Manage the clinical documentation improvement program which included 3 coders and 3
Utilization Review Nurses
The services that
utilization review nurses provide to insurance companies, medical facilities, and patients help in keeping the healthcare industry free of any problems.
A minimum of 3 years of experience in a Nurse Case Manager or
Utilization Review Nurse position with experience in quality strongly preferred...
This is sample resume through which the candidate is displaying her skills and experience of working with a hospital as
an utilization review nurse.
(Reference Code: KAM) Position Title:
Utilization Review Nurse / RN Case Manager Reports to: Director Clinical Services SCOPE: Responsible for determining medical necessity...
There are plenty of opportunities to land
a Utilization Review Nurse job position, but it won't just be handed to you.
Not exact matches
In this position we are searching for a
Nurse with demonstrated expertise in Case Management /
Utilization Review
Summary: Registered
Nurse for 30 years with extensive background in Case Management,
Utilization Review, Skilled Care Home Car...
Main job duties and responsibilities seen on a
Utilization Management
Nurse resume sample are
reviewing patient clinical information, monitoring staff, advocating quality care, finding ways to prevent patient complications, and maintaining accurate records of patient interactions.
Responsible for weekly
Utilization review to ensure that
nursing documentation met all state guidelines.
3 - 5 years of recent clinical experience required;
nursing experience and
utilization review experience highly desired.
Registered
Nurse RN
Utilization Review Case Manager FT Days Work Hours / Shifts Full Time Days Florida Hospital Memorial Medical Center - Daytona Beach FL Top Reasons why you want to work at Florida...
Tags for this Online Resume: Home Health, Registered
Nurse, Call Center, Case Management,
Utilization Review, Health Plan
Registered
Nurse for 30 years with extensive background in Case Management,
Utilization Review, Skilled Care Home Care, Personal Care and Hospice Home Care.
Tags for this Online Resume: drug
utilization review, JCAHO, organizational skills, compliance with regulatory agency regulations, performance improvement, patient safety, Medicare, Medicaid, Consultant Pharmacist, Hospital, Assisted Living Facility,
Nursing Home, Skilled
Nursing Facility, Intermediate Care / Mentally Retarded Facilities, Memphis, TN, 15 years experience, TN state license in good standing, PharmD
To obtain a challenging
nursing position in Case Management /
Utilization Review / Occupational Health
Nurse where my
nursing experience, skills and abilities may be utilized to become and important asset to the organization.
Tags for this Online Resume: Insurance, Medicare, Medicaide, Commercial,
Utilization Review, Registered
Nurse
Provided essential training of
nursing staff and mentorship that garnered improved
utilization reviews and achievement of 100 % chart audit accuracy over 3 - to 6 - month period.
Professional Summary
Nursing Professional possessing in - depth knowledge of
utilization review,...
Tags for this Online Resume: detail oriented, time management, organized, team player, motivated, compromise, Registered
Nurse, WOCN, Periopertive
Nurse, NICU, CVOR, Case Manager, Spanish Speaking, Manager,
Utilization Review, Infection Control, Patient Teaching, Staff Development
My goal is to obtain a full time position as a registered
nurse utilizing my phlebotomy expertise to become IV certified, board certified in rehabilitation, case management and
utilization review.
Tags for this Online Resume: Registered
Nurse, Registered
Nurse, Med - Surg, Registered
Nurse, Chart
Review, Registered
Nurse,
Utilization Review, Registered
Nurse, IV Therapy, Registered
Nurse, Case Management
Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy,
Utilization management, Facility Site
Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi - Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation,
nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist
A hospital in New Jersey is actively seeking a licensed Registered
Nurse (RN), with a strong
Utilization Review background,...
Professional Experience Qualis Health (Boise, ID), Director of Idaho Medicare Operations 2007 — Present Qualis Health (Boise, ID), Project Manager 2003 — 2007 Cascade Medical Center (Cascade, ID), Director of Operations & Healthcare Services 2001 — 2003 Shepard's Home, Inc. (McCall, ID), Executive Director 1999 — 2001 Independent Consultant (CA & ID) 1992 — 1999 CIGNA (San Diego, CA), Director of Provider Relations & Director of UM / QA 1985 — 1991 Sharp Memorial Hospital (San Diego, CA), Managing Director
Utilization Review 1984 — 1985 State of California, Department of Mental Health (Sacramento, CA) Health Care Services
Nurse; Mental Health Specialist II 1980 — 1984 Greater Sacramento PSRO (Sacramento, CA), Registered
Nurse 1977 — 1980 Sacramento Community Hospital (Sacramento, CA), Registered
Nurse 1976 — 1977 St. Benedict's Hospital (Jerome, ID), Registered
Nurse 1969 — 1975