Resume Templates: Utilization Review Nurse

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Resume Templates: Utilization Review Nurse


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Michael Taylor

2141 Button Hole Avenue

Cobbler, GA, 39002

Cell: (555) 987-1234

example-email@example.com


Summary


Utilization Review Nurse compares service levels with patient records to verify that all medical standards are being followed. Reviews files, updates records and discusses results with medical staff. Specializes in reviewing cases for senior citizens.

 



Highlights



  • Attention to detail

  • Microsoft Office

  • Filing

  • Lifts more than 200 pounds

  • Oracle database

  • Good phone skills

  • Medicine standards or care

  • Friendly

  • Written and spoken communication skills


 



Work Experience


January 2008 to November 2010 Greater George Peach Hospital

– Cobbler, GA Utilization Review Nurse

– Reviewed client records to compare utilization levels to expected standards of care.

– Updated 1,239 medical records.

– Reported results to State Board of Medicine.


December 2010 to February 2012 Transitional Care for Seniors Health Care Facility

– Cobbler, GA Utilization Review Nurse

– Worked with insurance companies to provide list of expected patient care services.

– Contacted average of 10 insurance companies each week.

– Assesses time parameters for when patient is ready to return home.


May 2012 to April 2014 Methodist Hospital for Children

– Cobbler, GA Utilization Review Nurse

– Reviewed medical claims to compare service level to industry average.

– Considered average of 17 cases per day.

– Remained on-call when insurance company need to review a medical claim quickly.


 



Education


2004 Brickashaw State University, Cobbler, GA Certification, Health Care Management

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