Nesuan Jimenez obregon
@nesuanjimenezobregon
Bilingual Registered Nurse specializing in chronic disease case management.
United StatesWhat I'm looking for
I am a bilingual Registered Nurse with over 10 years of progressive experience in chronic disease case management, care coordination, and health coaching. My expertise lies in providing culturally competent virtual care to medically complex, high-risk patients with conditions such as HIV, Chronic Kidney Disease, CHF, COPD, and diabetes. I am passionate about improving patient outcomes and reducing hospitalizations through evidence-based chronic care models and patient-centered interventions.
Currently, I work as a Managed Care Coordinator at Elevance Health, where I manage care for chronically ill patients in Medicaid populations. My role involves leading virtual case management, conducting motivational interviews, and promoting self-management through regular check-ins and patient education sessions. I collaborate with interdisciplinary teams to ensure continuity of care and address care gaps by promoting screenings and preventive services aligned with HEDIS.
My background also includes certifications as a Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC), which enhance my ability to ensure accurate documentation and coding for chronic conditions. I am committed to leveraging my skills and experience to make a meaningful impact in the healthcare field.
Experience
Work history, roles, and key accomplishments
Registered Nurse – Managed Care Coordinator
Elevance Health
Jan 2021 - Present (4 years 7 months)
Managed care for chronically ill patients in Medicaid populations with complex conditions. Led virtual case management, including medication adherence, lab monitoring, and specialist follow-up.
Certified Risk Adjustment Coder (CRC)
Elevance Health
Mar 2021 - Jun 2021 (3 months)
Ensured risk capture accuracy for patients with chronic conditions through thorough ICD-10 coding. Supported claims integrity and accurate documentation for chronic condition coding in Medicaid plans.
Certified Professional Coder (CPC)
Elevance Health
Oct 2020 - Feb 2021 (4 months)
Supported claims integrity and accurate documentation for chronic condition coding in Medicaid plans. Ensured risk capture accuracy for patients with chronic conditions through thorough ICD-10 coding.
Patient Care Coordinator
Strive Health
Jan 2020 - Jan 2021 (1 year)
Supported the Strive Health team in care coordination for patients with Chronic Kidney Disease and ESRD. Educated patients on dialysis options, lifestyle modifications, and disease progression.
Office Assistant Manager / Lead Medical Assistant
Borinquen Medical Center
Jan 2014 - Jan 2020 (6 years)
Managed care for LGBTQ+ patients with chronic illnesses, including HIV and HCV. Participated in CDC Test & Treat and PrEP programs, managing STD prevention and treatment.
Education
Degrees, certifications, and relevant coursework
Unknown
Bachelor of Science in Nursing, Nursing
Currently pursuing a Bachelor of Science in Nursing, expanding my knowledge in advanced nursing practices and patient care. This ongoing education enhances my skills in chronic disease management and health promotion.
Universidad de Ciencias Medicas
Doctor of Medicine, Medicine
2004 - 2009
Completed a comprehensive medical curriculum, gaining foundational knowledge in various medical disciplines. This program prepared me for a career in healthcare, focusing on patient care and medical science.
Availability
Location
United StatesAuthorized to work in
Job categories
Interested in hiring Nesuan?
You can contact Nesuan and 90k+ other talented remote workers on Himalayas.
Message NesuanFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
