Taila Dominguez
Denham Springs
Summary
Reliable individual bringing 3 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
2
2
years of professional experience
Work History
UTILIZATION REVIEW SPECIALIST / DISCHARGE PLANNER
Woodlake Management
07.2020 - 05.2022
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Discharge planning and transportation coordination.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Supervised and maintained all utilization review documentation through excel.
- Built rapport with clinical director, counselors, and case managers
Education
GED -
Christa McAuliffe Center
Baton Rouge, LA05.2018
Skills
- Documentation and Reporting
- Discharge planning
- Team collaboration
- Strive under pressure
- Interpersonal and Written Communication
- Excellent time management
Personal Information
Title: Utilization Review Specialist
Timeline
UTILIZATION REVIEW SPECIALIST / DISCHARGE PLANNER
Woodlake Management
07.2020 - 05.2022
GED -
Christa McAuliffe Center
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