Area Bay
Resume:
Resume
Wilmer Joseph E. Rivera, RN BSN MBA
Phone: 510-***-****
Email: *******@*****.***
Profile
A goal-directed, highly motivated, result oriented professional with a strong medical experience and
education. Possess excellent communication skills, strong initiative and analytical thinking. Keep insights
into the needs and views of others. Keen to identify issues and/or problem areas and form innovative
solutions.
Education
University of San Carlos, Philippines
Bachelors of Science in Nursing – Registered Nurse
University of Phoenix, California
Masters in Business Administration 2007
Licenses and Certificates
License Registered Nurse in California and Washington State
License Vocational Nurse in Washington State
Certified Phlebotomist by Eden Hospital
Certified Intravenous Nurse Consultant in California
Certified Advance Life Support Nurse
Certified Basic Life Support
Certified 12-lead EKG Nurse
Certified Geriatric Nurse – Washington State (1992-1995)
Certified Chemotherapy Nurse
Leadership Training
Studer Group
Managing Task Leading People (MTLP)
L.E.A.N.
Organizations
American Nurses Association
California Nurses Association
National Healthcare for Quality Professionals
Beacon Collaborative
CAHSAH
NHPCO
CAHN
ASHRM
Other Skills:
Typing – 40-50 wpm
Proficient in Microsoft Word, Excel, Powerpoint, Outlook and other Microsoft office programs
Work History
August 1, 2013 – Present
ResCare Home Care
101 Callan Ave. Suite 405
San Leandro, CA 94577
Position: Director of Patient Care Services
Duties and Responsibilities:
Clinical: Provides supervision, direction and leadership to clinical and non-clinical staff. Responsible for
reviewing and screening skilled and non-skilled cases for admission. Provides clinical expertise in the area of
nursing, quality, utilization management, infection control, staff development, training and education, and
case management. Has a collaborative role in organization’s strategic planning in the areas of clinical,
operational and financial.
Quality and Regulatory: Responsible for ensuring all regulatory and agency standards and guidelines are
followed and maintained. Ensure that organization is survey ready at all times. This is accomplished by
performing regular audits and performance improvement review, mock surveys, rounding, medical record
review/audit and track and trending.
Risk Manager: Ensure that organization is protected from any operational, financial, human, legal and
technological risks. This is accomplished by regular risk assessments, tracking and trending any unusual
occurrences and or adverse events, risk management education and training and in-services.
Compliance Officer: Ensure organization follow the HIPAA, HITECH and Confidentiality laws and
standards. This is accomplished through monitoring and PHI, controlling and tracking dissemination of
protected health information, Tracking and trending, education and training, annual HIPAA, HITECH and
Confidentiality laws training, implementing security and confidentiality features in computers, phone, fax
machines, copy machines and electronic health records.
May 2013 – Present
Brightstar Healthcare
7080 Donlon Way
Dublin, CA
Position: Director of Patient Care Services
Duties and Responsibilities:
Clinical: Provides supervision, direction and leadership to clinical and non-clinical staff. Responsible for
reviewing and screening skilled and non-skilled cases for admission. Provides clinical expertise in the area of
nursing, quality, utilization management, infection control, staff development, training and education, and
case management. Has a collaborative role in organization’s strategic planning in the areas of clinical,
operational and financial.
Quality and Regulatory: Responsible for ensuring all regulatory and agency standards and guidelines are
followed and maintained. Ensure that organization is survey ready at all times. This is accomplished by
performing regular audits and performance improvement review, mock surveys, rounding, medical record
review/audit and track and trending.
Risk Manager: Ensure that organization is protected from any operational, financial, human, legal and
technological risks. This is accomplished by regular risk assessments, tracking and trending any unusual
occurrences and or adverse events, risk management education and training and in-services.
Compliance Officer: Ensure organization follow the HIPAA, HITECH and Confidentiality laws and
standards. This is accomplished through monitoring and PHI, controlling and tracking dissemination of
protected health information, Tracking and trending, education and training, annual HIPAA, HITECH and
Confidentiality laws training, implementing security and confidentiality features in computers, phone, fax
machines, copy machines and electronic health records.
June 2012 – August 2013
Hospice By The Bay
17 E. Sir Francis Drake Blvd.
Larkspur, CA 94939
Position: Director of Quality Management
Duties:
Quality and Regulatory: Responsible for ensuring all regulatory and agency standards and guidelines are
followed and maintained. Ensure that organization is survey ready at all times. This is accomplished by
performing regular audits and performance improvement review, mock surveys, rounding, medical record
review/audit and track and trending.
Risk Manager: Ensure that organization is protected from any operational, financial, human, legal and
technological risks. This is accomplished by regular risk assessments, tracking and trending any unusual
occurrences and or adverse events, risk management education and training and in-services.
Compliance Officer: Ensure organization follow the HIPAA, HITECH and Confidentiality laws and
standards. This is accomplished through monitoring and PHI, controlling and tracking dissemination of
protected health information, Tracking and trending, education and training, annual HIPAA, HITECH and
Confidentiality laws training, implementing security and confidentiality features in computers, phone, fax
machines, copy machines and electronic health records.
May 2010 – June 2012
Alameda County Medical Center
1411 E. 31st Street
Oakland, CA 94602
Position: Regulatory/Quality Manager
Duties: Responsible for updating, revising and development of policies and procedures; ensure organization
is compliant with CMS, The Joint Commission, Title 22, Cal-OSHA, and regulatory bodies standards;
provide education and training in regards to new quality and regulatory initiatives such as HAI, EHR and
etc.; perform case studies and root cause analysis for identified unusual occurrences; plan new programs and
initiatives/project to improve quality patient care; excellent interpersonal and communication skills to
promote team building which translates to positive results from leadership and line staff.
Committee involvement:
Medication Safety Committee
Pharmacy and Therapeutics Committee
Harm Reduction Team
Value Analysis Team
Medical Executive Committee
Environment of Care Committee
November 2010 – July 2011
Telecare Corporation
Marina Parkway
Alameda, CA
Position: Regulatory and Compliance Consultant
Duties: Provide consulting service in regards to regulatory and quality compliance; assess programs and
quality initiatives and provide recommendation to improve systems, processes and throughput; ensure
organization is prepared and ready for The Joint Commission, CMS, Title 22, and Cal-OSHA surveys.
May 2007 – May 2010
Fairmont Alameda County Hospital
15400 Foothill Blvd.
San Leandro, CA 94578
Position: Director of Nursing Services
Associate Administrator (V.P.)
Duties: Fiduciary responsibility for a 110-bed facility with over 200 employees; strategic planning to meet
short and long term clinical, administrative and operational goals; Manage and lead managers and
supervisors; hiring and recruitment responsibilities.
February 2005 – May 2007
Employer: Alameda County Medical Center
1411 E. 31st Oakland, CA 94602
Position: Medical Quality Lead Coordinator
Duties: A medical quality coordinator’s essential responsibility is to collect medical data for case studies,
present to the quality review committee, and provide education to the medical providers through the medical
quality review committee monthly meetings. The quality coordinator inputs closed cases to the medical
database and formulate quarterly reports for the medical executive committee.
Other Responsibilities: Collects and Audits History and Physical Examinations on a
monthly basis.
Provide re-orientation/education to the entire Medical Center staff regarding performance improvement on an
annual basis.
Collects, monitors, and aggregates monthly Performance Measurement Reports for the Medicine and
Emergency Department for identified threshold areas such as documentation issues, practitioner related
issues, system/process issues, and Mortality and Morbidity cases.
Programs: Proficient in OASGold System, Wellsoft System, Meditech System, Clinical Pathways,
MagicWeb System and Peer Review System.
November 2000 – February 2005
Employer: Alameda County Medical Center
Position: Charge Nurse/ Staff Nurse
Unit: Transitional Care Unit
Duties: Delivers care to acutely ill adolescent, adult and geriatric patient through the nursing process of
assessment, patient, significant others, and other health team members, while maintaining standards of
professional nursing. Assume responsibility for nursing care and patient safety while in the Telemetry.
Provide direct and indirect nursing care of Telemetry during departmental stay. Supervise and manage staff
nurses. Serve as resource nurse. In charge with managing staffing, patient, family, medical staff issues and
collaborate with inter-department managers.
Provision of quality nursing care. Assessing, planning, implementing and evaluating the care of patients;
supervises and delegates tasks as needed to professional and para-professional personnel. Coordinates
activities for the successful operations of the department and maintains efficient department functions
working closely with providers and staff.
November 1996 – November 2000
Employer: Alameda County Medical Center
Position: Charge Nurse
Unit: Medical-Surgical Floor
Duties: Supervise and manage staff nurses. Serve as resource nurse. In charge with managing staffing,
patient, family, medical staff issues and collaborate with inter-department managers. Provide chemotherapy
treatment and collaborate with the Chemo Clinic for planning and treatment.
Perform simple to moderately complex Nursing procedures within the scope of practice of a Registered
Nurse.
Perform a comprehensive patient assessment.
Obtains, interprets, records and reports vital signs, (temperature, pulse, respiration and blood pressure)
height, weight and other pertinent patient information to the provider.
Prepare patients for examinations and other procedures.
Develop an appropriate nursing care plan.
Implement a plan of care by performing nursing interventions and assisting with procedures.
Perform various patient tests and procedures within the scope of practice of the registered nurse.
Administer medications and other therapeutic modalities within the scope of practice of a registered nurse.
Collect, labels and transports various specimens to appropriate destination.
Perform patient and family teaching.
Maintains clinical standards outlined in the clinical operations policy and procedure manual; identifies
deficiencies and makes recommendations for change.
Documents and maintains records of medical and nursing procedures.
Coordinate with providers and ancillary departments to plan daily work assignments according to staff
abilities, patient schedules, patient flow, provider schedules and procedures.
June 1997 – June 1998
Employer: Fairmont Alameda County Hospital
Position: Emergency/ Triage Nurse
Unit: Emergency Department and Urgent Care Clinic
Duties: Responsible for telephone triage and walk-in triage. Assist with physician with minor surgeries,
elective procedures and more. Provide education/teaching to patients according to disease/ condition.
May 1996 – June 1997
Employer: Eden Hospital – Baywood Court
21966 Dolores St.
Castro Valley, CA 94546
Position: Clinical Manager
Duties: Practices the art of nursing in accordance with the Nurse Practice Act by utilizing nursing process
and prevention tactics (assessment, planning, implementation and evaluation). Manage staff nurses, nursing
assistants and supervisors. Provide strategic planning in regards day to day department operations. Perform
administrative tasks such as hiring, evaluations and termination. Collaborates with other professional
disciplines to ensure effective and efficient patient care delivery and desired patient outcomes. Respond
competently to emergency situations.
Responsible for providing professional nursing care; assessing, planning, implementing and evaluating the
care of patients; supervises and delegates tasks as needed to professional and para-professional personnel.
The Nurse Manager coordinates activities to ensure smooth flow of clinical and administrative operations.
September 1995 – May 1997
Employer: Gran Care - Driftwood Manor
19700 Hesperian Blvd.
Hayward, CA 94541
Position: Clinical Manager
Duties: Act as the gate-keeper for operation of the facility. Evaluate admissions in collaboration with the
DON, Case Manager and Admissions Coordinator to assure proper utilization and appropriate placement.
Accountable for the time lines of the RAI process. Provide daily supervision of patient care to include first
level monitoring responsibility for significant changes in patient clinical condition. Provide crisis intervention
backup for unit charge nurses in dealing with patient complaints or family concerns. Conducts daily rounds
of all patients and is apprised for any changing conditions. Determine the needs for appropriate training in
collaboration with the Director of Staff Development. Maintain staff adherence to nursing policies and
procedures.
Manage staff nurses, certified nursing assistant, housekeeping, and volunteers. Audits and monitor MDS, care
plans, admission data, and update psychotropic drugs. Participate in family care conferences.
February 1993 – September 1995
Employer: Seattle Keiro – Nikkei Concerns
Position: Supervisor/ Staffing Coordinator
Duties:
Supervisor –Leads and directs the diagnosis-based teams in the care and service of select patient populations
across the health care continuum. Promote effective and appropriate utilization of clinical, ancillary and
material resources. Assumes a leadership role with the interdisciplinary team to define and achieve optimal
clinical and resource outcomes. Assures patients in assigned populations/diagnostic groups receive care that
consistently follows evidence-based standards and is in accordance with organizational goals including: core
measure, disease-specific care measures, and regulatory standards as defined by the program.
Staffing Coordinator – Responsible for monthly staffing schedules. Coordinate and collaborate with nurse
managers for staffing budgeting responsibilities.
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