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Online Resumes with "insurance utilization review"
Nurse Case Manager with in depth hospital, insurance, utilization review both pre- and retro, worker's comp experience
Change management in electronic medical records to improve workflows for more efficient, cost effective patient care. My extensive disease management, population health management and catastrophic worker's compensation case management experience together with hospital bedside care and masters degree in healthcare informatics equip me for novel solutions to potentially expensive mistakes occurring in current EHR implementation.
Career goal, Case Manager in Pediatrics. Utilize skills of educating family and patient for medical maintance, and treatment of occuring medical conditoions. Seeking gaps in care, increasing awareness to wellness programs for improvement of life.
PROFESSIONAL SUMMARY Six Sigma lean certified Black Belt Operations Manager with over 10+years of operations managerial experience combined with healthcare management experience. Management experience is inclusive of managing internal customer service department and external service providers. Experience making recommendations, great judgment, negotiating, and managing COGS, (cost of goods sold), that positively impact busi...