ELIZA RIVERA
East Hartford
Summary
Experienced and results-driven healthcare professional with a strong background in population health management, care coordination, and clinical leadership. Proven ability to lead strategic initiatives that improve patient outcomes, enhance care quality, and reduce healthcare costs. Skilled in data analysis, workflow optimization, team development, and regulatory compliance (CMS, HEDIS, NCQA). Adept at bridging clinical practice with system-level improvements, with a passion for driving innovation in chronic disease management, preventive care, and health equity. Collaborative leader and patient advocate committed to delivering efficient, compassionate, and value-based care.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Population Health Manager
UCONN Health Center
07.2023 - Current
- Lead strategic clinical and population health initiatives to enhance outcomes, care experiences, and cost efficiency
- Guide staff development through training, evaluations, and education on clinical standards and regulatory compliance
- Implement standardized EHR templates to streamline documentation and improve workflow consistency
- Develop and execute data-driven strategies for chronic disease management, health equity, and cost containment
- Leverage advanced analytics to identify at-risk populations, monitor outcomes, and close care gaps
- Oversee risk stratification and design targeted interventions to reduce avoidable hospitalizations
- Drive quality improvement initiatives focused on preventive care, patient engagement, and social determinants of health
- Ensure compliance with CMS, HEDIS, NCQA, and other regulatory and payer standards
- Mentor clinical teams on population health workflows, performance metrics, and best practices
Quality Assurance Nurse
UConn Health - Office of Patient Experience
01.2021 - 07.2023
- Oversaw Post Discharge Call Program to ensure alignment with care standards and organizational goals
- Supervised team performance, providing coaching to meet program expectations
- Analyzed post-discharge data to identify trends and care gaps, driving system improvements
- Enhanced workflows to improve program efficiency and standardization
- Developed and maintained SOPs to support onboarding and serve as a staff resource
- Conducted follow-up calls to review discharge instructions, address barriers, and gather feedback
- Collaborated with Patient Relations to resolve concerns, complaints, and grievances
- Applied service recovery strategies and escalated issues for timely resolution
Transitional Care Nurse
HHC Integrated Care Partners
01.2014 - 01.2021
- Conducted transition of care outreach calls supporting disease management, care coordination, and preventive health
- Used motivational interviewing and coaching to empower patient self-management and behavior change
- Contributed to workflow optimization projects to improve care delivery and operational efficiency
- Analyzed performance data to identify trends and recommend improvements to care coordination workflows
- Interviewed and precepted new staff, supporting onboarding and team development
- Served on CHF Readmission Committee, collaborating to reduce readmissions and enhance chronic disease management
Cardiac Nurse
Hartford Hospital N10
01.2008 - 01.2020
- Delivered high-quality care to patients admitted with cardiac conditions, adhering to evidence-based practices and treatment protocols.
- Administered prescribed medical treatments and procedures, ensuring accuracy and patient safety.
- Continuously monitored patient vital signs, lab values, and diagnostic test results to assess clinical status and inform care decisions.
- Managed patient admissions and discharges, providing education on diagnosis, medications, and lifestyle modifications to support improved health outcomes.
- Assigned patient care responsibilities to team members and escalated staffing or patient care issues to the nursing supervisor/manager as needed.
- Trained and mentored new staff, providing guidance on unit policies and procedures while fostering a supportive learning environment.
Medical Surgical Nurse Case Manager
Hartford Healthcare at Home
01.2013 - 01.2014
- Conducted comprehensive patient assessments to determine appropriate nursing interventions and individualized care plans.
- Supervised LPNs and home health aides, ensuring adherence to safety protocols and high standards of patient care.
- Collaborated with interdisciplinary team members, patients, and caregivers to develop and regularly update personalized plans of care.
- Provided education to patients and families on disease management, medication adherence, and symptom monitoring to support health at home.
- Administered medications and performed physician-ordered treatments in accordance with clinical best practices.
- Monitored and documented patient symptoms, reporting any changes in condition and initiating timely interventions as needed.
Education
Master of Science - Nursing Leadership And Management
Western Governors University
Salt Lake City, UT05-2020
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT05-2017
Associate of Science - Nursing
Goodwin College
East Hartford, CT12-2007
Skills
- Excellent Communication
- Detail Oriented
- Organized
- Empathetic
- Patient-centered
- Performance improvement
- Efficient in EPIC, Word, Excell, and Powerpoint
Certification
American Case Management Association Certification (ACMA)
Awards
Florence Nightingale Award
Best Practice Award for poster presentation at the ACMA National Conference
Timeline
Population Health Manager
UCONN Health Center
07.2023 - Current
Quality Assurance Nurse
UConn Health - Office of Patient Experience
01.2021 - 07.2023
Transitional Care Nurse
HHC Integrated Care Partners
01.2014 - 01.2021
Medical Surgical Nurse Case Manager
Hartford Healthcare at Home
01.2013 - 01.2014
Cardiac Nurse
Hartford Hospital N10
01.2008 - 01.2020
Master of Science - Nursing Leadership And Management
Western Governors University
Bachelor of Science - Nursing
Western Governors University
Associate of Science - Nursing
Goodwin College
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