Work Type
Full TimeLocation Preference
On-SiteRemoteLocation: Pensacola, FL
Open to relocation: Yes
Debra Rivers
Director of Nursing
Pensacola,FL
Work Preference
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
1
1
Certification
23
23
years of professional experience
Work History
Director of Nursing
Addus Homecare
Pensacola, FL
06.2025 - Current
- Assessed competency of clinical staff to promote quality, continuity, and safety.
- Monitored development, implementation and updates of individualized care plans.
- Budgeted, managed, and scheduled nursing staff, fostering environment supportive to patients.
- Coordinated medical and health services in compliance with government regulations and policies set by board of trustees.
- Developed and maintained staffing schedule in accordance with contract terms, budget mandates and accreditation standards for nursing coverage.
- Evaluated staff performance and prepared accurate reports detailing findings.
- Implemented and directed clinical services and operations to deliver competent, quality care.
- Oversaw explanation of personnel policies and job descriptions as part of nursing employee orientation process.
- Set and monitored achievement goals for nursing department consistent with established philosophy and standards of practice.
- Communicated with patients with compassion while keeping medical information private.
Heather Fleming ED
SunCrest Omni Home Health
Pensacola, FL
05.2024 - 06.2025
- RN Case Manager
RN Case Manager
Ascension at Home
Pensacola, FL
04.2023 - 05.2024
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Coordinated with healthcare team to establish, enact, and evaluate patient care plans.
- Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
RN Case Manager
Emerald Coast Hospice
Pensacola, FL
11.2022 - 04.2023
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Coordinated with healthcare team to establish, enact, and evaluate patient care plans.
- Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Psych RN Case Manager
Kindred at Home
Pensacola, FL
11.2020 - 11.2022
- Promoted to Clinical Mgr. 3/15/2021
Director of Nursing
Synergy Medical Services
Pensacola, FL
07.2020 - 10.2020
- Director of Nursing for Home Health. Duties consisted of management of a Nurses, PT, and OT in the home setting. Management of referrals and referral sources to assure the proper payer source was in place. Maintain QAPI quarterly, scheduling of visits based on frequency needed and Medicare guidelines.
Critical Care Registered Nurse
Select Specialty Hospital
Pensacola, FL
07.2019 - 07.2020
- Specializing in high-risk respiratory diseases, vent management. Wound care, feeding appliance installation and management, high risk IV medication management.
- ACLS certified
Assistant Director of Nursing
Arcadia Health and Rehabilitation
Pensacola, FL
07.2017 - 01.2020
- My position of Assistant Director of Nursing monitors and provides personal nursing care and leadership to the Nursing staff to assure that care standards are met and the highest degree of quality resident care is always provided for.
Assistant Director of Nursing
ACTS Retirement Life Communities
Pensacola, FL
08.2014 - 01.2017
- My position of Assistant Director of Nursing monitors and provides personal nursing care and leadership to the Nursing staff to assure that care standards are met and the highest degree of quality resident care is always provided for.
RN Supervisor
Correctional Healthcare Companies CHC
Killeen, TX
04.2012 - 07.2014
- Oversaw daily office operations for a staff of 6 employees.
- Composed and drafted all outgoing correspondence and reports for managers.
- Oversaw inventory and office supply purchases.
- Complied annual recommendations for end of fiscal year budgets.
- Negotiated pricing with vendors regarding wholesale billing and marketing procedures.
Supervisor RN Supervisor Intake Coordinator
Metroplex Pavilion
Killeen, TX
12.2011 - 08.2012
- Assessment and placement of the acute psychiatric patient to inpatient or assisting with resources to outpatient services.
- Works closely with the Emergency Dept. and surrounding hospitals as well as local psychiatrist in assisting them with placement of their patients as needed.
Assistant Nurse Mgr. Geriatric Psych
West Florida Hospital
Pensacola, FL
12.2011 - 08.2012
- Nursing Duties: Care of the acutely and chronically mentally ill patient.
- Critical medical assessment of the geriatric psych patient.
RN Nursing House Supervisor
West Florida Hospital
Pensacola, FL
04.2010 - 07.2011
- Duties: Acting as assistant to the Chief Nursing Officer.
- Communicating closely with the higher hospital administration.
Surgical Intensive Care RN
George E. Whalen Veterans Health Care System
Salt Lake City, UT
10.2009 - 04.2010
- Care of the post op critically ill surgical patient.
- Specialty care of the post-operative Cardiac, Thoracic, Vascular, ENT, Neuro Surgical and General surgical patient.
Inpatient Psych RN PRN
George E. Whalen Veterans Health Care System
Salt Lake City, UT
10.2009 - 04.2010
- Inpatient Psych Experience and Duties Care of the acutely and chronically mentally ill patient.
Nursing House Supervisor
Lakeview Hospital
Bountiful, UT
01.2008 - 07.2009
- Supervision of entire hospital and nursing continuum of care.
- Communicating closely with higher hospital administration.
Registered Nurse, Emergency Department
Davis Hospital
Layton, UT
11.2007 - 04.2008
- Evaluate and assess patient condition in non-emergent, emergent, and trauma situations.
Registered Nurse, Emergency Department
Lakeview Hospital
Bountiful, UT
01.2008 - 03.2008
- Cared for patients experiencing acute traumas, including cardiac arrests, strokes and gunshot wounds.
- Upheld patient safety standards by preventing unauthorized access or incorrect dosage administration.
- Triaged and treated high-volume caseload in busy emergency room setting.
- Maintained open and clear communication with physicians to coordinate effective patient care.
- Responded quickly to codes and coordinated efficient and skilled care.
- Administered critical IV medications to stabilize patients for assessment and treatment.
- Supported criminal inquiries by reporting injuries and completing evidence collection kits.
- Implemented infection control measures to prevent the spread of contagious diseases within the emergency department.
- Administered medications, treatments, and vaccines as prescribed, adhering to strict safety protocols.
- Maintained inventory of medical supplies and medications, ensuring availability for emergency situations.
- Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
- Educated patients and families on disease management, prevention, and healthy lifestyle choices.
- Utilized advanced cardiac life support (ACLS) and basic life support (BLS) techniques during critical situations.
- Performed comprehensive assessments of patients presenting with a wide range of acute conditions in a high-volume emergency department.
Trauma RN
University of Utah Emergency Trauma
Salt Lake City, UT
12.2006 - 07.2007
- Evaluate and assess patient condition in non-emergent, emergent, and trauma situations.
Emergency Department RN
Metroplex Hospital
Killeen, TX
01.2006 - 01.2007
- Evaluate and assess patient condition in non-emergent, emergent, and trauma situations.
Emergency Trauma RN
Sacred Heart Hospital Emergency Trauma Center
Pensacola, FL
01.2005 - 12.2006
- Evaluate and assess patient condition in non-emergent, emergent, and trauma situations.
Medical Surgical LPN
King's Daughters Health System
Temple, TX
08.2005 - 01.2006
- Care of 6-7 patient daily on a 40-bed unit of both adults and pediatric patients.
Orthopedics and Neurology LPN
Baptist Hospital
Pensacola, FL
01.2004 - 08.2005
- Care of 6-7 patient of a 47-bed orthopedics and neurology unity with medical surgical overflow.
Education
Associate of Science - Registered Nursing in Licensed Practical Nursing
Pensacola Junior College
Pensacola, FL08.2005
Associate - Registered Nursing
Pensacola State College
Pensacola, FL12.2002
Bachelor's - Health Education and Community Health
University of West Florida
Pensacola, FL08.1998
Skills
- ICU/CVICU
- Critical Care
- Emergency Nursing
- Group Therapy
- Hospice Care
- EMR Systems
- Laboratory Experience
- Case Management
- Infection Control
- Administrative Experience
- Crisis Intervention
- Nursing Leadership
- Quality Assurance
- Clinical staffing
- Multidisciplinary team collaboration
- Accreditation management
- Documentation and reporting
- Recruiting and hiring
- Clinical operations management
- Clinical documentation
- Personnel evaluations
- Clinical care oversight
- Profitability strategies
- Relationship building
- Emergency response
- Quality improvement
- Patient safety protocols
- Long-term care
- Multidisciplinary collaboration
- Case management
- Process improvements
- Leadership and guidance
- Issue resolution
- Critical thinking
- Nursing ethics
- Professional development
- Schedule preparation
- Employee coaching
- Risk management
- Nurse education and training
- Acute care
- Verbal and written communication
- Disease control
- Standards of practice
- Discharge and transfer procedures
Certification
- BLS
- RN, FL, 04/01/27
Timeline
Director of Nursing
Addus Homecare
06.2025 - Current
Heather Fleming ED
SunCrest Omni Home Health
05.2024 - 06.2025
RN Case Manager
Ascension at Home
04.2023 - 05.2024
RN Case Manager
Emerald Coast Hospice
11.2022 - 04.2023
Psych RN Case Manager
Kindred at Home
11.2020 - 11.2022
Director of Nursing
Synergy Medical Services
07.2020 - 10.2020
Critical Care Registered Nurse
Select Specialty Hospital
07.2019 - 07.2020
Assistant Director of Nursing
Arcadia Health and Rehabilitation
07.2017 - 01.2020
Assistant Director of Nursing
ACTS Retirement Life Communities
08.2014 - 01.2017
RN Supervisor
Correctional Healthcare Companies CHC
04.2012 - 07.2014
Supervisor RN Supervisor Intake Coordinator
Metroplex Pavilion
12.2011 - 08.2012
Assistant Nurse Mgr. Geriatric Psych
West Florida Hospital
12.2011 - 08.2012
RN Nursing House Supervisor
West Florida Hospital
04.2010 - 07.2011
Surgical Intensive Care RN
George E. Whalen Veterans Health Care System
10.2009 - 04.2010
Inpatient Psych RN PRN
George E. Whalen Veterans Health Care System
10.2009 - 04.2010
Nursing House Supervisor
Lakeview Hospital
01.2008 - 07.2009
Registered Nurse, Emergency Department
Lakeview Hospital
01.2008 - 03.2008
Registered Nurse, Emergency Department
Davis Hospital
11.2007 - 04.2008
Trauma RN
University of Utah Emergency Trauma
12.2006 - 07.2007
Emergency Department RN
Metroplex Hospital
01.2006 - 01.2007
Medical Surgical LPN
King's Daughters Health System
08.2005 - 01.2006
Emergency Trauma RN
Sacred Heart Hospital Emergency Trauma Center
01.2005 - 12.2006
Orthopedics and Neurology LPN
Baptist Hospital
01.2004 - 08.2005
Associate of Science - Registered Nursing in Licensed Practical Nursing
Pensacola Junior College
Associate - Registered Nursing
Pensacola State College
Bachelor's - Health Education and Community Health
University of West Florida