About yashira wilson:
Motivated registered nurse with 4 years experience on a cardiovascular intensive care unit, progressive cardiac care unit, and One Call services. Graduated from Florida State College of Jacksonville. Self motivated individual with a positive attitude excited about progression and helping to build with teams and patients!
Experience
Baptist Medical Center 2018-current
- Collaborates with physicians, nurses, families, patients, adminstration and other health care providers to effectively and professionally communicate information
- Provides competent and compassionate care that results in a high level of patient satisfaction
- Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients.
- Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care
- Practices autonomously, consistent with practice standards and research based policy/procedures
- CVICU nurse responsible for critical life care to patients
One Call
- Team Lead Trainer for Claims Utilization Review department
- Expert review and authorization through phone and electronic communication for payment requests per established criteria, while meeting compliance standards and timeframes
- Review all requests not approved by the non-clinical support rep to determine in network coverage and repayment regarding ICD-9 and ICD-10 codes
- Assist the Prior Authorization non-clinical representatives with the Prior Authorization process
- Coordinate and maintain complete written documentation on all prior authorizations requests.
- Collaborate with other Florida Blue departments, such as Claims, UM, Quality, Disputes/Appeals, and other external vendors
Education
- Florida State College at Jacksonville Nursing graduate 12/2018 License #9503900
- St. Johns River Community College, Associate in Arts Degree
- Currently enrolled and Florida State College at Jacksonville for Bachelors Degree
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