Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

India Borczyk

Nashville

Summary

Dynamic UR Specialist with a proven track record at Carolina House, excelling in utilization review and compliance. Skilled in data analysis and staff leadership, I advocate for patients while enhancing operational efficiency. Recognized for training new employees and driving strategic decision-making through comprehensive reporting and quality assurance initiatives.

Overview

15
15
years of professional experience
1
1
Certification

Work History

UR Specialist

Carolina House Eating Disorder Treatment
06.2025 - Current
  • Conduct telephonic authorizations, retro reviews, denials, and appeals.
  • Maintain document compliance and quality assurance.
  • Train and mentor new employees.
  • Advocate for patients via chart appeals.
  • Prepare reports, spreadsheets, and special tasks for leadership.

Assistant Director of Utilization Management/Intake Coordinator

Timberline Knolls
06.2010 - 03.2025
  • Oversaw telephonic authorizations, retro reviews, denials, appeals, and compliance documentation while ensuring quality assurance and efficiency.
  • Supported executive leadership with reports, spreadsheets, and special projects to drive strategic decision-making.
  • Trained and mentored employees, managed payroll, and fostered collaboration to strengthen departmental performance.
  • Acted as liaison between clinical staff, medical directors, insurance providers, external partners, and billing companies while advocating for patients through appeals.

Clinical Site Instructor

Midwestern College
05.2017 - 09.2017
  • Developed and implemented engaging curriculum aligned with educational standards.
  • Facilitated interactive learning experiences to enhance student understanding and retention.
  • Mentored junior instructors, promoting teaching best practices and effective classroom management techniques.
  • Evaluated student performance through assessments, providing constructive feedback for improvement.

Education

Associate of Science - Nursing Administration

Midwest Technical Institute
IL

Bachelor of Science - Nursing Administration

College of DuPage
Glen Ellyn, IL

Skills

  • Operations Management & Strategic Planning
  • Contract Management & Negotiation
  • Utilization Review & Case Management
  • Discharge Planning & Patient Care Plans
  • Regulatory Compliance & Documentation
  • Data Analysis & Reporting
  • Staff Leadership & Coordination
  • Time Management & Efficiency

Certification

  • Certified Yoga Instructor RYT 500
  • Certified Surgical Technologist BLS and Restraint
  • Certified Nursing Assistant
  • Certified Phlebotomy Tech

Timeline

UR Specialist

Carolina House Eating Disorder Treatment
06.2025 - Current

Clinical Site Instructor

Midwestern College
05.2017 - 09.2017

Assistant Director of Utilization Management/Intake Coordinator

Timberline Knolls
06.2010 - 03.2025

Associate of Science - Nursing Administration

Midwest Technical Institute

Bachelor of Science - Nursing Administration

College of DuPage
India Borczyk