Dominick Alvarez
San Francisco
Summary
Compassionate Registered Nurse with experience offering comprehensive patient care in outpatient environments. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.
Overview
10
10
years of professional experience
1
1
Certification
Work History
RN Home-Health Case Manager
Sutter Health
08.2025 - Current
- Demonstrated knowledge of Medicare regulations governing Home Health Services, including OASIS data collection requirements.
- Implemented interventions to promote health maintenance and disease prevention strategies based on established standards of care.
- Managed complex caseloads of chronically ill patients while demonstrating compassion and empathy for their unique needs.
- Coordinated services between primary physician, specialists, community agencies, and other resources to meet the holistic needs of each patient.
- Educated patients and family members on disease process, treatments, medications, safety measures, self-care techniques, nutrition counseling, and lifestyle modifications.
- Performed medication reconciliation upon admission and at each visit thereafter, ensuring accuracy of drug regimen prescribed.
- Developed and maintained patient care plans with other healthcare professionals.
Director of Patient Care and Services
CareMo Home-Health
09.2024 - 07.2025
- Managing the nursing staff, ensuring they deliver care according to established standards and protocols.
- Implementing and monitoring quality improvement initiatives to enhance patient outcomes.
- Staying up-to-date on federal and state regulations and ensuring the agency adheres to them.
- Recruiting, training, and supervising home health nurses.
- Collaborating with physicians, therapists, and other healthcare providers to develop comprehensive patient care plans.
- Ensuring accurate and timely documentation of patient care.
- Providing in service to clinicians.
- Conduct audits of patient records to ensure accuracy in documentation.
- Conduct recruitment, hiring, and training of personnel.
Resident Care Director
Integral Senior Living
07.2024 - 03.2025
- Conduct comprehensive resident assessments, develop individualized care plans, and ensure care plans are implemented consistently by staff, addressing any changes in resident health status.
- Hire, train, and supervise all resident care staff, to ensure they are properly trained in providing quality care and adhering to established procedures.
- Monitor and evaluate the quality of care provided to residents through regular observation, resident feedback, and incident reporting, taking corrective action when necessary.
- Oversee the safe and accurate administration of medications according to physician orders and facility policies.
- Respond promptly to resident emergencies, coordinating necessary medical interventions and documenting all incidents accurately.
- Maintain open communication with residents, families, physicians, other healthcare professionals, and facility staff to ensure coordinated care.
- Ensure compliance with all local, state, and federal regulations related to resident care, including documentation requirements and reporting procedures.
- Advocate for the needs and rights of residents, promoting resident dignity and choice.
- Manage the resident care department budget, including staffing costs, supplies, and equipment.
Critical Care Unit Registered Nurse
Kentfield Hospital
03.2024 - 08.2024
- Step-down ICU nurses, also known as step-down unit (SDU) nurses, care for patients who are stable enough to leave the intensive care unit (ICU) but still need close monitoring and care.
- Explained policies, procedures, and services to patients.
- Assessed competency of clinical staff to promote quality, continuity, and safety.
- Reviewing staffing requirements and adjusted schedules accordingly based on census data.
- Collaborated with other departments to develop innovative strategies for improving patient care outcomes.
- Analyzed medical records for trends in diagnoses or treatments that could lead to improved outcomes for patients.
- Utilized critical thinking skills when making decisions about appropriate interventions for critically ill patients.
- Educated families on post-discharge care needs of patients with critical illness.
Assistant Director of Nursing
CareMo Home-Health
09.2023 - 03.2024
- Managing the nursing staff, ensuring they deliver care according to established standards and protocols.
- Implementing and monitoring quality improvement initiatives to enhance patient outcomes.
- Staying up-to-date on federal and state regulations and ensuring the agency adheres to them.
- Recruiting, training, and supervising home health nurses.
- Collaborating with physicians, therapists, and other healthcare providers to develop comprehensive patient care plans.
- Ensuring accurate and timely documentation of patient care.
- Providing in service to clinicians.
- Conduct audits of patient records to ensure accuracy in documentation.
- Conduct recruitment, hiring, and training of personnel.
Home Health (Full-Time/Temp)
On Lok Pace Center
07.2022 - 03.2023
- Exhibited excellent communication skills when interacting with physicians, staff and families.
- In our department of Home Care, most of what we do is doing Care giver supervision.
- This is to make sure that our Care Giver is complying with the plan of care that is given.
- Coordinating with Home Care Supervisor for any behavioral issue of the caregiver or issue in the service.
- Coordinating with our Clinic Department for any triage patient that needs care in the community.
- Our communication works smoothly thru Outlook email, Slack, Epic, and by phone.
- I usually get 21 patients to visit for CG Supervision for a month and Triage usually visits 5-10 patients or even more.
- It varies.
- Regularly visits patients to monitor the Patient's condition, assess their wounds, and change dressings as required.
- Home care nurses provide care to patients in their homes under the guidance of registered nurses and physicians.
LVN/Charge Nurse (Full-Time/Per-Diem)
Seaton Coastside
04.2016 - 12.2022
- It is a short-term and long-term rehabilitation and skilled nursing facility with 115 beds capacity.
- Basic nursing duties (Medication, minor treatment, Vital Signs, Assessment).
- Step up as treatment nurse to the whole facility.
- Wound assessment and measurement, coordinating with wound doctor, and making suggestions to the treatment plan.
- Step up to LVN Assistant for RN Role with supervision.
- Direct communication to Physician.
- Receiving new patient endorsement and discharging patients.
- Supervising LVNs includes encouragement and auditing.
- Became a leader and team player.
- One of the super-users and teaching my colleagues how to use E-MAR.
- Step up and works on revising and auditing Care Plans.
- Coordinating to IDTs.
- Goes to different places or companies to facilitate Flu-Vaccination and Health Assessment.
- Utilized excellent communication skills to collaborate effectively with other healthcare professionals, patients, and families.
LVN Health Educator (Seasonal)
Kaiser Permanente Medical
09.2015 - 09.2018
- Confidently providing vaccination and health information to our patients.
- Encourage and promote total health.
- Each year we were able to exceed our target patients/clients census.
- Including expanding our partnership to different places, especially in Tech Companies and construction companies.
- Honored to be the one who gave Flu-Vaccines to former San Francisco Mayor, Mr. Ed Lee, and in the San Francisco Municipal on different department levels.
Education
MS - OB
Dominican University of California
San Rafael, CA01.2020
Bachelor of Science - Nursing
Arellano University
Manila, Philippines, US01.2010
Skills
- Basic life support
- Advanced cardiac life support (ACLS) certification
- Wound Care
- Patient Assessment
- Administering Medications and Treatments
- IV Management
- Infection Control Protocols
- Care Planning
- Patient Care Plan Development
- Patient Triage
- Patient education
- Case Management
- Infection control management
- Specimen collection
- Health screening
- Culturally-sensitive care
- Discharge coordination
- Healthcare billing
Certification
RN BSN, 95333427
Languages
English
Full Professional
Timeline
RN Home-Health Case Manager
Sutter Health
08.2025 - Current
Director of Patient Care and Services
CareMo Home-Health
09.2024 - 07.2025
Resident Care Director
Integral Senior Living
07.2024 - 03.2025
Critical Care Unit Registered Nurse
Kentfield Hospital
03.2024 - 08.2024
Assistant Director of Nursing
CareMo Home-Health
09.2023 - 03.2024
Home Health (Full-Time/Temp)
On Lok Pace Center
07.2022 - 03.2023
LVN/Charge Nurse (Full-Time/Per-Diem)
Seaton Coastside
04.2016 - 12.2022
LVN Health Educator (Seasonal)
Kaiser Permanente Medical
09.2015 - 09.2018
Bachelor of Science - Nursing
Arellano University
MS - OB
Dominican University of California