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Online Resumes with "concurrent review"

Featured Profile

Quality Consultant - 8 years Proccess Improvement Experience

Demonstrated effectiveness optimizing the quality and regulatory compliance of multi-hospital healthcare networks, utilizing superb command of root cause analysis (RCA), workflow analysis, concurrent and post-care documentation analysis, and electronic medical record navigation to closely track and resolve patient safety issues. Keen and proactive stance in pinpointing opportunities for process improvements and clinical sta...

Ideal Companies: Hospitals, Consulting firms, Quality

Tags for this Online Resume: Salt Lake City/Ogden, Consulting, Hospital Quality, Process improvement, Six Sigma-White Belt, Project Manager, Variance Trend Analysis, Process Redesign

Case Manager - 20 Years of Experience - Near 07728

Perform concurrent review to determine whether the care is medically appropriate in accordance with insurance and fedral guidelines Coordinate discharge plan with hospital,rehabilitation facility or home care that is medically appropriate.

Tags for this Online Resume: utillization, case management , management of health care protocols

Registered Nurse - 20 Years of Experience - Near 37172

A position as a Registered Nurse with a Health Care Organization.

Tags for this Online Resume: Nashville area, Medical record review, Eligibility review, Appeal hearings, Prospective reviews, Concurrent reviews, Clinical review, Medical Case Manager

Registered Nurse - 20 Years of Experience - Near 85338

Tags for this Online Resume: Phoenix, Case management, Prior auth, concurrent review, Discharge Planning, Hospital

Concurrent review nurse

The Medical business profession is my ultimate passion.

Licensed Practical Nurse - 20 Years of Experience - Near 33566

: I has over 20 years’ experience as an LPN and 7 years’ in Utilization Review. Most recently, my most recent experience has been in utilization review and concurrent review working with peer review and chart review. I am familiar with assessments and working with physicians regarding patient care. I have a excellent background in critical care and admissions through telephonic review and auditing patients’ charts.

Tags for this Online Resume: Utiiation Review, Tampa Florida , Workmens' Compsations Review, Skilled Nurseing Review, Preautheration, Utilization Management, Lakeland, Florid

Registered Nurse - 20 Years of Experience - Near 73044

Tags for this Online Resume: Oklahoma City , North Dallas, TX, Concurrent Review , Utilization Management

Registered Nurse - 20 Years of Experience - Near 93003

Looking for Staff Nurse Positions in Utilization Review/Case Manangement.

Tags for this Online Resume: Ventura, Ca. , Pre-Authorizations, Concurrent Review, Discharge Planning, Appeals, Utilization Review

RN Case Manager with wide ranging experience

Strong leadership, team building and decision making capabilities. Excellent communication and organizational skills for managing workflow, patients and families, physicians, and others under stressful conditions. Ability to set priorities, identify, assess, and-triage patients. Demonstrates superior reliability and maintains confidentiality. Looking to work with a team of professionals who place the patient/member first.

Tags for this Online Resume: case manager, RN, Nurse, precertification, utilization review, concurrent review

Case Manager - 20 Years of Experience - Near 37801

I am applying for the R.N. position. I am a productive achiever and have excellent critical thinking skills. I interact well with others and can work independently. I have the ability to change my focus to meet new objectives. I have various experience with different computer programs and I have over twenty years experience in nursing in various areas of practice.

Tags for this Online Resume: Medicare, Nursing, Wellness coach, Injections, Health coaching, concurrent review for snf, Triage, Home Health, Vitals, Assessments, Case management, disease management

Registered Nurse

I am a Registered Nurse with thirty years of experience ranging from direct patient care in a hospital setting and as a school nurse in an elementary school clinic. I also have experience as a Telephonic Triage Registered Nurse including the triage of adults children and infants. In addition I have other experience listed below. Experienced with chronic diseases, such as Diabetes and COPD. * Created and/or modified a plan o...

Tags for this Online Resume: Insurance Registered Nurse, Telephonic triage Registered Nurse, Telephonic Health Nurse, Bilingual

Case Management Manager - 11 Years of Experience - Near 32162

Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...

Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence