Jessica Wilson, BSN, RN, CCM, CHFN

Jessica Wilson, BSN, RN, CCM, CHFN

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  • Timeline

  • About me

    Special Needs Plan (SNP) - Telephonic Care Manager at Humana

  • Education

    • Trinity Valley Community College

      -
      Associate Degree in Applied Science Registered Nursing/Registered Nurse
    • The University of Texas at Arlington

      -
      Bachelor of Science in Nursing Registered Nursing/Registered Nurse
  • Experience

    • CHRISTUS Trinity Mother Frances Health System

      Jun 2011 - Apr 2019
      • Heart Failure Clinic Nurse Navigator

        Oct 2017 - Apr 2019
      • Population Health Nurse Navigator

        Aug 2016 - Sept 2017
      • Heart Failure Nurse Navigator

        Apr 2015 - Aug 2016
      • Heart Valve Clinic Nurse Navigator

        Jun 2014 - Apr 2015
      • Staff Nurse - Cardiovascular Intensive Care Unit (CVICU)

        Jul 2012 - Jun 2014
      • Staff Nurse - Oncology / Med Surg

        Jun 2011 - Jun 2012
    • Humana

      Apr 2019 - now

      Identifies and prioritizes health risk factors, provides individualized education, guidance, and actionable goal setting with members to improve self-management of health, decrease avoidable admissions, improve STAR measures, and support the connection between high-risk health behaviors and improved health outcomesCoordinates care directly with members, providers, and associates within the interdisciplinary care team (ICT)Serving as a team lead, Preceptor Subject Matter Expert (SME), Business Improvement Leaders (BIL) SME, Nurse Ambassador, and Well-Being AdvocateStar Award: 12/2024 Show less Individualized education, guidance, and actionable goal setting with members to improve self-management of health, decrease avoidable admissions, and support the connection between high-risk health behaviors and improved health outcomesCollaborated within a multi-disciplinary care team to support overall health of members: nurses, social workers, mental health professionals, regional medical directors, non-clinical enrollment staff, and customer serviceEnrollment and engagement with a high-risk member population with focus on right level of care, patient advocacy and promotion of self-efficacy through motivational interviewing, care coordination, and identification and closure of barriers to careSME: Community Health Network site and Member EnrollmentSelected by leadership for the following Pilot projects: Site of Care, Vela, EPICC / Avoidable Admissions, and JVIONTrained multiple departments and developed training materials for the Vela PilotSTAR Awards: Member Engagement 11/2020 and Project Excellence 09/2021Humana Summit Award nomineeTop Performer: Productivity and Quality New Hire Preceptor Show less

      • Special Needs Plan (SNP) - Telephonic Care Manager

        Jul 2023 - now
      • Personal Nurse - Telephonic Care Manager

        Apr 2019 - Jun 2023
  • Licenses & Certifications

    • Unrestricted Single-State RN Licensure - CA, CT, IL, MI, NV, NY, OR

      Board of Nursing
    • Unrestricted Multi-State eNLC RN Licensure - TX

      Texas Board of Nursing
      Jun 2011
    • Certified Case Manager (CCM)

      Commission for Case Manager Certification (CCMC)
      Jan 2019
    • Certified Heart Failure Nurse (CHFN)

      American Association of Heart Failure Nurses
      Jan 2014