Yanira L Rivas
Riverside
Summary
Knowledgeable Nurse Care Manager with solid background in coordinating patient care and implementing health management plans. Proven track record in improving patient outcomes and collaborating with multidisciplinary teams. Demonstrated expertise in patient advocacy and effective communication.
Overview
27
27
years of professional experience
1
1
Certification
Work History
NFLOC Nurse Care Manager
SCAN Health Plan
Long Beach, CA
06.2019 - 04.2025
- Specialized in completing NFLOC assessments for the SNP population in the Independent living Power program.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Holistic approach- incorporating psychosocial, cultural, and spiritual aspects of care.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Evaluate and assess patient needs, plan and execute care plans appropriate for chronic conditions and co-morbidities. Facilitate coordination of care.
- Provide community resources for needy fragile seniors. Participate in projects within the organization to enhance and better serve members per CMS guidelines.
- Create care plans for SNP population following Medicare/Medicaid guidelines.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
RN Case Manager / Per Diem RN / Admissions nurse
Healing Care Hospice
Downey, CA
10.2017 - 12.2019
- Provided palliative/end of life care to patients in their homes, assisted living facilities, and long-term care facilities
- Managed physical, mental, emotional, and spiritual needs of patients and families as they journeyed through end of life issues
- Communicated daily with interdisciplinary team including physicians, social worker, chaplain, nursing assistants, volunteer coordinator, and other hospice nurses
- Developed and implemented individualized plan of care via computerized documentation
- Utilized critical thinking, communication, time management, and problem solving skills
- Clinical duties: use the nursing process to coordinate plan of care, obtain vital signs, medication administration through Oral, IM, IV, per G-tube and sublingual, wound assessment/care, tube feedings, Foley catheter care, start and managed IV's and administered fluids or antibiotics
RN I – Ambulatory care/ Rand Schrader Clinic
LAC+USC Medical Center
03.2018 - 01.2019
- Interviewing patient and other individuals to obtain complete health history including present illness, current health status.
- Develops a plan of care based on assessment process, collaborating with all involved in the care of the patient (interdisciplinary team, patient, family, and significant others) to provide the most effective care and treatment.
- Provides patient education on prescribed equipment and devices used to treat their illness.
- Coordinates urgent test and referrals.
- Collaborates with diagnostic areas to schedule patients for procedures.
- Blood drawn, collect and prepare specimens for testing
- Assure required durable medical equipment and supplies are available for patient care
- Relief charge nurse
Emergency Room Staff Nurse
Community Hospital of Huntington Park
Huntington Park, CA
06.2017 - 12.2017
- Performs initial assessment/ lab draws, IV lines and drips, EKG's, cardiac monitoring, and other tests
- Assists in the efficient operation of Emergency Room unit- Performed various medical assignments as required.
- Offers patient teaching and discharge from ER, transferring to the floor hospital bed or to another hospital
- Reacts effectively in emergency scenarios, demonstrating sound decision-making that helps save patient lives.
- Utilizes the nursing process based on staff and patient interviews.
- Collaborates with other ER professionals to ensure effective patient care delivery-Identified patients' condition and addressed nursing care.
- Continually look for opportunities for professional development and improvement.
Program for Advanced Illness/End of life, Complex Care Manager
SCAN Health Plan
Long Beach, CA
06.2012 - 05.2017
- Telephonic case management at any stage of advanced illness
- Telephonic case management for the geriatric population and their caregivers.
- Holistic approach- incorporating psychosocial, cultural, and spiritual aspects of care
- Evaluate and assess patient needs, plan and execute care plans appropriate for chronic conditions and co-morbidities. Facilitate coordination of care.
- Collaborate with interdisciplinary Health Care Team per case conference.
- Provide community resources for needy fragile seniors. Participate in projects within the organization to enhance and better serve members per CMS guidelines.
- Specialized in completing NFLOC assessment for the SNP members in the Independent living Power program.
- Create care plans for SNP population following Medicare/Medicaid guidelines
Field Based RN/ Case Manager
APS Healthcare
Sacramento, CA
11.2011 - 05.2012
- Conduct onsite and telephonic assessments on ADHC participants.
- Develop care plans along with the other members of the interdisciplinary team.
- Coordinate care and make referrals according to member's needs.
- Conduct chart reviews to insure the care plan was going along as planned and make adjustments as necessary.
- Work with patients with all types of conditions including those with the big 5 diseases.
Medical Assistant
Westside Nephrology Medical Group
Santa Monica, CA
07.1998 - 08.2009
- Obtained client medical history, medication information, symptoms, and allergies.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Assisted in minor surgical procedures, ensuring sterile environment and patient comfort.
Education
Bachelors Science Degree - Nursing
Western Governors University
Salt Lake, UT03.2014
Associate Science Degree - Nursing, RN
Los Angeles Trade-Technical College
06.2011
No Degree - Case Manager
CCMC
04-2015
Medical Assistant Certificate -
Bryman College (Everest College)
Los Angeles, CA09.1997
Skills
- Understanding of SNP requirements and Geriatric population
- Understanding of Medicare/Medicaid guidelines
- Clinical judgment
- Knowledge about end of life conversation topics
- Care coordination
- Proficiency in word, Excel, and Outlook
- Proficiency in the following medical platforms: IKA, CCMS, MedHOK/MHK, Paragon, HospiceMD, Express Scrips, BI tool, and Advata
Certification
- BLS
- RN Palliative Care, 2015-09-01
- Certified Case Manager, 2014-01-01
Spanish speaking
Proficient Spanish speaking nurse used to working with a increasing Spanish speaking population.
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
NFLOC Nurse Care Manager
SCAN Health Plan
06.2019 - 04.2025
RN I – Ambulatory care/ Rand Schrader Clinic
LAC+USC Medical Center
03.2018 - 01.2019
RN Case Manager / Per Diem RN / Admissions nurse
Healing Care Hospice
10.2017 - 12.2019
Emergency Room Staff Nurse
Community Hospital of Huntington Park
06.2017 - 12.2017
Program for Advanced Illness/End of life, Complex Care Manager
SCAN Health Plan
06.2012 - 05.2017
Field Based RN/ Case Manager
APS Healthcare
11.2011 - 05.2012
Medical Assistant
Westside Nephrology Medical Group
07.1998 - 08.2009
Associate Science Degree - Nursing, RN
Los Angeles Trade-Technical College
Bachelors Science Degree - Nursing
Western Governors University
No Degree - Case Manager
CCMC
Medical Assistant Certificate -
Bryman College (Everest College)