Mark de Arco
Quality Assurance Specialist @Titanium Healthcare Inc
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WORK HISTORY
Quality Assurance Specialist @Titanium Healthcare Inc
US
Review member records, encounters, case notes, and care plans to ensure accuracy, completeness, and compliance with CalAIM and Managed Care Plan requirements. Identify documentation, clinical, or regulatory gaps in program performance. Analyze trends to improve documentation standards and care delivery. Work with clinical teams and program leadership to provide feedback on audits.
EDUCATION
California Career Institute
Practical Nursing, Vocational Nursing and Nursing Assistants
Santa Ana College
Registered Nursing/Registered Nurse
SKILLS
ABOUT MARK DE ARCO
Licensed Vocational Nurse, highly motivated, friendly, enthusiastic and independent, with over 20 years of healthcare experience including superior patient care and customer service, concurrent review, complex medical case management and referrals management, denials and audit. License and Certifications include Licensed Vocational Nurse, Certified ACLS/BLS, Certified CPI, MAB & PART, Certified IV Therapy, Certified Phlebotomy Blood Withdrawal, Physical Therapy Assistant, Certified ACLS, Certified EKG Tech, Excellent Customer Service Advanced PC Applications Word, Excel, Expert with Milliman Care Guidelines, EPIC, IDX, EZCAP, mediTech and Practice Connect, six sigma, or person centered planning, NCQA GAS
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