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Ms Utilization Management
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Degrees
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MA, Computer Resources and Information Management, Webster University - with emphasis in health care management information systems.
BS, Health Arts, University of St. Francis
Registered Nurse, E. J. Meyer Memorial Hospital School of Nursing
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My Expert Service
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-Senior Manager with US and international experience as an accomplished health care manager and health care consultant.
-Creative, results oriented problem solver.
-Ability to develop and maintain forthright relationships with ministry of health officials and staff, facility staff and physicians, and clients.
-Policy and Procedure, Concept Paper and Proposal Development.
-Medical Management and Quality Improvement Program Development.
-Medical MIS Management Report Design.
-Training Course Development and Implementation
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Experience & Qualifications
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Direct, coordinate and manage daily departmental activities in utilization management (UM) and quality management (QM) activities including HIPAA compliance.
-Develope and implemente department-wide position descriptions and evaluate individual potential.
-Assess and rewrite all policies and procedures for both UM and QM.
-Create an atmosphere of confidence and excitement in the departments so that staff was able to deliver excellent, efficient service.
-Ensure all processes conform to health plan, National Committee for Quality Assurance and Federal and State governmental regulations.
-Plann, organize and implement quality improvement projects --Directe, coordinate and manage daily departmental activities in utilization management (UM) and quality management (QM) including HIPAA compliance and Member Services.
-Team leader for 17-country assessment, training, and support in results based management.
-Provided assessment and recommendations for data integration from diverse Egyptian Ministry of Health and Population management information systems.
-Assessment and recommendations for integration of two disparate Egyptian Ministry of Health and Population quality improvement programs.
-Develop and provide training courses in utilization management and case management
-Served as director and planning consultant for start-up operation for care and rehabilitation of children with mental disabilities.
-Established foundations for management information systems, human resources, marketing and outpatient clinic.
-Provided guidance, direction and leadership for executive management team.
-Concept paper, proposal and budget development for various clients.
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Available Modes Of Communication
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email/chat
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Contact
Ms Utilization Management
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