Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Timeline
Generic
Dax Baca

Dax Baca

Grayson,GA

Summary

Attentive Desktop Support Technician with 1 years correcting and preventing system malfunctions to mitigate downtime. Versed in both on-site and remote support provisioning. Excels at rapidly and reliably identifying hardware or software weaknesses for remediation through quick and cost-effective means. 15 years of building desktop computers and troubleshooting a home network. Skilled Registered Nurse with broad base of experience in technical support and operations. Resolves problems quickly, delivering high levels of customer satisfaction. Excellent knowledge of Microsoft Windows operating systems.

Overview

11
11
years of professional experience
1
1
Certificate

Work History

Utilization Review Nurse

The Judge Group Inc.
Rancho Cordova, CA
10.2019 - 03.2020
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Performed admission reviews based for medical necessity based upon Milliman Care Guidelines, company, state, and federal specifications.
  • Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries
  • Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
  • Obtained authorizations from multiple insurance carriers for various levels of care.


Nurse Medical Management II

Anthem Blue Cross
Walnut Creek, CA
12.2017 - 10.2019
  • Responsible to collaborate with healthcare providers and members to promote effective use of resources for more complex medical issues
  • Ensures medically appropriate, high quality, cost effective care through assessing medial necessity of inpatient admissions
  • Utilizes Medical policy and industry standards
  • Works with medial directors in interpreting appropriateness of care and accurate claims payment
  • Conducts continued stay review and care coordination to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts with 30 cases per day

Registered Nurse

US Army
Leesville, LA
05.2010 - 06.2014
  • Worked in a high volume Post-Anesthesia Care Unit, and served as a Case Manager on a Medical Evaluation Board.
  • Managed care from admission to discharge.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.




Licensed Practical Nurse

US Army
San Antonio, TX
08.2004 - 08.2008
  • Worked on a high volume Burn ICU and Burn Medical Surgical Unit.
  • Chosen to be a member of the Institute of Surgical Research Burn Flight Team out of 17 military LPN's.
  • Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Supervised a team of 20 LVN's comprised of civilian and military personnel and managed the monthly schedule.
  • Selected to configure a hemodynamic monitoring device to communicate with the bedside monitor and electronic medical record which facilitated the necessity for upgrading the beside monitor system.
  • Selected to the role of Equipment NCO and was responsible for $1.2 million in medical equipment.

Help Desk Support Technician

Stream International
Carrollton, TX
03.1999 - 03.2000
  • Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
  • Provided end-user system and equipment training.
  • Walked user through series of steps to determine problem and implement likely solution.
  • Logged activities in tracking system to maintain accurate, timely records.
  • Explained technical information in clear terms to promote better understanding for non-technical users.
  • Installed, modified and repaired software and hardware to resolve technical issues.

Education

Master of Science - Health Informatics

University of Scranton
Scranton, PA
2021

Bachelor's Degree - Nursing

Tarleton State University-School of Nursing
5.2010

Skills

  • Highly Professional
  • Multitasking and Prioritization
  • Hardware and Software Repair
  • Tracking and Documentation
  • Analytical and Methodical
  • Interpersonal Skills
  • Collaborative Team Player
  • Microsoft Windows and Office
  • Verbal and Written Communication
  • Technical Troubleshooting
  • Organizational Skills
  • Attention to Detail
  • Issue and Resolution Tracking
  • Friendly and Patient
  • User Support
  • Quick Learner

Additional Information

17 years of military and leadership experience training soldiers and civilians in a team oriented environment. Worked as a Customer Service Representative for Stream Industries in Carrollton, TX as a hardware support specialist for Dell laptop computers in a busy call-center for 6 months before transferring to software support for Microsoft Office for an additional 3 months. Experienced with building multiple home desktop computers.

Certification

  • CompTIA ITF+, Npower - April 2022
  • Google IT Support, Npower - April 2022

Timeline

Utilization Review Nurse

The Judge Group Inc.
10.2019 - 03.2020

Nurse Medical Management II

Anthem Blue Cross
12.2017 - 10.2019

Registered Nurse

US Army
05.2010 - 06.2014

Licensed Practical Nurse

US Army
08.2004 - 08.2008

Help Desk Support Technician

Stream International
03.1999 - 03.2000

Master of Science - Health Informatics

University of Scranton

Bachelor's Degree - Nursing

Tarleton State University-School of Nursing

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Dax Baca