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Registered Nurse, Utilization Review, Claims Analysis

Location:
Batavia, OH
Salary:
78 K
Posted:
April 05, 2019

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Resume:

QUALIFICATIONS:

Master’s Degree in Business Administration

Bachelor’s Degree Business Management

Associate Degree Nursing

Active and unencumbered RN licenses in FL, TX, and MO

Certified case manager (CCM)

Actively pursuing an Industrial and Organizational Psychology degree (I/O Ph.D.)

Proven abilities in positions of:

Leadership and management

Director of nursing (DON)

Corporate Transitions

Director of Infection Control

Risk management

Policy and procedure development

Design and delivery of staff training and development

Design and development of step-actions

Human resource management

Quality assurance (QA)

Professional and personal skills to interface with others on all levels for positive outcomes

EXPERTISE AND ACHIEVEMENTS:

Excellent problem-solving skills

Research analyst skills

Consistent demonstration of high integrity in decision-making and problem-solving processes

Innovative and creative

Excellent customer services skills

Consumer oriented

Effective communicator

Positive team player

High productivity

Proficient physical and psycho-social assessment skills

MDS and OASIS experience

Claims analyst skills

Adept computer skills

Experienced with MS applications and Excel spreadsheets

Listed in WHO’S WHO of Health Care Professionals 1997

Instructor for state tested nursing assistant program

Design and development of orientation and training programs for medical staff

Certified case manager

Effective collaboration with physicians in development of policies and procedures for healthcare services

EDUCATION:

2011- In progress University of Phoenix Phoenix, AZ Industrial and Organizational Doctor of Philosophy

2009 - 2010 University of Phoenix Phoenix, AZ

Master’s Degree in Business Administration

2004 - 2009 University of Phoenix Phoenix, AZ

Bachelor’s Degree in Business Management

1992 - 1994 Cincinnati Technical College Cincinnati, OH

Associate Degree-Nursing

1986 Butler County Joint Vocational School Hamilton, OH

Practical Nursing

CERTIFICATIONS:

2011 Certified Case Manager National



Contact this candidate