Delilah Maytle Rivas
Miami,FL
Summary
Doctorate-prepared Nurse Practitioner dual certified in Family Medicine and Adult-Gerontology Acute Care, bringing expertise in evidence-based practice and continuous process improvement. Proven track record in delivering quality outcomes across long-term, subacute, and acute care settings. Proficient in comprehensive assessment, diagnosis, treatment planning, and evaluation, with a commitment to holistic health promotion and disease prevention. Actively engaged in nursing research aimed at advancing evidence-based practices for improved patient care.
Overview
14
14
years of professional experience
Work History
Patient Care Supervisor
South Miami Hospital
Miami, FL
12.2021 - Current
- Full-time role; worked 36 hours per week.
- Patient Care Supervisor responsible for ensuring optimal clinical operations for a 46-bed, magnet-certified medical-surgical unit.
- Managed acute illnesses such as infections and general surgery cases, or chronic diseases like diabetes, obesity, and hypertension.
- Coordinated with members of multidisciplinary teams to provide integrated services for complex cases.
- Supervised registered nurses and other healthcare personnel in delivering quality patient care services.
- Conducted history-taking and physical assessments for risk stratification and the development of comprehensive plans of care.
- Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and coordinate the adjustment of treatment plans.
- Explained treatments, planned care, tests, and medications to patients, family members, or caregivers while maintaining HIPAA compliance.
- Responsible for the hiring, development, supervision, and evaluation of 10 direct report Registered Nurses and Certified Nursing Assistants.
Director of Nursing
East Ridge Retirement Village
Cutler Bay, FL
02.2020 - 05.2022
- Salaried role; worked 40 to 60 hours per week and on call nights and weekends.
- Directed a 74-bed skilled nursing unit, a 120-bed assisted living unit, a 25-bed memory care unit, a 174-resident independent living facility, and a home health agency.
- Implemented and directed clinical services and operations to deliver competent, quality care.
- Participated in interdisciplinary teams to discuss patient care issues or concerns and develop solutions as needed.
- Member of the Senior Leadership team responsible for ensuring appropriate progress of quality assurance and performance improvement initiatives being undertaken by the nursing team.
- Developed and implemented nursing policies and procedures to ensure quality patient care.
- Set and monitored achievement goals for nursing department consistent with established philosophy and standards of practice.
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Skilled nursing and long-term care sectors achieved a CMS 5-star quality rating under my leadership.
- Responsible for the hiring, development, supervision, and evaluation of 5 managers, 10 supervisors, and 15 ancillary clinical staff members.
Director of Nursing
Nspire (Formerly HCR Manorcare)
09.2019 - 02.2020
- Salaried role; worked 40 to 60 hours per week and on call nights and weekends.
- Directed a skilled nursing facility with 80 post-acute rehabilitation beds, 40 long-term care beds, and a 56-bed assisted living facility.
- Revised procedures to meet Joint Commission standards and achieved accreditation within the skilled nursing sector.
- Recruited, hired and trained new medical and facility staff.
- Served as a risk manager; conducted root cause analyses, developed risk mitigation plans, and completed all federal reporting for the facility.
- Assisted with policy implementation and AHCA survey preparation for all five buildings within the corporation.
- Successfully launched a recidivism reduction campaign, which decreased 30- and 90-day return-to-hospital rates for patients throughout the organization.
- Created staff-governed subcommittees to address trends in patient care activities, such as medication errors or falls, within the facility.
- Responsible for the hiring, development, supervision, and evaluation of 1 assistant director of nursing, 2-unit managers, 6 supervisors, and 8 ancillary clinical staff members.
Assistant Director of Nursing
Nspire (Formerly HCR Manorcare)
Kendall, Florida
05.2017 - 09.2018
- Salaried role; worked 40 to 60 hours per week and on call nights and weekends.
- Responsible for launching nursing education and infection prevention initiatives during the organization's divestiture from HCR ManorCare to Nspire Healthcare.
- Utilized numerous teaching platforms and modalities to meet the complex learning needs of team members undergoing emotional distress related to the change of ownership.
- Designed onboarding program, continuing education initiatives, and performance improvement plans.
- Provided nurse educators and infection preventionists with training in their respective areas.
- Collaborated with the CDC to pilot a long-term care infection prevention campaign during an outbreak of Vancomycin-Resistant Enterobacter in the community.
- Communicated regularly with department heads about changes in regulations or guidelines related to infection control.
- Responded to suspected or confirmed cases of communicable diseases within the facility.
- Responsible for the hiring, development, supervision, and evaluation of 3 infection preventionists and 3 nurse educators.
Post-Acute Rehabilitation Unit Manager
Nspire (Formerly HCR Manorcare)
Kendall, Florida
08.2015 - 05.2017
- Salaried role; worked 40 to 50 hours per week and on call 2 weekends a month.
- Managed a 60-bed post-acute rehabilitative unit.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Resolved conflicts among team members or between departments in a diplomatic manner.
- Educated nursing staff on changes in protocols or practices based on current evidence-based research.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Maintained compliance with regulatory standards related to patient safety and clinical practice guidelines.
- Coordinated utilization review, with a strong focus on discharge planning, to ensure continuity of care post-skilled nursing stay.
- Responsible for the hiring, development, supervision, and evaluation of 32 registered nurses, 48 certified nursing assistants, and 10 ancillary clinical staff members.
Weekend House Supervisor
Coral Reef Nursing and Rehabilitation Center
Miami, Florida
05.2012 - 08.2015
- Full-time role; worked 36 hours per week.
- Managed 180-bed skilled nursing facility.
- Assured continuity of care over the weekend by collaborating with leaders from nursing units, administration, case management, social services, admissions, staffing, human resources, maintenance, risk management, infection control, housekeeping, and all disciplines of therapy.
- Addressed issues facility-wide, conducted chart audits, educated nursing staff on nursing procedures, created daily nursing staffing assignments, and met daily reporting requirements.
- Responsible for the hiring, development, supervision, and evaluation of 3-unit clerks and 5 ancillary clinical staff members.
Supervisor
Coral Reef Nursing and Rehabilitation Center
Miami, FL
12.2011 - 05.2012
- Full-time role; worked 36 hours per week.
- Supervised a 180-bed skilled nursing and long-term care facility.
- Assisted with completing admission assessments, medication reconciliations, acute care transfers, and dealt with customer service issues.
- Identified opportunities for process improvements, leading to cost reductions and increased productivity.
- Facilitated training sessions for new employees on company policies and procedures during the night shift.
- Coordinated with other department supervisors to ensure a smooth workflow and care goal alignment.
Rehabilitation Unit Floor Nurse
Coral Reef Nursing and Rehabilitation Center
06.2011 - 12.2011
- Full-time role; worked 36 hours per week.
- Responsible for the care of 20 to 30 post-acute rehabilitation or long-term care patients.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Developed bedside nursing skills, which created a clinical foundation for future practice.
Education
AGACNP
Purdue University Global
11-2024
Doctor of Nursing Practice -
Purdue University Global
08.2023
MSN - APRN, Specialized in Family Medicine
Purdue University Global
11.2021
Bachelor’s - in Science of Nursing
Western Governor’s University
01.2018
Associate’s - in Science, Registered Nurse
Medlife Institute
01.2015
Practical Nurse -
Robert Morgan Educational Center
Miami, FL01.2011
Nursing Assistant -
Robert Morgan Educational Center
Miami, FL01.2010
Skills
- AGACNP-BC
- FNP-BC
- ACLS; PALS
- Comprehensive Health Assessment
- Quality Assurance and Performance Improvement
- Interdisciplinary collaboration
- Infection Prevention and Control
- Regulatory Compliance
- Leadership
- Billing and Coding
- Medical-surgical, telemetry, & emergency medicine
- Post-acute rehabilitation, assisted living, and nursing home care
- Leadership
- Service Recovery
- Nonpharmacological crisis management and de-escalation
- Therapeutic communication
Affiliations
- Robert Morgan Educational Center, Miami, FL, Practical Nursing Program Board Chair, Patient Care Technician Board Member, 2021-Present
- American Association of Nurse Practitioners, Member, 2020-Present
- CMS LTC Infection Prevention, Certified Infection Preventionist, 2018-Present
- American Association of Critical Care Nurses, Member, 2022-Present
Licenses
RN9406250, APRN2022026195, NPI1720812019
Presentations
Reducing Adult Inpatient Length of Stay through Interdisciplinary Checklist Implementation, Purdue University Global, 08/01/23
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Patient Care Supervisor
South Miami Hospital
12.2021 - Current
Director of Nursing
East Ridge Retirement Village
02.2020 - 05.2022
Director of Nursing
Nspire (Formerly HCR Manorcare)
09.2019 - 02.2020
Assistant Director of Nursing
Nspire (Formerly HCR Manorcare)
05.2017 - 09.2018
Post-Acute Rehabilitation Unit Manager
Nspire (Formerly HCR Manorcare)
08.2015 - 05.2017
Weekend House Supervisor
Coral Reef Nursing and Rehabilitation Center
05.2012 - 08.2015
Supervisor
Coral Reef Nursing and Rehabilitation Center
12.2011 - 05.2012
Rehabilitation Unit Floor Nurse
Coral Reef Nursing and Rehabilitation Center
06.2011 - 12.2011
AGACNP
Purdue University Global
Doctor of Nursing Practice -
Purdue University Global
MSN - APRN, Specialized in Family Medicine
Purdue University Global
Bachelor’s - in Science of Nursing
Western Governor’s University
Associate’s - in Science, Registered Nurse
Medlife Institute
Practical Nurse -
Robert Morgan Educational Center
Nursing Assistant -
Robert Morgan Educational Center
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