near 90034

To continue enhancing my professional experience in the field of psychiatric/chemical dependency nursing, counseling, educating, management, utilization review, and case management. To serve others in rehabilitating from mental illness and the disease of addiction. To help people find their spiritual path and to assist them in healing and self-empowerment.

Ideal Companies: Behavioral Health

Tags for this Online Resume: Cardiopulmonary resuscitation (CPR), Management, Support, Nursing, SAN (Storage Area Network), Behavioral Health, Certificate Authority, Certified Pension Consultant, Coaching, Computer Aided Software Engineering