Maintained detailed documentation of all utilization review activities according to applicable standards.
Identified opportunities for improvement within the utilization review process through data analysis.
Documented all utilization review activities, findings, and decisions in patient records and databases.
Obtained authorization for services from utilization review organization and monitored status of authorizations to track approval or complete re-authorization requests.
Attended conferences and training sessions related to utilization review topics such as best practices or new technologies.
Developed reports summarizing results from utilization review activities.
Defined and applied utilization review methods to guarantee conformance with medical coverage plans.
Line Supervisor
Cactus Juice Bottling Company
Graham, TX
05.2022 - 07.2023
Planned weekly meetings with staff members to discuss progress towards goals.
Monitored production flow for quality assurance purposes.
Performed regular inspections of equipment for maintenance requirements.
Managed inventory levels by monitoring stock usage and restocking supplies as necessary.
Enforced company policies and procedures to maintain a safe working environment.
Communicated regularly with management regarding departmental needs or issues.
Provided coaching on job-specific skills when required.
Resolved personnel issues with tact and diplomacy.
Provided guidance, support, and direction to team members when needed.
Assisted in the recruitment process for new hires as needed.
Encouraged positive communication between employees at all times.
Developed action plans for addressing any areas of concern or improvement opportunities.
Conducted performance evaluations on staff members and provided feedback.
Recommended measures to improve production methods, equipment performance and quality of products.