Yohan Columna, RN

Experience

• 

  House of Tires

  Sept 2009 - Dec 2011

  Tire Repairer

  Identified and inflated tires correctly for the size and ply.Placed wheels on balancing machines to determine counterweights required to balance wheels.Located punctures in tubeless tires by visual inspection or by immersing inflated tires in water baths and observing air bubbles.Replaced valve stems and removed puncturing objects.

• 

  Walmart

  Mar 2012 - Apr 2013

  Inventory Control Specialist

  Received and counted stock items, and recorded data manually and using a computer.Packed and unpackaged items to be stocked on shelves in stockrooms, warehouses, and storage yards.Stored items in an orderly and accessible manner in warehouses, tool rooms, supply rooms, and other areas.Cleaned and maintained supplies, tools, equipment, and storage areas to ensure compliance with safety regulations

• 

  Boom Fitness Park Avenue

  Aug 2013 - Mar 2014

  Maintenance

  Serviced, cleaned, and supplied restrooms.Gathered and emptied trash.Cleaned building floors by sweeping, mopping, scrubbing, and vacuuming.Cleaned windows, glass partitions, and mirrors, using soapy water and other cleaners, sponges, and squeegees.

• 

  Healthfirst

  Mar 2015 - now

  Perform outreach calls to Medicaid/Medicare dual eligible members regarding benefits questions, issues, concerns, care coordination, critical incident reports, emergency preparation calls, and screening assessments to identify risk factors requiring case management intervention.Outreach calls to providers regarding authorizations, visits, tests, and faxed care plans. Receive referrals from RightFax and within the interdisciplinary care team. Documentation of accurate Members demographic information.Handle multiple inbound/outbound calls within interactive phone system.Scheduled transportation via OnContact via calling agencies, checking availability, and faxing authorizations.Created authorizations for dual-eligible(Medicaid & Medicare) Beneficiaries.Managed a caseload of 200 members per month outreaching each member at least once per month and performing monthly screening and assisting to each unique request..Trained employees in (CCMS), Medicaid/Medicare rules and guidelines, OnContact, Interactions, Customer Service, Rightfax, and authorizations.Requested clinical information from hospital and providers.Worked in a team with a nurse, social worker, and clinical manager.Created authorizations for personal care assistants, personal emergency response systems, durable medical equipments, adult day cares, environmental support, etc Show less

  • Care Manager

    Nov 2023 - now

  • Business Analyst

    Apr 2022 - Nov 2023

  • Support Coordinator

    Mar 2015 - Nov 2023