JULIETA MANUEL
Ontario,CA
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Compassionate Registered Nurse with experience offering comprehensive patient care in outpatient environments. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.
Patient-oriented Nurse with 18 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with Neonatal Intensive Care unit and case management specialty.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
18
18
years of professional experience
Work History
Registered Nurse II – Program Manager
Housing for Health – Interim Housing
- Collaborate care planning for Homeless Population clients with other Healthcare Providers especially Medical and Social Workers from inpatient, outpatient settings and Outreach workers
- Conduct thorough Assesment, analyzsis, planning, solving and managing care using critical thinking process in collaborating continuity of care for patient from the Hospital, outpatient clinics and on the street (Outreach Program)
- Makes accurate written referrals using electronic charting (ORCHID, Microsoft Excel and CHAMP) by analyzing patient medical documentation using history & physical ,progress notes, current condition and plan of care for future needs
- Coordinate admission of patient to the stabilization and recuperative care site.
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
- Educate and provide program guidelines to Social workers, clinical coordinator, Physicians and other health care personnel.
- Provide support and train other Interim housing staff Rns and Program managers by assuming accountability and responsibilities when giving input and advice regarding client safety and appropriate referral in accordance to Interim Housing Guidelines.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Demonstrate expertise in case management techniques/referral resulting in accelerated intake/admission times for patients with complex medical condition.
NICU Staff Nurse (Per Diem)
Kaiser Permanente
11.2011 - Current
- Applies theoretical knowledge with clinical expertise utilizing system approach in the delivery of care
- Maintain knowledge based on current trends, evidence- based practice by maintaining up-to date training and education
- Improved patient outcomes by developing and implementing individualized care plans for NICU patients.
- Act as baby nurse in the Family Centered Care when floated, with the main responsibility of newborn care, admission and discharges
- Enhanced family satisfaction with thorough communication regarding patient progress and support resources.
- Act as baby catcher when floated to Labor and Delivery with the main responsibility of baby care
- Collaborated effectively with interdisciplinary healthcare teams to optimize neonatal care and recovery.
- Transfer and provide knowledge exchange with nurses on Family Centered Care nurse and NICU.
- Minimized complications through diligent monitoring of vital signs, recognizing changes in neonate''s condition, and adjusting interventions accordingly.
- Administered medications safely according to prescribed protocols to maintain patient health and stability.
- Reduced infection rates by maintaining aseptic techniques during procedures, wound care, and central line management
- Participated in quality improvement initiatives to enhance efficiency and effectiveness of nursing practice in the NICU setting.
- Maintained accurate documentation of patient assessments, interventions, and outcomes for effective continuity of care.
- Provided compassionate emotional support to families during difficult times, improving overall relationships between staff and parents.
- Responded quickly and effectively to emergency situations in the NICU setting, stabilizing patients as needed prior to physician intervention.
- Managed parent-infant bonding opportunities such as kangaroo care sessions while maintaining medical stability for improved developmental outcomes.
- Increased clinical competency by attending educational workshops, staying current on evidence-based practices in neonatal care.
- Supported breastfeeding mothers through education and guidance on lactation techniques, increasing successful breastfeeding rates among NICU patients.
- Demonstrated excellent time management skills in a high-stress environment, prioritizing tasks to provide optimal care for numerous patients simultaneously.
- Served as an advocate for neonates and their families when collaborating with interdisciplinary team members, ensuring best interests were considered throughout treatment planning.
Registered Nurse-Neonatal Intensive Care Unit Staff Nurse
LAC-USC Medical Center/LA General Medical Center
07.2006 - 10.2019
- Provide direct patient care to critically ill patients by using the nursing practice assessment, planning, implementing, evaluation and monitoring
- Monitor patient and initiate reassessment when a patient is at risk physiologically, and psychosocial
- Validate the use of appropriate tools to ensure assessment of data is collected and documented
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs to parents and care givers.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Prioritize, prepare and revises patient care by making schedules and observes necessary actions to deliver safe and quality of care
- Formulate, build and coordinate individual nursing care plan based on individual patient in collaboration with other interdisciplinary health care team in accordance to with the nursing and unit protocols
- Protocols Develops, create, modify teaching tools for patient and family education
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
- Educate and give updates to current changes in ORCHID (EHR) charting specifically to the NICU unit
- Acted as Team Leader or Relief Charge nurse by planning all nursing activities in the unit
- Coordinates nursing care with the medical and other health care team and other facilities to provide direct, quick quality patient care and services
- Prepares daily assignments to nursing staff and other unit staff members to perform the various patient care using multiple task and skills I accordance to their duties and responsibilities.
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
Subject Matter Expert (SME), Nursing Clinical Documentation
LAC-USC Medical Center/ LA General; Medical Center
04.2017 - 08.2019
- Serves as the Subject Matter Expert (SME) for the Nursing Clinical Documentation (NCD) workgroup
- Collaborate with other stakeholders including end-users, programmers, and other SME from different DHS facilities including but not limited to Harbor-UCLA Medical Center, Olive-View Medical Hospital, Rancho Los Amigos Rehabilitation Center, and other LAC-USC Medical Center SMEs
- Optimized subject matter content by conducting extensive research and incorporating necessary medical documentations.
- Worked with multidisciplinary teams in new product rollout, effectively addressing inquiries and troubleshooting issues.
- Enhance nursing clinical documentation aligned and/or interfaced with other clinical documentation to ensure all patient care delivered are correctly and appropriately documented in HER (Electronic Health Record)
- Interpret clinical requirements of Title 22, the Joint Commission (TJC) and The Centers for Medicare and Medi-Cal Services (CMS) to ensure compliance of EHR documentation.
- Developed effective training materials for unit nurses, resulting in improved skillsets and increased job satisfaction.
- Streamlined processes to increase efficiency, enabling teams to complete tasks ahead of schedule.
- Evaluated existing resources and developed new strategies to maximize effectiveness in addressing identified gaps.
- Improved workflow efficiency by developing standardized procedures for task management and resource allocation.
- Influenced decision-making processes by presenting data-driven insights into key organizational issues.
RN Supervisor
Ocean View Convalescent Hospital/Sub-Acute Unit
03.2006 - 12.2007
- Oversee patient care and staffing for but not limited to License Vocational Nurse, Certified Nursing Attendant and Respiratory Therapist (LVN, CNA & Respiratory Therapist)
- Collaborates with Director of Nursing, Administration and other Health Care Team in providing optimum care to patients and excellent service to the family
- Streamlined nurse scheduling, ensuring adequate coverage and minimizing overtime expenses.
- Performed inventory of unused and audit expired supplies and medications
- Performed chart audit for better record keeping and proper health care documentation in accordance to Health Department requirements.
- Enhanced patient care by implementing evidence-based nursing practices and protocols.
- Maintained regulatory compliance by conducting regular audits, reviews, and updates on policies and procedures.
- Reduced medication errors by providing thorough training and supervision to nursing staff.
- Developed effective care plans tailored to individual patient needs, ensuring comprehensive treatment approaches.
- Managed critical situations calmly and efficiently, providing guidance to the nursing team during emergencies.
- Ensured accurate documentation of patient information in electronic medical records system for optimal data integrity and accessibility across healthcare providers.
- Promoted a culture of continuous improvement within the nursing department by regularly soliciting feedback from staff members and incorporating suggestions into practice when appropriate.
- Served as an approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively resolving them promptly whenever possible.
- Cultivated an atmosphere of teamwork and open communication among staff members, resulting in a more cohesive work environment and greater job satisfaction for the nursing team.
- Onboarded new employees through orientation meetings and training sessions before deployment to different departments.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Education
Bachelor of Science in Nursing -
Azusa Pacific University
01.2016
Associate of Science in Nursing -
Los Angeles Trade Technical College
01.2004
Associate of Arts in Liberal Arts -
Los Angeles Trade Technical College
01.2004
Bachelor of Science in Accounting (Undergraduate) -
California State University, Los Angeles
01.1992
Associate of Arts in Accounting -
Los Angeles City College
01.1991
High School Diploma -
Eastern Mindoro Academy
Oriental Mindoro, Philippines03.1981
Skills
- Mobility Assistance
- Emergency Response
- Patient Management
- Chronic Disease Management
- Vaccine Administration
- Wound Care
- Care Planning
- Precepting
- Critical Care
- Nursing Staff Leadership
- Case Management
- Patient and Family Advocacy
- Newborn Care
- Postpartum Care
- Patient Discharge
- Procedure Preparations
- Direct Patient Care
- Patient Evaluation
- Complex Problem-Solving
- Strong Clinical Judgment
- High Level of Autonomy
- Breastfeeding Education
Organization Membership
- National Association of Neonatal Nurses (NANN)
- United Nurses Association of California (UNAC) Union of Health Care Professionals
Awards Commendations
- Nominated for DAISY AWARD (Kaiser Permanente, Baldwin Park) Year 2018
- Recipient of “Honorable Mention Award” Nurse of the Year 2008
- LAC+USC Nurse Preceptor Certificate 2018
- Completed Quality Academy Program at Los Angeles General Medical Center 2023
JManuel4@dhs.lacounty.gov, juliettemmanuel@gmail.com
Licenses Certificates
- Registered Nurse, Board of Registered Nurses, CA, 676845, 08/31/2025
- Public Health Nurse, Board of Registered Nurses, CA, 554787, 08/31/2025
- Critical Care Nurse (LAC-USC Certification)
- Basic Life Support (BLS), American Heart Association, 11/2025
- Neonatal Resuscitation Program (NRP), 01/2025
Timeline
Subject Matter Expert (SME), Nursing Clinical Documentation
LAC-USC Medical Center/ LA General; Medical Center
04.2017 - 08.2019
NICU Staff Nurse (Per Diem)
Kaiser Permanente
11.2011 - Current
Registered Nurse-Neonatal Intensive Care Unit Staff Nurse
LAC-USC Medical Center/LA General Medical Center
07.2006 - 10.2019
RN Supervisor
Ocean View Convalescent Hospital/Sub-Acute Unit
03.2006 - 12.2007
Registered Nurse II – Program Manager
Housing for Health – Interim Housing
Bachelor of Science in Nursing -
Azusa Pacific University
Associate of Science in Nursing -
Los Angeles Trade Technical College
Associate of Arts in Liberal Arts -
Los Angeles Trade Technical College
Bachelor of Science in Accounting (Undergraduate) -
California State University, Los Angeles
Associate of Arts in Accounting -
Los Angeles City College
High School Diploma -
Eastern Mindoro Academy
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