Summary
Overview
Work History
Education
Skills
Accomplishments
License
References
Timeline
Generic

ReeAnn Zamora

Orange,CA

Summary

Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends with HMO and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.

Overview

16
16
years of professional experience

Work History

Manager, Case Management

Optum, UnitedHealth Group
03.2020 - 05.2024
  • Managed and motivated employees to be productive and engaged in work.
  • Achieved departmental goals by developing and executing strategic plans and performance metrics.
  • Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
  • Accomplished multiple tasks within established timeframes.
  • Effectively built professional relationships with providers and other internal and external partners utilizing verbal and written communication skills.

RN Case Manager –Model of Care, Transition of Care and Disease Management Programs

Optum, UnitedHealth Group
01.2013 - 03.2020
  • Practiced compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA) as it relates to care coordination activities.
  • Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
  • Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.

CEU Course Instructor

Flex-Ed
01.2010 - 01.2013
  • Promoted a positive classroom culture by fostering mutual respect among students and setting high expectations for behavior and academics.
  • Evaluated students' understanding of course material through examinations and in-depth essay writing.
  • Worked with average of 5 participants per class.

RN Case Manager-Patient Educator Sweet Success Prg

Pomona Valley Hospital Medical Center
01.2008 - 01.2011
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Managed 8-10 daily patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.

RN Staff Nurse

Labor And Delivery

20+ years of experience

Education

Bachelor of Science - Nursing

California State University of Dominguez Hills
Carson, CA

Associate of Science - Nursing

Mt. San Antonio College
Walnut, CA

Skills

  • Team Leadership
  • Complex Problem-Solving
  • Strategic Planning
  • Teamwork and Collaboration
  • Computer Skills
  • Results-Oriented
  • Adaptable
  • Knowledge of NCQA, CMS, DHCS regulations

Accomplishments

  • Mentor to Leaders to improve employee satisfaction
  • Team Lead Subject Matter Expert
  • Ironman Finisher at Arizona Ironman

License

Registered Nurse, California

References

References Available Upon Request

Timeline

Manager, Case Management

Optum, UnitedHealth Group
03.2020 - 05.2024

RN Case Manager –Model of Care, Transition of Care and Disease Management Programs

Optum, UnitedHealth Group
01.2013 - 03.2020

CEU Course Instructor

Flex-Ed
01.2010 - 01.2013

RN Case Manager-Patient Educator Sweet Success Prg

Pomona Valley Hospital Medical Center
01.2008 - 01.2011

RN Staff Nurse

Labor And Delivery

Bachelor of Science - Nursing

California State University of Dominguez Hills

Associate of Science - Nursing

Mt. San Antonio College
ReeAnn Zamora