Jose Arnaldo Espinosa-Santiago
Denver,Colorado
Summary
Compassionate and dedicated registered nurse with 28+ years of experience (ICU, Nursing Home, Home Health, Mental Health, and School Nurse. ER, Operation Room, and Mental Psych Hospital in Puerto Rico. Education: Elementary School, Nursing School (Puerto Rico 10yrs., Florida-1yr.) in providing exceptional patient care in various healthcare settings. Proficient in-patient assessment, medication administration, and patient education. I am skilled in managing patient care plans, collaborating with interdisciplinary teams, and using electronic health record systems. Seeking a registered nurse position in a healthcare facility where I can utilize my skills and expertise to make a positive impact on patient outcomes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Correctional Nurse
Douglas County Justice Center-Jail
10.2024 - Current
- Correctional nurses perform medical procedures, and know when to draw blood, refrigerate it, or freeze it
- They should also be able to identify and assess changes in a patient's health
- Correctional nurses need a variety of skills to work in a correctional facility, including clinical skills, interpersonal skills, and the ability to manage stress
- Clinical skills: Correctional nurses must be able to perform medical procedures, and know when to draw blood, refrigerate it, or freeze it
- They should also be able to identify and assess changes in a patient's health
- Interpersonal skills: Correctional nurses need to be able to communicate effectively with patients, guards, and other staff, especially in emergencies
- They should also be able to collaborate with other healthcare professionals and custody staff
- Stress management: Correctional nurses need to be able to manage stressful situations, which can be common for incarcerated people
- Attention to detail: Correctional nurses need to be able to identify subtle changes in a patient's medical condition
- Compassion: Correctional nurses should be empathetic and caring to help patients feel more comfortable discussing their health
- Critical thinking: Correctional nurses need to be able to identify patients' medical conditions and determine next steps, especially in medical emergencies
- Adaptability: Correctional nurses need to be able to adapt to changing facility operations, such as lockdowns
- Professional boundaries: Correctional nurses need to maintain professional boundaries while advocating for their patients' health
- Handling case management
- Performing physical assessments of newly detained individuals and those who have recently been transferred from another facility
- Administering daily medications to ensure compliance
- Applying bandages and surgical dressings
- Providing first aid and emergency care
- Reporting and logging detainees’ reactions to medications
- Reporting and logging changes in detainees’ emotional and/or physical condition
- Assisting physicians with medical treatments
- Obtaining blood samples, stool samples, and other specimens for diagnostic testing
Rehabilitation Case Manager
Kare-RN Agency
07.2024 - Current
- The Rehabilitation Case Manager is responsible and accountable for coordinating and facilitating successful patient services from pre-admission through discharge
- This includes one-to-one referral development and follow-up to develop and maintain effective client relationships
- Balances individually identified patient and family needs with the efficacious and cost-effective utilization of resources
- Coordinates patient, family, physicians and all rehab disciplines to effectively move patient through the continuum of care, including discharge planning
- Oversee utilization management process including verification of insurance coverage, pre-authorization, resource management and overall management of patients within the continued stay criteria
- Monitor patient’s condition and assess their needs to provide the best possible care and advice
- Observe and interpret patient’s symptoms and communicate them to physicians
- Collaborate with physicians and other nurses to devise individualized care plans for patients
- Perform routine procedures (blood pressure measurements, administering injections etc.) and fill in patients’ charts
- Adjust and administer patient’s medication and provide treatments according to physician’s orders
Director of Nurse
Altius Home Health
12.2023 - Current
- Evaluates patients referred to for home care to determine appropriateness for admission (Start of Care/OASIS)
- Establishes a home care plan including assessment of the appropriateness of the services requested
- Assures that the Agency is ready to meet the patient’s needs by collaborating with Agency personnel on a regular basis
- Explain the Agency’s policies and services to the patient and responsible family members during initial home care assessment
- Completes documentation accurately and submit it to the agency office in a timely manner
- Establishes and promotes ongoing communication with Agency personnel
- Establishes communication with other providers, including hospitals, clinics and Rehab Center
Director of Nurse
Mahdi Home Health Care
02.2023 - 12.2023
- Directing the nursing program, including implementing new policies and procedures when necessary
- Manages the services provided by the nursing personnel of a healthcare facility
- Overseeing hiring, firing, and development of nursing staff
- Communicating with families, residents, and physicians as needed
- Developing a business plan and budget for the nursing unit
- Participating in creating resident care plans and ensuring they are followed
- Ensuring the nursing unit is compliant with all local, state, and federal regulations
- Leads daily operations for the nursing department
- Sets and tracks departmental goals and objectives
- Develops and implements nursing policies and procedures
- Supervises, trains, and evaluates nursing staff
- Hires and onboards new nurses
- Sets the nursing schedule
- Provides direct patient care when necessary
- Investigates patient complaints
- Collaboration with doctors and executive
- Oversees the department’s budget
- Maintains a stocked inventory
- Designs and manage continuous quality improvement (CQI) initiatives
- Ensures that all guidelines, regulations, and standards are followed
- Uses popular software, including medical databases, research, diagnosis, billing, scheduling, and telemedicine software
- QA Recertification, 485, Nursing notes, Patients visits
- RN quality assurance
- (95 clients, 24 nurses, 16 CNA.)
Director of Nurse
Alternative Choice Home Health
11.2021 - 02.2023
- Perform Starts of care/OASIS, recertifications/RC, resumptions/ROC and discharges
- Manage and supervise all clinicians, including CNAs, LPNs, RNs
- Ability to supervise, guide and develop patient care personnel skills and performances
- Ensure compliance with HIPAA regulations and other healthcare systems protocols
- Responsible for the orientation of new patient care personnel
- Assists in the planning and consultative needs of staff
- Responsible for making patient and personnel assignments, and coordinating patient care and referrals
- Investigates, resolves and reports any problem relating to patient care and/or employee well-being to facilitate continual assessment of patient needs
- Available to share on-call with nursing personnel as needed
- Assists with staffing visit assignments and on-call
- Must be able to perform nursing functions in times of staff shortage
Director of Nurse
Englewood Post-Acute Rehabilitation Center
10.2021 - 11.2021
- Observe resident attendance, mood, behavior
- Encourage residents to participate in activities
- Provide materials as necessary
- Make routine visits to residents and perform assistance with crafts, projects, etc., as necessary
- Befriend residents to encourage resident self-esteem by visiting and conversing with residents on a regular basis
- Conduct individual and/or group, re-motivation, and reality orientation sessions to promote the worth, self-esteem and reality level of the residents
Director
Brookdale Home Health
06.2019 - 07.2021
- Initial evaluation visit, regularly re-evaluates the patient's nursing needs, initiates the plan of care and necessary revisions
- Furnishes those services requiring substantial and specialized nursing skill, initiates appropriate preventive and rehabilitative nursing procedures
- Prepares clinical and progress notes, coordinates services, informs the physician and other personnel of changes in the patient's condition and needs
- Counsels the patient and family in meeting nursing and related needs
- Participates in in-service programs, and supervises and teaches other nursing personnel
- Case Manager/RN- Responsible for coordination of medical case management services which promote quality, cost-effective care outcomes while ensuring the appropriate implementation of quality assurance and Medical Management policies and procedures, and Health Plan and other regulatory requirements
- Prepare, negotiate and implement case management interventions which are appropriate for member’s medical status and contract benefits, and which are coordinated with the care activities of the PCP and other providers
- Identify case management needs from multiple areas, including providers, patients or support members, outside agencies, or from prospective, concurrent, or retrospective review of authorization or claims data
Education
Adult Geriatric Primary Care NP -
Walder University
04.2024
Botulinum Toxin and Dermal Filler -
Aesthetic Medical Educator
08.2022
Lic. 156934 -
School Nurse/Special Services Provider
01.2020
Child Say Care Management Magna Cum Laude -
Stratford Career Institute
09.2015
Bachelor Science Nursing -
Metropolitan University of P.R.
Cupey, Puerto Rico09.2003
Associate degree in nursing -
Technology of San Juan
Carolina, Puerto Rico05.1997
License Practical Nurse -
Universal College
Carolina, P.R.09.1991
Associate Degree in Education/ Physical Education - Special needs
University of Puerto Rico- Carolina, Campus
Carolina, Puerto Rico09.1989
Skills
- Accurately gather information to determine health-related needs
- Assess patient status and notify physicians of clinical changes
- Assist patients in the rehabilitation process
- Educate patients/families on health care needs
- Maintain sterile fields and application of dressings
- Patient confidentiality
- Physical assessments
- Immunization administration
- Medication administration
- Medical terminology
- Compassionate care
- Detoxification support
- Health promotion
- Preventive care
- Behavioral management
- Ethical practice
- Suicide prevention
- Health education
- Pharmacology
- Policy adherence
- Diabetic care
- Substance abuse treatment
- Focused patient assessments
- Patient charting and reporting
- Mental health screening
- Urine collection
- Prison protocols
- Lab specimen processing
- Corrections environments
- Teamwork
- Problem-solving abilities
- Multitasking Abilities
- Critical thinking
- Excellent communication
- Strong clinical judgment
- Direct patient care
- Team collaboration
- Effective communication
- Adaptability and flexibility
- Creative problem solving
- Decision-making
- Dementia care
- Blood draw and sample collection
- Clinical documentation
- Vitals monitoring
- Wound care
- Pain management
- Intravenous therapy
- Safety protocols
- Self motivation
- Task prioritization
- Infection control
- CPR/AED
- Interpersonal skills
- Analytical thinking
- Documentation
- Goal setting
- Quality improvement
- Geriatric care
- Collecting vitals
- Care coordination
- Patient condition monitoring
- Delegation and motivation
- Clear patient communication
- Physical assessment
- Electronic health records
- Patient education
- Patient care assessment
- CPR certification
- Organizational skills
- Time management
- Medication and IV administration
- Healthcare regulations
- Sexual assault response
Nursing Skills
- Nursing assessments
- Oasis E. 05/24
- PICC Line/Mid-line/Peripheral insertion.
- Home Health Care/Nursing Home Software: AXXESS, PCC, HC-HB.
Certification
- Registered Nurse License (RN) - State Board of Nursing.
- CPR/AED Certification
- [State] Driver's License
Timeline
Correctional Nurse
Douglas County Justice Center-Jail
10.2024 - Current
Rehabilitation Case Manager
Kare-RN Agency
07.2024 - Current
Director of Nurse
Altius Home Health
12.2023 - Current
Director of Nurse
Mahdi Home Health Care
02.2023 - 12.2023
Director of Nurse
Alternative Choice Home Health
11.2021 - 02.2023
Director of Nurse
Englewood Post-Acute Rehabilitation Center
10.2021 - 11.2021
Director
Brookdale Home Health
06.2019 - 07.2021
Botulinum Toxin and Dermal Filler -
Aesthetic Medical Educator
Lic. 156934 -
School Nurse/Special Services Provider
Child Say Care Management Magna Cum Laude -
Stratford Career Institute
Bachelor Science Nursing -
Metropolitan University of P.R.
Associate degree in nursing -
Technology of San Juan
License Practical Nurse -
Universal College
Associate Degree in Education/ Physical Education - Special needs
University of Puerto Rico- Carolina, Campus
Adult Geriatric Primary Care NP -
Walder University
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