Raquel Bivens
Noblesville,IN
Summary
Compassionate and dedicated pediatric nurse seeking to leverage clinical skills and knowledge to provide exceptional care to young children, adolescence through teenage years. Proficient and caring nursing team member offering outstanding patient-facing experience. Adept at addressing patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Registered Nurse Care Manager, Population Health
Strive Health
06.2023 - Current
- Successful, ongoing development, refinement, implementation, measurement, ongoing quality improvement, and effectiveness in Care Management Department
- Conduct comprehensive assessments on patients that include medical, pharmaceutical, behavioral and social dynamics as well as identify gaps in care alongside barriers
- Implement a care plan based on assessment, physician input, and patient collaboration to address needs and improve the overall health of patients
- Provide a continuum assessment of the patient during the program by ensuring they know how to self-manage their clinical condition(s) uniquely to their learning styles
- Work closely alongside physicians, pharmacists, social workers, members of the population health team to create a unique care plan and follow through with implementation and sustainment.
Registered Nurse
Bayada Pediatrics
02.2023 - 05.2023
- Assessing patients’ conditions, comprehensive nursing care in client’s home, recording patients’ medical history and symptoms, administering medicines and treatments
- Providing quality care for adolescents and children including monitor temperature, pulse, breathing and blood pressure and keep accurate records
- Work with children and adolescents with anxieties and demands of parents and help families deal with their child’s illness or injury
- Remain up to date on latest developments, rules and regulations, drug therapies, equipment, and treatment
- Administer medications, draw blood, and give childhood vaccinations following age-appropriate guidelines
- Working with children, adolescents and teenagers to help address underlying medical conditions and provider treatment as needed.
Manager, Care Management/Utilization Review, Population Health
Evolent Health
11.2020 - 02.2023
- Successful, ongoing development, refinement, implementation, measurement, ongoing quality improvement, and effectiveness in Utilization Management Department
- Conduct interviews for hiring, training, and direct care management staff to ensure they are working at the top of their licensures and following State and company policies and procedures
- Oversee the daily ongoing operations of the department for care management and utilization reviews
- Provide oversight of care management programs including Catastrophic, Complex, High-Risk Pregnancy, Condition, Care, LTSS, and Utilization reviews ensuring practice and policies follow NCQA and other state regulatory standards and guidelines
- Review and analyze reports to ensure the team is meeting productivity and performance measures to optimize client Service Level Agreements and individual performance
- Monitor and push forth concrete improvement initiatives to the team to ensure caseloads, and engagement rates are achieved with desired outcomes and quality.
Registered Nurse Care Advisor, Population Health
Evolent Health
09.2016 - 10.2020
- Conduct comprehensive assessments on patients that include medical, pharmaceutical, behavioral and social dynamics as well as identify gaps in care alongside barriers
- Implement a care plan based on assessment, physician input, and patient collaboration to address needs and improve the overall health of patients
- Provide a continuum assessment of the patient during the program by ensuring they know how to self-manage their clinical condition(s) uniquely to their learning styles
- Work closely alongside physicians, pharmacists, social workers, members of the population health team to create a unique care plan and follow through with implementation and sustainment.
Manager, Surgical Services
IU Health North
07.2015 - 09.2016
- Planning, organizing, and directing of the operations and staff of the Surgical Services departments including daily staff schedule, ensure pre-operative, post operative and surgical suite remain in sterile condition for all surgical procedures
- Formulate objectives, goals and strategies collaboratively with other stakeholders
- Prepare and deliver reports to operational leadership outlining progress toward meeting annual goals and objectives to include performance related to finance, clinical activity, quality safety, marketing, and human resources
- Direct and provide guidance to managers to effectively allocate resources based on patient volume, space availability, budget constraints, vendor contracts, and program priorities, goals and objectives
- Report and work in cohesion with Director of Surgical Services on a daily basis pertaining to surgical workflow, finance, vendor contracts, policies and procedures and utilize date to analyze and propose innovative approaches for solutions
- Collaborate with surgeons on the latest surgical technology and best practices
- Member of several internal committees focusing on best practices, surgical steering committee, and SIMPLER procedures and systems.
Registered Nurse, Director of Nursing
Surgery Center of Irvine and Reproductive Infertility Center
02.2010 - 11.2014
- Director of a team of 36 staff members & 15 physicians
- Worked closely with fertility doctors for egg retrieval, egg donor, in vitro fertilization and intrauterine insemination and preimplantation genetic testing
- Supervised a team of qualified personnel to ensure nursing staff adheres to organizational policies and procedures
- Deal with issues concerning scheduling, equipment, and physician requests
- Joint Commission accreditation consultant for these center and other affiliated centers
- Preoperative patient check-in, including IV starts, circulating, and assisting anesthesia with induction of patient
- Fast-paced turnover of high-volume patients; pre-op and post-op patient care, to include discharge of patient
- Responsible for giving clear and concise post-op care instructions.
Registered Nurse
Hoag Outpatient Surgery Center
10.2007 - 10.2009
- Preoperative patient check-in, including IV starts, circulating, and assisting anesthesia with induction of patient
- Fast-paced turnover of high volume patients; pre-op and post-op patient care, including discharge of patients
- Responsible for giving clear and concise post-op care instructions.
Registered Nurse
St. Joseph’s Hospital
07.2005 - 07.2007
- Independently use the nursing process safely, therapeutically and efficiently care for patients
- Utilize information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patients’ plan of care
- Provided leadership in the training and implementation to fellow coworkers during the PICIS implementation
- Collaborate with colleagues in meetings and exceeding the needs of our clients with timely turnovers while assisting complex procedures
- Successful completion of Perioperative Intern program by completing the Preceptor program and becoming mentor for interns.
Clinical Nurse II
Mission Regional Hospital
08.2004 - 07.2005
- Manage the surgical suite throughout the surgery, ensuring all health care personnel demonstrate the proper sterile technique
- Effectively communicate daily interpersonal and problem-solving skills to interact with clients, families, staff, physicians and co-workers
- Perform quick assessments of trauma clients before their emergent surgery and advocate their needs during surgery
- Worked closely among health care professionals and individuals to achieve client safety and satisfaction successfully.
Registered Nurse
Children’s Hospital of Orange County
08.2003 - 07.2004
- Care for a critically ill client in the intensive care unit: performing comprehensive assessments and providing appropriate interventions
- Work closely with physicians and other healthcare individuals to meet the medical needs of clients experiencing critical illness in the intensive care unit
- Manage and care for various pediatric diseases, injuries and congenital anomalies
- Administer various medications to critically ill clients and provide a rationale to the client and family for such treatment.
Education
B.S. Nursing -
University of Southern California
05.2003
Skills
- Home care management
- HIPAA Compliance
- Clinical assessment
- Quality Improvement
- Diabetes management
- Vital signs monitoring
- Compassionate and Caring
- Critical Thinking
- Direct Patient Care
- Preventive health
- Home care
- Heartsaver CPR AED (CPR AED)
Certification
- Indiana, 28222568A, 10/31/25, Active
- New York, 827175, 08/31/24, Active
- Illinois, 041562310, 05/31/26, Active
Key Qualifications
- Evaluating and directing all nursing staff, establishing goals for the nursing department, and creating and enforcing compliant healthcare policies.
- Highly skilled in providing direction to department leaders to ensure a safe level of staffing-to-patient ratios
- Good communication skills, strong clinical abilities, and self-motivated and directed.
- In-depth knowledge of providing tactical support to meet goals effectively
Languages
Spanish
Native or Bilingual
Timeline
Registered Nurse Care Manager, Population Health
Strive Health
06.2023 - Current
Registered Nurse
Bayada Pediatrics
02.2023 - 05.2023
Manager, Care Management/Utilization Review, Population Health
Evolent Health
11.2020 - 02.2023
Registered Nurse Care Advisor, Population Health
Evolent Health
09.2016 - 10.2020
Manager, Surgical Services
IU Health North
07.2015 - 09.2016
Registered Nurse, Director of Nursing
Surgery Center of Irvine and Reproductive Infertility Center
02.2010 - 11.2014
Registered Nurse
Hoag Outpatient Surgery Center
10.2007 - 10.2009
Registered Nurse
St. Joseph’s Hospital
07.2005 - 07.2007
Clinical Nurse II
Mission Regional Hospital
08.2004 - 07.2005
Registered Nurse
Children’s Hospital of Orange County
08.2003 - 07.2004
B.S. Nursing -
University of Southern California
- Indiana, 28222568A, 10/31/25, Active
- New York, 827175, 08/31/24, Active
- Illinois, 041562310, 05/31/26, Active
Similar Profiles
Nikole JohnsonNikole Johnson
Case Manager at Strive HealthCase Manager at Strive Health
Elizabeth BrowningElizabeth Browning
Case Manager at Strive HealthCase Manager at Strive Health
Betsy SimpsonBetsy Simpson
Vice President, Quality at Strive HealthVice President, Quality at Strive Health