Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Rhea Santos

Poway

Summary

Healthcare professional with extensive experience in Skilled Nursing Facilities, Home Health, and Utilization Management. Demonstrated leadership in staff development and regulatory compliance, enhancing employee competencies. Expertise in home health /outpatient case management and effective communication, driving quality improvements within multidisciplinary teams.

Overview

19
19
years of professional experience

Work History

Director of Staff Development

Ridgeview Health Center
San Diego
2025.02 - Current
  • Developed training programs to enhance employee skills and knowledge.
  • Collaborated with leadership to align development initiatives with organizational goals.
  • Implemented onboarding processes for new staff to ensure smooth integration.
  • Mentored staff members to foster professional growth and career advancement.
  • Coordinated with external vendors for specialized training resources and expertise.
  • Developed and implemented staff training programs to ensure employee competency in job duties.
  • Ensured compliance with government regulations related to employee education requirements.

NURSE QA EDITOR

Delta Home Health, Inc.
San Diego
2018.01 - Current
  • Responsible for chart auditing/review and staff education for documentation and QI (Quality Improvement).
  • Promotes compliance with Federal, State and local regulatory agencies.
  • Makes corrections based on collaboration with clinicians.
  • Assures confidentiality of clinical records.
  • Follows reporting procedures mandated by Medicare and other payers for completions of notes/charts.

LVN

Ridgeview Health Center
San Diego
2023.01 - 2025.02
  • Administer medications 20-25 patients, administer enteral feedings, provide wound care treatments, check blood sugar.
  • Supervise 3-4 CNAs.
  • Transcribe MD orders.
  • Charge nurse - handles patient admissions and discharges, paperworks.
  • Developed training programs to enhance employee skills and knowledge.
  • Evaluated training effectiveness through participant feedback and assessments.
  • Implemented onboarding processes for new staff to ensure smooth integration.
  • Collaborated with leadership to align development initiatives with organizational goals.
  • Mentored staff members to foster professional growth and career advancement.
  • Coordinated with external vendors for specialized training resources and expertise.
  • Developed and implemented staff training programs to ensure employee competency in job duties.
  • Ensured compliance with government regulations related to employee education requirements.

UM Case Manager

Care1st Health Plan (now Blue Shield of Ca)
San Diego
2014.01 - 2017.01
  • Case Management for Ambulatory with SPD and Medicare members.
  • Case Management for Home Health, Hospice and DME.
  • Review approvals for authorization, reauthorizations, denials, and modifications.
  • Managed client assessments to determine healthcare needs and service eligibility.
  • Facilitated communication between clients, families, and medical teams.
  • Collaborated with multidisciplinary teams to enhance service delivery quality.
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Participated in regular team meetings and in-house training sessions to boost group effectiveness.

Nurse Intake/Staffing Coordinator

Unicare Home Health, Inc.
San Marcos
2011.01 - 2013.01
  • Verify patient's eligibility.
  • Review qualifications for home health admission.
  • Delegate clinicians for home visits.
  • Follow up and transcribe MD orders.
  • Coordinated and planned work shift schedules according to availability.
  • Kept track of timekeeping responsibilities and employee time off requests when completing schedules.

Nurse Intake/Staffing Coordinator

Topcare Home Health, Inc.
San Diego
2007.01 - 2011.01
  • Verify patient's eligibility.
  • Review qualifications for home health admission.
  • Delegate clinicians for home visits.
  • Follow up and transcribe MD orders.
  • Managed scheduling and coordination of home health visits for clients.
  • Coordinated and planned work shift schedules according to availability.

Education

License Vocational Nurse Certification -

Maric College
San Diego, CA
01.2004

Certified Nursing Assistant Certification -

Villa Monte Vista
Poway, CA
01.2000

GED Certificate -

Poway ROP
Sabre Springs, CA
01.2000

High School Diploma -

Narvacan National Central High School
Philippines
01.1999

Skills

  • Ambulatory Case Management
  • Home Health Case Management
  • Hospice Case Management
  • Outpatient Case Management
  • Case Management Software
  • MCG
  • Care Coordination
  • Communication Skills
  • Leadership Skills
  • Management Skills
  • Clinical Assessments
  • LVN Skills
  • Computer Literacy
  • Organizational Skills
  • Time Management

References

  • Mark Javier, Nurse Practitioner - Wound Healing Care Specialist, (858) 335-0379
  • Karla Kaye Flores, License Vocational Nurse - Imperial Health, (858) 757-4934
  • Cirvy Cortes dela Cruz, Systemwide HIM/ROI Operations Manager - UCSD, (323) 683-8682

Timeline

Director of Staff Development

Ridgeview Health Center
2025.02 - Current

LVN

Ridgeview Health Center
2023.01 - 2025.02

NURSE QA EDITOR

Delta Home Health, Inc.
2018.01 - Current

UM Case Manager

Care1st Health Plan (now Blue Shield of Ca)
2014.01 - 2017.01

Nurse Intake/Staffing Coordinator

Unicare Home Health, Inc.
2011.01 - 2013.01

Nurse Intake/Staffing Coordinator

Topcare Home Health, Inc.
2007.01 - 2011.01

License Vocational Nurse Certification -

Maric College

Certified Nursing Assistant Certification -

Villa Monte Vista

GED Certificate -

Poway ROP

High School Diploma -

Narvacan National Central High School
Rhea Santos