Geraldine Rivera

Utilization Management at Centene Corporation

Role
Utilization Management at Centene Corporation
Location
Grand Island, FL, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Geraldine Rivera

Dr. Geraldine Rivera has more than 20 years of experiences in the health care field. That include direct care and the administrative setting. In the administrative field include case management and utilization management in hospital and insurances companies. Among its qualities are leadership, responsibility, implementation of strategic plans, decreased medical expenses, medical utilization management, independent and group work. Other experiences include, the opportunity to teach college courses in sciences and nursing. Also has experiences with differents data base like qnxt, Milliman guide and interqual guide.

Experience

  1. Utilization Management

    Centene Corporation

    Jan 2018 — Present · Orlando, FL, US

Education

  • Atlantis University

    Master's degree, Healthcare Administration

    2019 — 2020

  • Pontificia Universidad Católica de Puerto Rico

    BSN, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing

    1995 — 1999

  • Iberoamerican University, Dominican Republic

    Doctor of Medicine (MD), Medicine

    2003 — 2007

  • Jardines De Ponce

    General Education, 1994

    1991 — 1994

  • Asociacion de Facturadores de Puerto Rico

    Medical Billing

    2016 — 2016

Skills

  • Curriculum Design
  • Social Media
  • Program Management
  • Internal Medicine
  • Microsoft Office
  • Medicine
  • Treatment
  • Change Management
  • Process Improvement
  • Staff Development
  • Higher Education
  • Teaching
  • Microsoft Word
  • Medicare
  • U.s. Health Insurance Portability and Accountability Act (Hipaa)
  • Healthcare Management
  • Leadership
  • Training
  • Data Analysis
  • Customer Service
  • Risk Management
  • Employee Benefits
  • Medical Education
  • Health Insurance
  • Business Analysis
  • Public Speaking
  • Spanish
  • Surgery
  • English
  • Strategic Planning
  • Marketing Strategy
  • Project Management
  • Hipaa
  • Microsoft Excel
  • Acls
  • E-Learning
  • Management
  • Patient Safety
  • Leadership Development
  • Hospitals

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Geraldine Rivera — Utilization Management at Centene Corporation in Grand Island, FL, US | Unifers