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Online Resumes with "HEDIS Reviewer"
Tags for this Online Resume: Nurse Case Manager, Medical Record Auditor, Recovery Audit Contractor, Clinical Documentation Improvement Specialist, HEDIS Reviewer, Medical Billing, Medical Coding, Medical Compliance Officer
Goal: To find a challenging position utilizing my abilities developed through my experiences and education with the opportunity for professional growth based on my performance. I am a high-performing Manager with 20 years of health care experience in hospital home and medical office environments. HEDIS Reviewer an experienced Social Worker/LVN/LPN licensed in New Mexico (Compact State License) and in California with strong ...
Tags for this Online Resume: Quality/HEDIS, NCQA, Health Care Industry, STARS, Therapy, Computer Aided Software Engineering, Surgical, Advanced Cardiac Life Support, Cardiopulmonary resuscitation (CPR), Support
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Tags for this Online Resume: medical records review, time lines, medical, medical fraud, insurance defense audits, reports, osha compliance, HEDIS Reviews, CARA reviews, Diagnose coding, electronic medical records, research, billing audits, investigate cps cases, special investigations, Define applicable standars of care
Ideal Companies: JPS Fortworth
Tags for this Online Resume: Management, Policies and Procedures, Utilization Management, Assessments, Health Care Industry, Training, Clinical Operations, Process Improvement, Quality, Quality Assurance