MICHAEL REYES
Los Angeles,CA
Summary
California Board-Certified Registered Nurse with expertise in case management and a focus on patient-centered care. Successfully led multidisciplinary teams to enhance care delivery, reduce readmissions, and improve patient satisfaction through effective discharge planning and education.
Overview
1
1
Certification
7
7
years of professional experience
Work History
Registered Nurse Case Manager
Southern California Hospital
Culver City, California
08.2025 - Current
- Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes.
- Coordinated discharge planning with multidisciplinary teams ensuring safe transitions back into the community.
- Completed assessments to identify patient needs and recommend solutions.
- Advocated for patients' rights and needs within the healthcare system.
- Participated in team meetings to discuss treatment options for complex cases.
- Supported patient care plans to provide complete treatment and follow-up.
- Taught patients and families about health management and available resources.
- Recorded patient interactions accurately in electronic health record systems.
RN Case Manager
Alta Med PACE Grand Plaza
Los Angeles, CA
03.2024 - 07.2025
- Advocated for patients and implemented total patient care through the team nursing process, conducting intake assessments with patients and relatives to gather comprehensive case histories.
- Provided patient and family health education focusing on self-management, prevention and wellness. Collaborated with doctors to plan post-treatment home care and prevent readmission hospitalization. Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Resolved patient concerns and facilitated effective communication with healthcare providers to ensure timely addressing of issues.
- Conducted telephone triage by assessing patient needs and determining appropriate care pathways. Annual and Semi-annual assessments by phone and in person.
- Coordinated with physicians, social workers, activity therapists, nutritionists, physical therapists, home care coordinators, and occupational therapists to develop and document individualized care plans in electronic charting systems.
Enrollment RN
WelbeHealth
North Hollywood, CA
05.2023 - 03.2024
- Conduct initial nursing assessments, including nursing evaluations, functional assessments, and home safety reviews, in prospective WelbeHealth participants' homes to determine PACE eligibility.
- Prepare documentation from home visits and submit to the CA state level-of-care (LOC) nurse for review, then respond to questions to support faster review process for participants.
- Conduct weekly interdisciplinary team meetings to review potential participants' needs with the team.
- Identify high-risk cases requiring intensive monitoring or specialized interventions.
- Collaborate with an interdisciplinary team and the enrollment team.
RN Case Manager
Alta Med PACE Grand Plaza
Los Angeles, CA
12.2022 - 05.2023
- Advocated for patients by implementing total patient care through team nursing and conducting intake assessments with patients and families to gather comprehensive case histories.
- Partnered with physicians, social workers, activity therapists, nutritionists, physical therapist, home care coordinator, and occupational therapist to develop and implement individualized care plans and document all patient interactions and interventions in electronic charting systems.
- Promoted patient rights and addressed needs within healthcare settings to enhance care delivery.
- Conducted comprehensive telephone triage and annual and semi-annual assessments to effectively evaluate patient needs.
- Promoted patient rights and addressed needs within healthcare settings to enhance care delivery.
RN II
Children's Hospital of Los Angeles
Los Angeles, CA
01.2022 - 11.2022
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate a safe, clean patient environment.
- Acted as a patient advocate and implemented total patient care through the team nursing process.
- Monitored patients after surgery, answered questions and provided home care strategies.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Monitored and managed various treatment and care intervention.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Enrollment RN
Alta MED PACE
Los Angeles, CA
10.2020 - 01.2022
- Conduct initial nursing assessments, including but not limited to nursing evaluation, functional assessment, and home safety evaluation, in prospective WelbeHealth participants' homes, to determine if they meet PACE eligibility requirements
- Promptly prepare documentation from home visits, submit to CA State Level-of-Care (LOC) nurse for review and reply to questions to expedite the review process for participants
- Collaborate with the interdisciplinary team and enrollment team
RN Case Manger
Alta Med PACE
East Los Angeles, CA
06.2019 - 10.2020
- Advocated for patients and implemented total patient care through the team nursing process, enhancing patient satisfaction and outcomes.
- Conducted intake assessments with patients and relatives to gather case history.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Collaborated with doctors to develop post-treatment home care plans, reducing risk of readmission.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Advocated for patients' needs within the healthcare team, ensuring timely resolution of patient concerns.
- Complete telephone triage, Annual and Semi-annual assessments by phone and in person.
- Partnered with physicians, social workers, activity therapists, nutritionists, physical therapist, home care coordinator, and occupational therapist to develop and implement individualized care plans and document all patient interactions and interventions in electronic charting systems.
Education
Nursing Bachelor of Science -
West Coast University
North Hollywood, CA10-2018
Criminal Justice Associates of Science Degree -
CTU Online
Colorado Springs, CO09-2011
Skills
- Nursing
- Case management
- Discharge planning
- Clinical judgment
- Infection Control Practices
- Safety
- Leadership skills
- Critical thinking
- Problem solving
- Conflict management
- Bilingual- Spanish
- Quick learner
Certification
- BRN License 95193260- 2026
Timeline
Registered Nurse Case Manager
Southern California Hospital
08.2025 - Current
RN Case Manager
Alta Med PACE Grand Plaza
03.2024 - 07.2025
Enrollment RN
WelbeHealth
05.2023 - 03.2024
RN Case Manager
Alta Med PACE Grand Plaza
12.2022 - 05.2023
RN II
Children's Hospital of Los Angeles
01.2022 - 11.2022
Enrollment RN
Alta MED PACE
10.2020 - 01.2022
RN Case Manger
Alta Med PACE
06.2019 - 10.2020
Nursing Bachelor of Science -
West Coast University
Criminal Justice Associates of Science Degree -
CTU Online