Semaya Price
@semayaprice
I secure timely care access through prior authorization and clinical navigation.
United StatesWhat I'm looking for
At Goshen Medical Center, I review prior authorization requests, verify medical necessity, coordinate with insurers and providers, and help patients access needed services without unnecessary delays.
Previously, I supported high-volume public health and labor-and-delivery care, completing patient assessments, obstetric triage, referrals, follow-ups, and patient education. I bring evidence-based protocol knowledge, accurate EHR documentation, and a practical commitment to safe, cost-effective care.
Experience
Work history, roles, and key accomplishments
Prior Authorization Nurse
Goshen Medical Center
Jan 2024 - Jan 2026 (2 years)
Reviewed and processed prior authorization requests, collaborated with providers, and coordinated with insurance companies to resolve issues. Ensured compliance with state regulations and educated patients on coverage.
Public Health Registered Nurse
Wayne County Health Department
Jan 2022 - Jan 2024 (2 years)
Conducted 20-30 patient assessments daily, performed high-volume phone triage for obstetric patients, and coordinated referrals for over 100 patients monthly. Provided patient education and home care guidance.
Labor and Delivery Nurse
Vidant Medical Center
Jan 2019 - Jan 2022 (3 years)
Assisted with 3-6 deliveries per shift, conducted maternal and fetal assessments, and triaged obstetric patients. Educated patients on labor and postpartum care, achieving 100% accuracy in EMR documentation.
Education
Degrees, certifications, and relevant coursework
Fayetteville State University
Bachelor of Science, Nursing
2019 - 2023
Bachelor of Science in Nursing degree from Fayetteville State University from 2019 to 2023.
Sampson Community College
Associate of Science, Nursing
2017 - 2019
Associate of Science in Nursing degree from Sampson Community College from 2017 to 2019.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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