JAE DESHIELDS
Miami,Florida
Summary
Dedicated Registered Nurse, committed to providing quality compassionate patient care. Proven ability to work effectively with interdisciplinary teams to ensure patient outcomes.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Risk Management Retrieval Specialist
Humana
05.2021 - 08.2021
- Collaborated with healthcare providers to utilize EMR clinical medical records submitted to CMS and other government agencies for review
- Mastered multiple EMR systems remotely to download and upload patient information. Managed large number of emails. calls and patient documents
- Collaborated with providers for record retrieval and review following all HIPPA guidelines.
Marketing Outreach Specialist
WellCare Health Plan
08.2016 - 09.2020
- Developed Medicare/Medicaid community-based population marketing enrollment events which educated members as well new targeted members to health plan CSM compliantly, increasing membership
- Established partnerships for successful marketing sites with Physicians, CBO’s, NYPD, Fitness Centers
- Managed sales agents, marketing material, event sites, daily incentives, and vendor reimbursement
- Implemented tracking, analysis, and key performance indicators of marketing sales events
- Organized daily marketing events with healthcare partners for Wellness, Healthy Initiative Programs
- Created wellness event for each line of business Medicare, Medicaid Military and Commercial
- Ensured all marketing events are compliantly scheduled on Salesforce platform CSM regulations
- Initiated advocate marketing events which improved member retention for targeted audiences
- Continually monitored and tracked emerging data activities of competitive industry health plan
- Coordinated with member services department regarding member Medicare/Medicaid issues
- Participated in management, provider related, and medical group STAR improvement meetings.
Education
Bachelor of Science - Organizational Leadership
Manhattan College
Bachelor of Science - Nursing
Western Governors University
Skills
- Strong Clinical Judgement and Critical Thinking
- Electronic Medical Records and Documentation
- Patient Assessment and Management
- Blood Draw and Intravenous Therapy
- Medication Administration and Treatment
- Leadership Teamwork Communication and Management Skills
- Remote Office Availability
- MS Office
Certification
- Life
- Accident and Health
- Notary
Licenses
Registered Nurse
Life Health and Accident
- Notary
Timeline
Risk Management Retrieval Specialist
Humana
05.2021 - 08.2021
Marketing Outreach Specialist
WellCare Health Plan
08.2016 - 09.2020
Bachelor of Science - Organizational Leadership
Manhattan College
Bachelor of Science - Nursing
Western Governors University
Similar Profiles
Lindsey WilsonLindsey Wilson
Grievance & Appeals Representative 3 at HumanaGrievance & Appeals Representative 3 at Humana
Monifah CocroftMonifah Cocroft
Healthcare Customer Service Representative at HumanaHealthcare Customer Service Representative at Humana
James BarnettJames Barnett
Data Manager 2 at HumanaData Manager 2 at Humana
Deirdre BerrebieDeirdre Berrebie
Utilization Review Nurse at HumanaUtilization Review Nurse at Humana
Melanie CowanMelanie Cowan
Receptionist at Miami Lakes AutomallReceptionist at Miami Lakes Automall