DWIGHT DANIEL R. YOUNG
Registered Nurse
Quezon City
Summary
with a diverse background in clinical care, utilization review, and corporate healthcare operations. Proven expertise in remote clinical support, medical necessity evaluation, and patient education. Adept at managing complex documentation in EHR systems and coordinating care between multidisciplinary teams.
Overview
18
18
years of professional experience
Work History
Utilization Review Nurse
Calibrated Clinical Solutions
07.2023 - Current
- Evaluate 50 -80 medical necessity cases and appropriateness of healthcare services by reviewing medical records.
- Provide increased clinical guidance to patients regarding treatment options, benefits, and risks.
- Coordinate with healthcare providers to recommend appropriate courses of care and gather clinical data.
- Collaborate with insurance companies to ensure treatment coverage and manage clinical appeals.
- Maintain compliance with healthcare regulations and internal clinical guidelines.
- Utilize virtual care platforms, EHR systems, and remote patient monitoring tools.
Staff Nurse
Urology Center of the Philippines, Inc.
05.2021 - 01.2022
- Provided patient education and detailed discharge instructions.
- Maintained 10 accurate medical charts and documentation in accordance with hospital standards.
- Contributed valuable insights during interdisciplinary rounds on complex cases requiring advanced clinical decision-making skills and specialized nursing interventions.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Educated patients on disease prevention and management strategies, empowering them to make informed decisions about their health.
Provisioning Analyst (Sales Processing/Deals Desk)
RingCentral Philippines
07.2018 - 05.2021
- Reviewed and approved pricing quotes within SFDC and monitored sales cycles with 100 % Order Fulfillment.
- Coordinated with internal departments including Legal, Finance, and Sales Operations.
- Identified opportunities for automation within the provisioning process, leading efforts towards implementing new tools and technologies to maximize efficiency.
- Managed vendor relationships through regular communication and coordination of services, maintaining high-quality partnerships.
- Liaised with sales representatives to clarify order details when necessary, promoting accurate fulfillment of customer requirements.
Collection Specialist
Wells Fargo Enterprise Global Services
11.2014 - 09.2017
- Managed overdue accounts, resolved billing issues, and maintained accurate interaction records with 100% Promise-to-Pay & less than 20% delinquent Portfolios.
- Collaborated with internal teams to improve organizational processes and procedures.
- Cultivated a professional demeanor when dealing with difficult customers, displaying empathy while remaining assertive in achieving desired outcomes.
- Optimized account prioritization by analyzing customer data, enabling more targeted and effective collection efforts.
Collection Specialist
HSBC Electronic Data Processing Philippines
01.2013 - 04.2014
- Assisted delinquent customers with financial settlements and handled bank account queries.
- Researched accounts and completed due diligence to resolve collection problems with 100 % Promise-to-Pay arrangements.
- Boosted overall collection efforts through building strong relationships with clients that fostered trust and open communication lines.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Order Management Specialist
Alorica Philippines (formerly WEST CORPORATION)
09.2010 - 09.2012
- Ensured order accuracy and efficient logistics for AT&T Business Solutions.
- Managed high volumes of orders, consistently meeting deadlines and maintaining accuracy throughout the process with 100 % fulfilled subscriptions.
- Reviewed orders for accuracy, errors and omissions to minimize incorrect shipments.
- Strengthened relationships with key accounts through proactive problem-solving and superior service delivery.
- Supported sales team for increased revenue generation by efficiently managing orders and maintaining customer satisfaction.
Medical Claims/Benefits & Eligibility Specialist
Hinduja Global Solutions
01.2008 - 07.2009
- Handled provider inquiries, fraud checks, and pre-certifications for AETNA Medical Insurance with 80-100 calls/day.
- Assisted clients with accurate eligibility form, application and document completion.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Education
Active PRC Registered Nurse (RN) License -
Bachelor of Science - Nursing
Far Eastern University
04.2001 -
Skills
Remote patient care coordination
Patient care plans
Home health care
Discharge planning
Outpatient care
Utilization review
Patient Education
Clinical assessment
Healthcare regulations
Documentation and reporting
Timeline
Utilization Review Nurse
Calibrated Clinical Solutions
07.2023 - Current
Staff Nurse
Urology Center of the Philippines, Inc.
05.2021 - 01.2022
Provisioning Analyst (Sales Processing/Deals Desk)
RingCentral Philippines
07.2018 - 05.2021
Collection Specialist
Wells Fargo Enterprise Global Services
11.2014 - 09.2017
Collection Specialist
HSBC Electronic Data Processing Philippines
01.2013 - 04.2014
Order Management Specialist
Alorica Philippines (formerly WEST CORPORATION)
09.2010 - 09.2012
Medical Claims/Benefits & Eligibility Specialist
Hinduja Global Solutions
01.2008 - 07.2009
Bachelor of Science - Nursing
Far Eastern University
04.2001 -
Active PRC Registered Nurse (RN) License -
References
- Amelia Garcia, Former Team Leader, Hinduja Global Solutions, 0917-5174317
- Myka Sion, Data Area Manager, Alorica Philippines, 0917-871-7770
- Mars L. De Vera, Bank Officer, Wells Fargo Philippines, 0927-729-6869
Education And Licensure
Active PRC Registered Nurse (RN) License,