08/03/2026
BOARD MEMBER HIGHLIGHT:
Koby Mitchell, MSN, RN, CMCN
Director, Utilization Management
Associated Care Ventures/ Simpra Advantage Plan
Koby Mitchell, MSN, RN, CMCN has been an active member of the American Association of Managed Care Nurses (AAMCN) since 2020 and has held her Certified Managed Care Nurse (CMCN) credential since 2021. In 2025, she was honored as AAMCN’s Managed Care Nurse Leader of the Year, with one nominator describing her as “one of the most respected and most knowledgeable leaders in our company.” Koby also served as a presenter at the nursing preconference during the 2025 Fall Managed Care Forum. She currently volunteers as an AAMCN mentor, actively encourages membership, and supports colleagues pursuing CMCN certification.
With more than 18 years of experience across utilization management, case management, and managed care operations, Koby brings a comprehensive understanding of healthcare delivery spanning inpatient, outpatient, post-acute, and appeals environments. Her professional experience includes Medicare Advantage, Medicaid, D-SNP, I-SNP, and commercial health plans, providing a broad and balanced perspective on the evolving managed care landscape.
Koby also facilitates a comprehensive training and mentorship course for nurses transitioning from bedside roles into utilization management, focused on regulatory knowledge, practical workflows, and real-world case application. Her work reflects a commitment to workforce development, regulatory excellence, and advancing the practice of managed care nursing.
