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Manager Health

Location:
Wylie, TX
Salary:
70000
Posted:
April 20, 2016

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Resume:

Karen Myers RN, BSN

Karen Myers RN BSN

**** **** ****

Sachse, Tx 75048

214-***-****

Employment objective: To obtain full time employment to support my family

and have job security. And future retirement ability

Education: Bachelor of Science in Nursing. Northwestern State

University of Louisiana 1981

Employment Employment History:

UNITEDHEALTH CARE CCR UR Review Nurse May 2013- current

Telecommute position working at home reviewing and performing

preauthoriation for mutiple companies assuring benefits and appropriate

ness of proceedure and that policy covers proceedure for employers and

retirees and Obama care .

HEALTH SMART Irving, TX January 2012 - May 2013

Position: Utilization Review staff position. Provide concurrent,

retrospective and preauthorization for multiple companies for health

insurance that was provided to their employees.

REVIEW MED Dallas, TX

November 2012 - December 2012

Position: Utilization review nurse for workers compensation cases and

different employers accounts.

Self insured and state insured policies.

HEALTH SMART Irving, TX February 2010 -

November 2012

Position: Utilization Review staff position. Provide concurrent,

retrospective and preauthorization for multiple companies for health

insurance that was provided to their employees.

CORVEL CORPORATION Addison, TX February 2007-

January 2010

Position: UM Supervisor. Hiring and firing of employees in the UR

department for Dallas Corvel office. Day to Day supervisor of all nurses

and clerical personnel in the office. Budget and reporting responsibilities

for the UM department. Training of new staff and updating of polices and

procedures of the department. To act as a resource for the personnel in

the department.

REVIEW MED Dallas, TX May 2004 -

February 2007

Position: National Utilization Review Director. Overseeing the complete

utilization review department for the entire company and national accounts.

Responsibilities were day to day activities of the department.

Responsibilities of all reporting and budgeting for the department.

Assisted development of policies and procedures for initial accreditation

of the UM department for URAC. With scoring of 100% accuracy of all files

audited on that accreditation.

CAMBRIDGE INTEGRATED SERVICE Dallas, TX May 1999- May 2004

Position: Utilization Review Manager for South West Region (

responsibilities for 5 different offices) Oversight of 5 different offices

of Utilization Review. Utilization Management for workers compensation

clients. Included budgetary and reporting responsibilities. Interacting

with clients and problem solving for clients across the country.

Responsibilities also included management of personnel and hiring and

firing and setting up new accounts. Multiple other responsibilities.

More employment history available on request. Also references available on

request.p



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