CHRISTOPHER SANDOVAL
Fountain Valley,CA
Summary
Talented Utilization Review Specialist considered critical thinker and problem-solver due to medical records analysis and understanding of authorization guidelines. Known for having great rapport with providers and insurance carriers.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Utilization Review Specialist
Cipher Billing
10.2023 - Current
- Demonstrated strong analytical skills by assessing clinical data to determine treatment appropriateness..
- Streamlined workflows and increased efficiency by implementing new software tools and technology for tracking utilization data.
- Created and maintained higher level partnerships with our clients while providing education, direction, and high quality service to obtain SA/MH treatment authorization.
- Identified trends in insurance carriers, providing valuable insights to ensure our partners could effectively treat their clients.
Case Manager
The District Recovery Center
03.2022 - 10.2023
- Contacts client's family upon arrival to our facility, per consents signed upon intake
- Updates family and clinical team as to the client's progress
- Open and maintain case records as established by The District Recovery Center policy and procedures
- Work cooperatively with other community resources and referral sources to coordinate services to clients if needed
- Assist in the assessment of area needs for mental health, substance abuse, and program services
- Possess writing skills to accurately chart client progress
- Communicate clearly and assertively with clients and staff
- Lecture in large and/or small group setting
- Carry out other responsibilities as delegated.
Behavioral Health Technician
Akua Mind & Body
01.2022 - 03.2022
- Work directly under Clinic Director to ensure for safety of all clients
- Assist in medication protocol
- Coordination of Client transportation and assistance with client activities
- Creating and maintaining a safe, comfortable, and client-focused treatment environment
- Maintain strict client confidentiality/HIPAA compliance
- Ensuring 100% client satisfaction with care
- Complete client charting on electronic healthcare software (KIPU)
- Adherence to facility policy and procedures, State & Federal law, and Joint Commission accreditation regulations and standards.
Education
Certified Alcohol Drug Counselor I -
CCAPP Academy - Virtual
03.2022
High School Diploma -
Tucumcari High School - Tucumcari, NM
05.2015
Skills
- Adept Multi-tasker
- Advanced Analytical and Critical Thinking Skills
- Efficient and Effective Problem Solver
- Strong Written and Verbal Communication Skills
- In Depth Knowledge of SA/MH Treatment
- Delivering Difficult News With Empathy and Professionalism
Accomplishments
2024 Q2 D.I.G. Award Recipient
Certification
- RADT-I, 10/25/23
- CPR and AED, 9/26/23
Timeline
Utilization Review Specialist
Cipher Billing
10.2023 - Current
Case Manager
The District Recovery Center
03.2022 - 10.2023
Behavioral Health Technician
Akua Mind & Body
01.2022 - 03.2022
Certified Alcohol Drug Counselor I -
CCAPP Academy - Virtual
High School Diploma -
Tucumcari High School - Tucumcari, NM
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