Jullian Ancheta
Summary
Knowledgeable and proactive ICU Registered Nurse with proven skills in coordinating and implementing treatment plans. Handles needs of patients with common presentations and complex cases, including responding expertly to diverse emergencies. Calm and insightful during stressful situations.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Registered Nurse- Intensive Care Unit
Kaiser Permanente
06.2025 - Current
- Provide high-acuity care to critically ill adult patients with multi-system instability, including sepsis, respiratory failure, and hemodynamic compromise.
- Perform comprehensive head-to-toe assessments and rapidly identify changes in patient condition; interpret ABGs, cardiac rhythms, and lab trends to guide interventions.
- Administer and titrate critical drips such as vasopressors, inotropes, sedatives, and insulin per protocol and provider orders.
- Manage advanced life-support therapies including mechanical ventilation (various modes), high-flow oxygen, non-invasive ventilation, and titratable sedation/analgesia infusions.
Registered Nurse- Cardiovascular Progressive Care Unit
Kaiser Permanente
01.2025 - 06.2025
- Regularly assess patients with cardiovascular conditions such as post-cardiac surgery, heart attacks, heart failure, and arrhythmias. Detect and respond to changes in patient condition, adjusting care as necessary.
- Provide care to patients recovering from cardiovascular surgeries like coronary artery bypass grafting (CABG), valve replacement, or stent placement.
- Respond to emergencies like arrhythmias, cardiac arrest, or severe hypotension, and perform life-saving interventions such as CPR or defibrillation.
- Work closely with cardiologists, cardiac surgeons, and other medical staff to create and adjust care plans.
Registered Nurse- Medical Surgical/ Telemetry Unit
Kaiser Permanente
03.2024 - 01.2025
- Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs, and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests.
- Develop an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for the management of each patient. Correctly carries out the physician's plan of care.
Service Representative
Kaiser Permanente
09.2019 - 03.2024
- Schedules member and non-member appointments and follow-ups, by telephone, mail, electronically, or in person utilizing Kaiser Permanente's computer systems as directed by provider or pre-established protocol.
- Verifies members' benefits, notifies member of applicable cost share, and updates patients' demographic information to include all patient registration and billing information. Escalate any issues as appropriate.
- Follows Kaiser Permanente cash safeguarding and cash handling policies and procedures.
- Determines and collects appropriate payments for services and products (where applicable) rendered as required per health plan coverage and the established fee schedule.
- Collects and documents in the computer system receipt of a variety of financial and non-financial forms and reviews with members as appropriate.
Service Representative
Kaiser Permanente
03.2018 - 09.2019
- Directs patients to waiting areas. Obtains relevant information to determine priority appointment time/date, confirms appointment changes due to cancellations and notifies patients of available alternate times, schedules/registers for follow-up appointments, tests, and procedures.
- Distributes questionnaires, various medical/authorization/insurance forms, and patient communication materials, and completes statistical reports as requested.
- Performs related clerical duties in support of Clinic Strategic Goals and Proactive Office Encounters.
- Provides telephone reception for the designated area by screening and referring incoming calls to appropriate staff; takes and relays messages; gives out general or procedural information.
Appointment Clerk
Kaiser Permanente
08.2017 - 03.2018
- Provide excellent customer service to members ensuring patient satisfaction. Use good judgment in addressing/resolving any patient or family concerns.
- Operate in a high volume, highly structured call center environment by simultaneously responding to multiple incoming calls.
- Determine if calls are urgent or emergent by listening to the member, following established guidelines, and then transferring the call to a Registered Nurse when appropriate.
- Perform clerical duties which may include assigning new members a primary care physician, processing self-referral requests, calling patients and booking specialty appointments, and calling members to cancel and reschedule appointments.
- Perform all duties above while meeting established performance standards for quality and productivity.
Nutrition Ambassador
Kaiser Permanente
08.2015 - 08.2016
- Interact with patients to provide outstanding service regarding meals while maintaining active communication with the kitchen staff on patients’ nutritional needs and special requests.
- Manage patient concerns about food quality and service.
- Act as direct Liaison between Clinical Dietitians and patients.
- Maintained strict levels of cleanliness for tables, floors, and prep areas.
- Upheld efficiency of meal services by pre-setting tables before patients arrived.
Education
Bachelor of Science - Nursing
West Coast University
Ontario01.2024
Skills
- Rapid assessment & critical thinking
- Titration of vasoactive medications
- Mechanical ventilation management
- Hemodynamic monitoring
- Neurological monitoring
Certification
- Registered Nurse, CA License #95368120 Expires: 05-31-2025
- Registered Nurse, OR License #10022959 Expires: 04-23-2026
- National Institutes of Health Stroke Scale (NIHSS)- American Academy of CME
- Advanced Cardiovascular Support (ACLS)- American Health Association
- Basic Life Support (BLS)- American Health Association
Timeline
Registered Nurse- Intensive Care Unit
Kaiser Permanente
06.2025 - Current
Registered Nurse- Cardiovascular Progressive Care Unit
Kaiser Permanente
01.2025 - 06.2025
Registered Nurse- Medical Surgical/ Telemetry Unit
Kaiser Permanente
03.2024 - 01.2025
Service Representative
Kaiser Permanente
09.2019 - 03.2024
Service Representative
Kaiser Permanente
03.2018 - 09.2019
Appointment Clerk
Kaiser Permanente
08.2017 - 03.2018
Nutrition Ambassador
Kaiser Permanente
08.2015 - 08.2016
Bachelor of Science - Nursing
West Coast University