
Jessica Wilson, BSN, RN, CCM, CHFN

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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 2019Heart Failure Clinic Nurse Navigator
Oct 2017 - Apr 2019Population Health Nurse Navigator
Aug 2016 - Sept 2017Heart Failure Nurse Navigator
Apr 2015 - Aug 2016Heart Valve Clinic Nurse Navigator
Jun 2014 - Apr 2015Staff Nurse - Cardiovascular Intensive Care Unit (CVICU)
Jul 2012 - Jun 2014Staff Nurse - Oncology / Med Surg
Jun 2011 - Jun 2012

Humana
Apr 2019 - nowIdentifies 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 - nowPersonal 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 NursingJun 2011.webp)
Certified Case Manager (CCM)
Commission for Case Manager Certification (CCMC)Jan 2019
Certified Heart Failure Nurse (CHFN)
American Association of Heart Failure NursesJan 2014
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