Julia Reber
San Diego,CA
Summary
Dedicated and experienced registered nurse committed to delivering high-quality patient care and fostering collaborative multidisciplinary teams. Proven ability to leverage advanced clinical skills and leadership experience to drive positive outcomes in dynamic healthcare environments. Passionate about continuous learning and eager to implement Lean Six Sigma principles to optimize processes, enhance patient outcomes, and improve operational efficiency. Prepared to contribute expertise in a new role that values innovation and excellence in nursing practice.
Overview
10
10
years of professional experience
Work History
Nurse Service Manager I
UC San Diego
San Diego, CA, USA
05.2022 - Current
- Led transition of billing services from third-party vendor to Epic, increasing revenue realization by $1.5 million within the first year.
- Reduced clinic overtime through improved staffing strategies and workflow optimization.
- Improved bloodstream infection standardized infection ratio (SIT) from 1.721 to .384 through enhanced infection prevention initiatives.
- Provide administrative and clinical oversight to the daily function and maintenance in an outpatient facility, while overseeing 32 FTE’s.
- Competent in providing leadership while remaining in alignment with 3 union contracts.
- Ensure compliance with CMS regulations and licensing requirements for all clinical staff.
- Continually engage teammates and promote professional and personal growth and development.
- Collaborate with patient experience teams to implement real-time patient feedback surveys using Qualtrics.
- Lead Quality Assessment and Performance Improvement (QAPI) initiatives with the interdisciplinary team to review clinical metrics and implement improvement strategies.
- Implemented processes to improve physician workflow and communication, including medication reconciliation initiatives and streamlined after-hours communication.
Registered Nurse (Acutes)
Rensana
San Diego
06.2018 - Current
- Collaborate with physicians across multiple specialties to provide safe and effective dialysis treatment in all hospital units.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Monitored patient vital signs, documenting changes to inform care adjustments and interventions.
Program Manager III
Fresenius Medical Care
San Diego
03.2021 - 05.2022
- Managed 50 acute dialysis registered nurses across multiple hospital locations.
- Coordinated renal replacement therapies in ICU, transplant, oncology, operating room, emergency department, and medical-surgical units.
- Collaborated with Life Share teams to provide dialysis support during organ procurement procedures.
- Presented monthly operational metrics to hospital leadership and implemented real-time improvements to reduce delays and unnecessary costs.
- Led implementation of multi-treatment dialysis rooms in three hospitals, improving efficiency, reducing treatment delays, and lowering operational costs.
- Developed and implemented program strategies to align with organizational goals and drive performance improvements.
Charge Nurse Acutes
Fresenius Medical Care
San Diego
01.2020 - 03.2021
- Assisted program leadership in meeting contractual obligations with the Sharp HealthCare system.
- Supported training and competency evaluation of 50 acute dialysis nurses.
- Provided dialysis treatments across critical care and specialty units, including ICU, transplant, oncology, and emergency departments.
- Coordinated service continuity during staffing or operational disruptions. (COVID-19)
- Developed and implemented nursing protocols that enhanced quality of care standards.
- Implemented best practices in infection control, resulting in improved patient safety measures.
- Collaborated with physicians to develop personalized treatment plans based on patient assessments.
Float RN
Fresenius Medical Care
08.2019 - 01.2020
- Provided clinical coverage across outpatient dialysis clinics experiencing staffing shortages.
- Delivered individualized dialysis care while educating patients and families on disease management and treatment plans.
- Administered medications and treatments in accordance with established protocols and patient care plans.
- Implemented infection control measures to maintain a safe environment for patients and staff.
- Educated patients and families on health management strategies, promoting adherence to treatment regimens.
- Monitored vital signs and reported changes in patient conditions to appropriate healthcare providers promptly.
Facility Administrator
Davita
11.2015 - 03.2019
- Provide administrative and clinical oversight to the daily function and maintenance in an outpatient facility, overseeing 20 FTEs.
- Led interdisciplinary team including nurses, social workers, dietitians, nephrologists, and patient care technicians.
- Ensured compliance with CMS regulatory requirements and clinical quality standards.
- Participated in the development and successful CMS certification of a new dialysis facility.
- Fostered strong team culture focused on patient-centered care and employee engagement.
- Coordinated maintenance activities ensuring optimal facility functionality and safety standards.
- Analyzed operational metrics to identify areas for cost reduction and efficiency gains.
- Managed personnel matters, including hiring, onboarding, evaluations, and promotions.
Registered Nurse
Vitas
San Diego
02.2018 - 07.2018
- Provided compassionate end-of-life care and symptom management.
- Educated families on medication management and comfort-focused care plans.
- Administered patient care plans, ensuring adherence to best practices and regulatory standards.
- Collaborated with interdisciplinary teams to optimize treatment plans for terminally ill patients.
- Educated families on end-of-life care options and emotional support resources available.
Education
Masters of Science - Nursing
Chamberlain University
Chicago, IL03-2029
Bachelors of Science - Nursing
Eastern Michigan University
MichiganAssociate Degree - Applied Science
Henry Ford College
MichiganSkills
- Leadership & Team Building: Proven ability to lead clinical teams with confidence and clarity Skilled in task delegation, fostering collaboration, and maintaining a positive, solutions-focused work environment
- Patient-Centered Care: Passionate about delivering compassionate care and comprehensive patient education with strong follow-up to support health outcomes
- Renal Replacement Therapy Expertise: Clinically competent in intermittent hemodialysis (IHD), peritoneal dialysis (PD), continuous renal replacement therapy (CRRT), and plasmapheresis (TPE)
- Technical Proficiency: Experienced with a wide range of dialysis and apheresis equipment, including Fresenius H, K, and T models, Braun, NxStage, Liberty Cycler, Optia, and multiple portable reverse osmosis systems
- Process Improvement: Lean Six Sigma Green Belt certified (2023); able to identify inefficiencies and implement process improvements to support clinical and operational excellence
- Financial Strategy: Demonstrated success in managing clinic budgets and reducing financial losses through strategic resource planning and cost containment initiatives
COMMUNICATION
Presented at local conventions to support dialysis patients in California against SB 349 and Prop 8. Met with local assembly members and other members of the local government to ensure that they were educated on the negative impact that would be faced by their constituents if either SB 349 or Prop 8 passed.
Timeline
Nurse Service Manager I
UC San Diego
05.2022 - Current
Program Manager III
Fresenius Medical Care
03.2021 - 05.2022
Charge Nurse Acutes
Fresenius Medical Care
01.2020 - 03.2021
Float RN
Fresenius Medical Care
08.2019 - 01.2020
Registered Nurse (Acutes)
Rensana
06.2018 - Current
Registered Nurse
Vitas
02.2018 - 07.2018
Facility Administrator
Davita
11.2015 - 03.2019
Masters of Science - Nursing
Chamberlain University
Bachelors of Science - Nursing
Eastern Michigan University
Associate Degree - Applied Science
Henry Ford College