Summary
Overview
Work History
Education
Skills
Additional Information
Licenses
Timeline
Generic

Warren Bacariza

Beloit,WI

Summary

Smart Utilization Review Nurse considered critical thinker and problem-solver due to dynamic patient care planning and understanding of Medicare guidelines. Known for having great rapport with providers and insurance carriers.

Overview

4
4
years of professional experience

Work History

Executive Assistant to the Chief Executive Officer

Powerhouse America LLC
01.2023 - Current
  • Responded to emails and other correspondence to facilitate communication and enhance business processes.
  • Managed complex calendar scheduling with focus on proper allocation of executive availability.
  • Contributed to smooth business operations by planning and organizing meetings and conferences.
  • Screened calls and emails and initiated actions to respond or direct messages for managers.

Utilization Review Nurse/Team Leader

Shearwater Health Advisors
07.2019 - 10.2022
  • Performed prior authorization review of services requiring notification.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Supervised and maintained all utilization review documentation.
  • Served as subject matter resource, providing information related MVA situations.
  • Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.

Education

Bachelor of Science in Nursing -

Asian College of Technology
Cebu City, Philippines
03.2011

Skills

  • Team collaboration
  • Expense reporting
  • Research capabilities
  • Resource allocation
  • Process improvement
  • Interpersonal skills
  • Multitasking abilities
  • Document preparation
  • Vendor management
  • Strategic Planning

Additional Information

With ongoing online course in Improving Global Health: Focusing on Quality and Safety at Harvard University

Licenses

Registered Nurse

Philippines

License Number: 0720035


Licensed Professional Teacher

Philippines

License Number: 1378519


Registered Nurse

TX, USA

License Number: 1142881

Timeline

Executive Assistant to the Chief Executive Officer

Powerhouse America LLC
01.2023 - Current

Utilization Review Nurse/Team Leader

Shearwater Health Advisors
07.2019 - 10.2022

Bachelor of Science in Nursing -

Asian College of Technology

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Warren Bacariza