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Online Resumes with "clinical policy development"



Featured Profile

Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430

Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...

Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence

Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle

Featured Profile

Registered Nurse Consultant, specializing in Logistics, Hospital Operations, and Interfacility Transfers

Obtain an opportunity to mentor leaders with building large scale optimizations that will benefit their patients, staff, physician leadership, ROI, and P and L.

Tags for this Online Resume: leadership, high emotional intelligence, Transfer Center, Hospital Logistics, Hospital Operations, Process Improvement, six sigma, lean, protocolization, SOP, Patient Care Coordination, Emergency Management, Utilization Review, ROI, Net new, policy development, clinical policy development, recruitment and retention, clinical data management, metrics analysis, gap analysis, predictive modeling, start up, self starter, ambitious, influential, transformational, rapid growth