Nancy Gerstell

Nancy Gerstell is an experienced nursing professional specializing in utilization management and discharge planning. Currently serving as a Utilization Management and Discharge Planning Nurse at Santa Clara Family Health Plan since March 2017, Nancy is recognized as a subject matter expert in utilization review and complex case management, with comprehensive knowledge of Milliman Care Guidelines and California MediCal policies. Previous roles include Hospital Liaison Nurse at Pathways Hospice and Director of Care at Blue Ribbon Home Care, where exceptional patient care and service quality were prioritized. Nancy has also held positions such as Prior Authorization Review Nurse at Central California Alliance for Health and Program Manager at Spine One, focusing on healthcare efficacy and chronic pain management. Additional experience includes roles in occupational health nursing and medical sales supervision, complemented by education from Bauman College, St. Clair County Community College, and Franciscan University.