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Online Resumes with "Molina Health Care"
Extensive claims knowledge, leadership skills and project management.
A Physician's Assistant with years of experience in various aspects of the medical field. Recognized for professionalism and people skills. Searching for a position as a PA-C in a public, private or non-profit health organization.
I have succeeded at all levels of member/customer service and management in many different industries such as car rental, convalescent hospital care, retail, industrial product sales, and most recently within the Medicare Advantage Prescription Drug industry. In all of my professional experience, I have mastered the proper interaction and positive results on three different levels: members, co-workers, and the company’s ex...
Career Summary: Over 20 years of experience in Acute Care and Health Service programs including Utilization Review, Provider Dispute Resolution, Quality Management, Inpatient and Ambulatory Case Management, and Grievance and Appeals in a managed care environment for both Health Plan and IPA/MSO settings using evidence based nationally recognized criteria such as ACOG, NCCN, MCG, InterQual and Health Plan Medical guidelines ...
PROFESSIONAL SUMMARY Registered Nurse * I am a healthcare professional with eighteen years practical experience in hospital and primary care. In the past six years I have become more involved with clients health management and have performed admissions for home care with OASIS documentation, High Risk Medical Case Management activities for a Medicaid Managed Care Organization, and managed a client base for a Medicaid Long T...
A position as a Registered Nurse in a Health Care Company where I can make the most of my nursing education and training, in addition to my interpersonal skills to provide the highest level of patient care.
Tags for this Online Resume: Management, Utilization Management, Cms, Disease Management, Project Management, Medicare, Budgeting, Change Management, Clinical Management, Computer Aided Software Engineering