utilization management reviewer Search Results
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With over a decade of experience as a Registered Nurse (R.N.), including seven years in managed care, bringing a wealth of expertise in healthcare lea... View More
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- BACHELOR OF SCIENCE in nursing
Experienced Behavioral Health Nurse with 4 years of direct experience working with hospitalized psychiatric patients. Skilled in challenging environm... View More
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Education
- Bachelor of Science in Nursing
- Associate's degree in Nursing
- Bachelor's degree in Psychology
Motivated Medical Billing and Coding undergraduate and proficient Utilization Management Coordinator with experience and concentration in inpatient, D... View More
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Education
- BBA
Registered Nurse with eleven years of experience in direct patient care , nurse manager, and utilization management within hospital and home care sett... View More
Past Employers
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Education
- Master of Science
- Bachelor of Science
Smart Utilization Review Nurse considered critical thinker and problem-solver due to dynamic patient care planning and understanding of Medicare guide... View More
Past Employers
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Education
- MSN
- BSN
Dynamic RN Director of Case Management and Utilization Management with a proven track record in directing care management operations and enhancing tea... View More
Past Employers
Top Skills
Education
- Master of Science
- Bachelor of Science
Dynamic Utilization Management Coordinator at CareFirst with a proven track record in optimizing resource allocation and ensuring HIPAA compliance. Ad... View More
Past Employers
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Education
- Associate Of Applied Science
- Diploma
- High School Diploma
Healthcare professional with international medical education and clinical experience, recently transitioned into Information Technology. Holds a Maste... View More
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Education
- Master of Science
- M.D.
- INTERMEDIATE
Over 15+ years of Professional healthcare experience Managed Care background with 6+ years of HEDIS experience Excellent interpersonal, communication ... View More
Past Employers
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Education
- Bachelor of Arts
I have 20+ years of exceptional customer service/sales, Utilization Management/Care coordinator, collections, telemarketing and Team Lead experience h... View More
Past Employers
Top Skills
Education
- High School Diploma
- Some College Credits (2 years)



