Lindsay Munguia

• Obtained authorizations from multiple insurance carriers for various levels of care.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Performed prior authorization review of services requiring notification.
• Performed admission reviews based for medical necessity based upon ASAM and TAC specification.
• Supervised and maintained all utilization review documentation through Sigmund/Aura.
• Evaluated patient histories, complaints, and current symptoms.

• Documented therapeutic goals and client progress.
• Implemented therapeutic interventions to promote awareness and growth.
• Documented client progress to track effectiveness and inform future treatment plans.
• Supported clients in developing coping skills to help patients manage life challenges and difficulties.
• Facilitated support groups, supporting safe and collaborative environments for clients.
• Utilized evidence-based techniques to deliver successful treatment.
• Helped clients work through emotional and psychological issues in both individual and group therapy sessions.

Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.

• Resolved discrepancies with client applications to verify eligibility.
• Processed and certified documents for accuracy and compliance with government regulations.
• Communicated with people from various cultures and backgrounds on application process.
• Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
• Reviewed applications for different aid programs and determined which qualification criteria for individuals.
• Interviewed applicants and explained scope of different available benefits.
• Facilitated information and resource exchanges with external agencies to progress client applications.

• Performed case management tasks to enforce court-ordered child support obligations.
• Researched legal, financial and other records to obtain data needed to secure and enforce child support cases.
• Monitored cases for support order compliance and made adjustments.
• Interviewed involved parties to confirm facts, verify data and locate persons and financial assets.
• Documented data and completed accurate updates to case records.