Jean Gomez, BSN, RN, CCM
Jean is an experienced healthcare professional with over 27 years of experience in managed care. Her areas of expertise include accreditation oversight for Health Plan Marketplace and Case Management, delegation compliance management, regulatory compliance, utilization management, medical management and case management programs. Jean has led numerous teams in obtaining URAC Accreditation successfully. She has extensive experience in process improvement projects, readiness assessments, corrective action plans, medical management platform implementation and staff training and development for commercial, ACA Marketplace and Medicare lines of business.
Prior to joining Rebellis Group Jean served as the Delegation and Accreditation Oversite Manager for Blue Cross and Blue Shield of Arizona. She holds a Bachelor of Science in Nursing from the University of Arizona and is a Board-Certified Case Manager (CCM).