ROCIA RIGOR
Pleasanton
Summary
Dedicated and multilingual Registered Nurse and MDS Nurse Coordinator with experience in post-acute care, skilled nursing, Medicare/PDPM documentation, care planning, bedside nursing, and interdisciplinary care coordination. Skilled in MDS assessments, regulatory compliance, quality initiatives, and management of medically complex patients in post-acute and rehabilitation settings. Clinical background strengthened by prior experience as a Physical Therapist and Certified Medical Assistant, contributing advanced expertise in rehabilitation, functional assessment, chronic disease management, and patient-centered care. Recognized for strong clinical judgment, adaptability, communication skills, and commitment to improving quality outcomes.
Overview
11
11
years of professional experience
1
1
Certification
Work History
MDS Nurse Coordinator
The Villas / Ohana Pacific Health
Honolulu, HI
11.2024 - 05.2026
- Coordinated and completed Minimum Data Set (MDS) assessments in compliance with CMS, Medicare, PDPM, and state regulatory guidelines.
- Conducted comprehensive resident assessments and collaborated with interdisciplinary teams to develop, implement, and revise individualized care plans.
- Managed PDPM coding, Medicare documentation review, care planning, and clinical documentation accuracy to support reimbursement, compliance, and quality outcomes.
- Participated in IDT meetings, care conferences, triple-check meetings, QAAPI initiatives, and survey readiness activities.
- Reviewed physician orders, therapy documentation, nursing records, and clinical data to ensure accurate resident assessment and MDS completion.
- Monitored quality measures and partnered with leadership teams to support clinical improvement and regulatory compliance.
Registered Nurse – Post-Acute Care / Skilled Nursing Nurse
The Villas / Ohana Pacific Health
Honolulu, HI
12.2023 - 11.2024
- Delivered direct nursing care for 10–14 patients per shift in a post-acute/skilled nursing environment, managing medically complex patients with acute illness, chronic disease, rehabilitation needs, and post-hospital recovery.
- Performed comprehensive nursing assessments during admissions, transfers, discharges, and changes in condition to support continuity of care and timely intervention.
- Administered medications, IV therapies, injections, insulin, enteral feedings, oxygen therapy, respiratory treatments, and physician-ordered interventions while maintaining medication safety and accurate clinical documentation.
- Provided advanced wound care management, including wound assessments, dressing changes, Wound VAC management, pressure injury prevention/treatment, and skin integrity monitoring.
- Managed patients with vascular access devices, including peripheral IVs, PICC lines, central lines, and dialysis access (AV fistulas/grafts).
- Delivered care involving tracheostomy care, suctioning, PEG tube management, Foley catheter care, diabetes management, pain management, palliative/end-of-life care, and chronic disease management.
- Monitored and responded rapidly to acute clinical changes, including infection concerns, sepsis indicators, falls, altered mental status, respiratory distress, abnormal findings, and emergent patient conditions.
- Collaborated with physicians, therapists, dialysis teams, CNAs, case management, and interdisciplinary teams to coordinate patient care, rehabilitation goals, and discharge planning.
- Supervised/delegated care to support staff while maintaining infection control standards, documentation accuracy, and regulatory compliance.
Certified Medical Assistant
Denver Health Mobile Health Center
Denver, CO
08.2021 - 12.2022
- Scheduled appointments, coordinated patient follow-up, and supported efficient clinical workflow in a high-volume healthcare environment.
- Prepared exam rooms, independently roomed patients, and maintained accurate electronic medical records documentation.
- Administered medications, immunizations, and assisted with ancillary testing, including EKGs, urinalysis, and rapid diagnostic testing.
Certified Medical Assistant – Family & Internal Medicine
Sutter Health Palo Alto Medical Foundation
Santa Clara, CA
09.2018 - 05.2021
- Supported family and internal medicine providers in outpatient clinical care, patient flow management, and EMR documentation using EPIC.
- Administered medications, performed diagnostic testing, and assisted with minor procedures, newborn/infant wellness visits, and preventative care.
- Volunteered during the COVID-19 pandemic, performing COVID-19 testing and vaccine administration.
Physical Therapist
Centro Integrado de Saúde
São Paulo, Brazil
06.2015 - 06.2016
- Evaluated and developed rehabilitation treatment plans for pediatric, adult, and geriatric patients with orthopedic, neurologic, and cardiovascular conditions.
- Collaborated with interdisciplinary teams to support functional recovery, mobility, pain management, and individualized treatment planning.
- Performed patient assessments, therapeutic interventions, and clinical documentation.
Education
Bachelor of Science - Nursing (BSN)
University of Colorado College of Nursing
Aurora, CO05-2023
Medical Assisting Diploma -
SVCTE / MetroED
San Jose, CA08-2018
Bachelor of Science - Physical Therapy
Anhembi Morumbi University
São Paulo, Brazil01-2016
Skills
MDS Coordination & Regulatory Compliance: MDS Assessments Medicare / PDPM / CMS Compliance Care Planning & Development QAAPI Survey Readiness HIPAA Compliance Clinical Documentation
Clinical Nursing & Patient Care: Post-Acute & Skilled Nursing Care Geriatric Nursing Admission / Transfer / Discharge Assessments Medication Administration Rehabilitation & Chronic Disease Management Pain Management Fall Risk Assessment
Advanced Clinical Skills: Wound Care & Wound VAC Management IV Therapy PICC / Central Line / Dialysis Access Management Tracheostomy, PEG Tube & Catheter Care Respiratory & Complex Care Management
Care Coordination & Leadership: Interdisciplinary Team (IDT) Collaboration Care Conferences Discharge Planning Cultural Competency Critical Thinking Patient & Family Education
Certification
- Registered Nurse License – Hawaii | RN-114881 | Jun. 2023 – Jun. 2027
- BLS/CPR – American Heart Association | Active through Nov. 2026
- National Certified Medical Assistant (NCMA)
- LanguageLine Academy Certified Medical Interpreter/Translator — English ↔ Portuguese
Languages
English
Portuguese
Chinese (Mandarin)
Chinese (Cantonese)
Timeline
MDS Nurse Coordinator
The Villas / Ohana Pacific Health
11.2024 - 05.2026
Registered Nurse – Post-Acute Care / Skilled Nursing Nurse
The Villas / Ohana Pacific Health
12.2023 - 11.2024
Certified Medical Assistant
Denver Health Mobile Health Center
08.2021 - 12.2022
Certified Medical Assistant – Family & Internal Medicine
Sutter Health Palo Alto Medical Foundation
09.2018 - 05.2021
Physical Therapist
Centro Integrado de Saúde
06.2015 - 06.2016
Bachelor of Science - Nursing (BSN)
University of Colorado College of Nursing
Medical Assisting Diploma -
SVCTE / MetroED
Bachelor of Science - Physical Therapy
Anhembi Morumbi University