CYNTHIA J. NIMMO
Corona,CA
Summary
Accomplished Senior Medical Social Work Case Manager with 28 years of experience across managed care, health systems, and community health organizations. Proven expertise in care coordination, complex case management, Medicare/Medi-Cal, social determinants of health (SDOH), and care continuum optimization. Skilled in program management, cross-functional collaboration, stakeholder engagement, and improving access, quality, and continuity of care. Holds a Master of Public Health (MPH) and brings strong leadership, analytical, and problem-solving skills to healthcare administration and program planning roles.
Overview
1
1
Certification
29
29
years of professional experience
Work History
Senior Medical Social Work Case Manager
CAREMORE HEALTH
Cerritos, CA
12.2011 - 08.2026
- Cultivated strategic partnerships with healthcare, community, and social service stakeholders.
- Leveraged community networks to expand access to essential resources and services.
- Directed referrals within benefit structures to optimize service access and utilization.
- Designed and implemented performance metrics and assessment tools to measure member functioning and service outcomes.
- Evaluated and optimized social work interventions to improve goal attainment and member outcomes.
- Partnered with RN Care Managers and leadership to develop, execute, and monitor individualized care strategies.
- Assessed self-management capabilities and identified alternative resources to address service gaps.
- Advised members on solutions to complex social, cultural, financial, and healthcare access barriers.
- Developed and operationalized integrated housing strategies, policies, and
Care Transitions Coach
SCAN HEALTH PLAN
Long Beach, CA
01.2010 - 01.2011
- Care Continuum Management: Coordinated safe, high-quality transitions for patients from inpatient hospitalizations and skilled nursing facilities (SNFs) into the community, minimizing readmission risks.
- Facilitated client-centered coaching sessions for diverse health plan members.
- Developed personalized wellness plans to enhance member engagement and adherence.
- Collaborated with healthcare providers to ensure comprehensive member support.
- Relationship Management: Established strategic partnerships with internal healthcare teams and external providers to uphold daily quality of care and ensure accurate, timely documentation.
Wellness Coordinator
UNITEDHEALTH GROUP
Cypress, CA
01.2008 - 01.2010
- Developed wellness programs that promoted physical and mental health for employees.
- Executed individualized wellness initiatives targeting stress management, tobacco cessation, and lifestyle modifications.
- Coordinated workshops on stress management and healthy living techniques to foster engagement.
- Managed employee wellness challenges to incentivize healthy lifestyle choices.
- Led interdisciplinary teams to monitor consumer progress and enhance treatment frameworks.
Public Health Graduate Practicum
LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES
Long Beach, CA
01.2007 - 01.2008
- Program Planning & Outreach: Coordinated community education forums, senior health outreach, and elder abuse awareness programs with local agencies to enhance community engagement.
- Grants & Data Analysis: Researched grants, evaluated best program practices, and developed customer satisfaction metrics to assess and improve community impact.
- Executed daily operational tasks with precision in a fast-paced environment.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Senior Personal Care Planner
SCAN HEALTH PLAN
Long Beach, CA
01.2000 - 01.2008
- Caseload & Budget Management: Managed high-volume caseload of 145+ senior members, creating and administering individualized care plans that adhered to strict monthly budget allocations.
- Compliance & Reporting: Ensured compliance with CMS guidelines through rigorous telephonic and in-home assessments, producing detailed reports that informed care strategies.
- Served as primary liaison between physicians, hospitals, medical groups, and community providers to enhance service access and integrate care effectively.
Social Worker Assistant
Life Steps Foundation, Inc., Adult Day Health Care Center
Inglewood, CA
01.1998 - 01.2000
- Managed 50+ client caseload, facilitated support groups, developed behavioral support plans, and coordinated care across multiple agencies.
- Documented client progress and maintained accurate records of services provided.
- Supported clients with daily living activities and personal care needs.
- Supported planning of meaningful activities to enhance client engagement. and coordinating engaging activities for clients.
Education
Master of Public Health (MPH) - Community Health
Walden University
Bachelor of Arts (BA) - Social Work
California State University, Los Angeles
Skills
- Performance evaluation and outcome measurement
- Resource allocation and process enhancements
- Medicare and CMS compliance standards
- Comprehensive assessments and evaluations
- Client advocacy and support
- Project management and coordination
- Problem solving and analysis
- Organizational skills and efficiency
- Analytical thinking and insights
- Multitasking capabilities
Certification
End of Life Care Management, Advanced Care Planning, Dementia Care Management, National Alzheimer's Association, Tobacco Cessation / Wellness Certification, Grant & Proposal Writing
Affiliations
- American Public Health Association (APHA) | Member (2006 Present)
- Sigma Gamma Rho Sorority, Inc. | Member since 1997
- American Public Health Association
Timeline
Senior Medical Social Work Case Manager
CAREMORE HEALTH
12.2011 - 08.2026
Care Transitions Coach
SCAN HEALTH PLAN
01.2010 - 01.2011
Wellness Coordinator
UNITEDHEALTH GROUP
01.2008 - 01.2010
Public Health Graduate Practicum
LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES
01.2007 - 01.2008
Senior Personal Care Planner
SCAN HEALTH PLAN
01.2000 - 01.2008
Social Worker Assistant
Life Steps Foundation, Inc., Adult Day Health Care Center
01.1998 - 01.2000
Master of Public Health (MPH) - Community Health
Walden University
Bachelor of Arts (BA) - Social Work
California State University, Los Angeles