Roberto Ramirez
Registered Nurse
San Diego,CA
Summary
Accomplished healthcare leader, military veteran (14+ years of service), and registered nurse with a strong background in clinical operations, healthcare informatics, and program management. Highly skilled at optimizing workflows, driving process improvements, and ensuring regulatory compliance in diverse healthcare settings. Proven ability to lead cross-functional teams, implement data-driven strategies, and enhance patient outcomes through evidence-based decision-making. Proficient in healthcare technology integration, utilization review, and strategic planning, with a deep understanding of operational efficiency within High Reliability Organizations (HROs). Excels in problem-solving, interdisciplinary collaboration, and high-pressure environments, leveraging extensive military and clinical experience to drive organizational excellence. A passionate advocate for continuous improvement, innovation, and the delivery of high-quality patient care while fostering strong relationships with stakeholders at all levels.
Overview
21
21
years of professional experience
12
12
years of post-secondary education
3
3
Certifications
2
2
Languages
Work History
Vocational Nursing Instructor
Concorde Career College
San Diego, CA
12.2024 - Current
- Educated and mentored 50+ nursing students per semester in foundational and advanced nursing principles, ensuring full alignment with state licensure requirements and national accreditation standards.
- Developed and implemented a comprehensive curriculum that integrates critical care protocols, patient safety standards, and clinical decision-making strategies, improving student NCLEX-PN pass rates by 15%.
- Designed and led 30+ hours of simulation-based training utilizing EHR systems, clinical case studies, and high-fidelity mannequins to enhance clinical readiness and critical thinking.
- Assessed student performance through objective evaluations and direct feedback, resulting in a 10% improvement in clinical competency scores and higher student retention rates.
- Introduced quality improvement initiatives to refine educational delivery methods, increasing student engagement and course satisfaction ratings by 12%.
- Guided students in evidence-based practice, healthcare technology integration, and regulatory compliance, ensuring 100% adherence to professional standards set by California Board of Vocational Nursing and Psychiatric Technicians (BVNPT).
- Fostered leadership and communication skills by coordinating interdisciplinary clinical rotations across multiple healthcare settings, bridging classroom knowledge with real-world patient care scenarios.
- Implemented standardized testing methodologies that enhanced NCLEX-PN preparedness, leading to higher program pass rates and improved employer satisfaction with new graduates.
- Served as a mentor for students seeking career guidance, contributing to a 5% increase in job placements post-graduation by connecting them with hospitals, skilled nursing facilities, and outpatient clinics.
Collaborated with faculty and administrators to enhance program efficiency, ensuring a continuous improvement cycle in curriculum development, student support, and faculty training.
Regional Clinic Manager
United States Navy, USN
San Diego, CA
06.2023 - 11.2024
- Led operations for a high-volume primary care clinic, managing clinic throughput for over 4,700+ active-duty patient visits annually, ensuring 100% compliance with Joint Commission, CMS, and military healthcare standards.
- Oversaw a $380K annual budget, optimizing resource allocation, staffing, and clinical supply chain processes, leading to a 15% reduction in operational costs while maintaining high patient satisfaction scores.
- Implemented workflow optimizations that increased patient flow efficiency by 30%, reducing average wait times by 20 minutes per visit and improving appointment scheduling accuracy by 25%.
- Developed and enforced EHR utilization strategies, increasing provider documentation efficiency by 40% and improving interdisciplinary communication across clinical and administrative teams.
- Spearheaded quality assurance projects, resulting in a 25% improvement in clinic throughput, reducing delays in patient care and ensuring timely preventive screenings for active-duty service members.
- Led and trained a team of 100+ healthcare professionals, enhancing staff competency in evidence-based practice, patient safety, and regulatory compliance, contributing to a 10% improvement in clinic audit scores.
- Streamlined compliance initiatives to ensure 100% readiness for Joint Commission and CMS inspections, identifying and resolving potential compliance risks before external audits.
- Collaborated with interdisciplinary teams, including physicians, nurses, Hospital Corpsman, medical assistants, and administrative staff, to improve care coordination and chronic disease management, leading to a 15% reduction in hospital readmissions among high-risk patients.
- Drove a patient-centered care model, launching new initiatives that increased patient engagement and satisfaction scores by 20%, strengthening trust between military personnel and their healthcare providers.
- Executed performance improvement initiatives, including data-driven staffing models and Lean Six Sigma methodologies, optimizing resource utilization and reducing clinical inefficiencies by 18%.
Utilization Management Nurse
United States Navy, USN
San Diego, CA
01.2023 - 06.2023
- Conducted over 3000+ medical necessity reviews and prior authorizations, ensuring 100% compliance with insurance policies, Medicare/Medicaid guidelines, and evidence-based care protocols.
- Facilitated case management strategies that improved resource utilization by 20%, reducing unnecessary hospital admissions and optimizing continuity of care.
- Reviewed and audited patient records for clinical documentation accuracy, improving coding precision by 30% and enhancing reimbursement optimization for military healthcare services.
- Collaborated with interdisciplinary teams, including physicians, case managers, and insurance representatives, to streamline prior authorization processes, leading to a 15% reduction in authorization turnaround times.
- Utilized data analytics and industry benchmarks to assess complex medical cases, ensuring appropriate levels of care while reducing healthcare costs by 12% through strategic case reviews.
- Provided real-time clinical guidance to medical staff on utilization best practices, contributing to a 25% decrease in denied claims and improved patient access to medically necessary treatments.
- Developed and implemented process improvements, increasing case review efficiency by 18%, reducing administrative burdens, and enhancing provider engagement in utilization management decisions.
- Led compliance initiatives, ensuring 100% adherence to TRICARE and CMS regulations, supporting risk mitigation, and enhancing audit readiness.
- Monitored high-cost procedures and chronic disease management cases, identifying opportunities for care coordination enhancements that reduced avoidable readmissions by 10%.
- Delivered clinical education sessions to medical staff on insurance criteria, medical necessity determinations, and appeals processes, fostering greater alignment between clinical practice and reimbursement requirements.
Pediatric ICU (PICU) Charge Nurse
United States Navy, USN
San Diego, CA
03.2022 - 01.2023
- Led a 6-bed Pediatric Intensive Care Unit (PICU), supervising 10+ critical care nurses per shift in managing high-acuity pediatric patients requiring ventilator support, trauma resuscitations, and complex medical interventions.
- Coordinated daily multidisciplinary rounds with physicians, respiratory therapists, and case managers, ensuring a 98% compliance rate with evidence-based critical care protocols and optimizing patient outcomes.
- Managed rapid response teams for pediatric emergencies, leading interventions that reduced code blue events by 25% through early recognition of clinical deterioration.
- Developed and implemented quality improvement initiatives that resulted in a 15% reduction in ventilator-associated pneumonia (VAP) rates and a 20% decrease in central line-associated bloodstream infections (CLABSI).
- Enhanced unit efficiency by optimizing staffing models and resource allocation, leading to a 30% improvement in nurse-to-patient assignment balancing without compromising patient safety.
- Trained and mentored 3+ newly onboarded PICU nurses, increasing competency in critical care procedures and pediatric resuscitation protocols, contributing to a 20% improvement in first-attempt success rates for critical interventions.
- Spearheaded unit-wide patient safety initiatives, resulting in a 12% decrease in hospital-acquired pressure injuries (HAPI) and improved adherence to infection control practices.
- Collaborated with case managers and social workers to streamline discharge planning, decreasing average PICU length of stay by 8% and ensuring seamless patient transitions to step-down units.
- Led technology integration efforts, supporting the implementation of advanced pediatric monitoring systems, which improved early sepsis detection rates by 20%.
- Facilitated debriefings and peer reviews after critical cases, fostering continuous learning and performance improvement across the PICU team.
Critical Care Nurse
United States Navy, USN
San Diego, CA
05.2021 - 03.2022
- Delivered advanced critical care nursing for adult patients with multisystem organ failure, sepsis, and acute respiratory distress syndrome (ARDS), managing an average of 2 high-acuity patients per shift.
- Led emergency interventions, assisting in 50+ intubations, arterial line placements, and central venous catheterizations, ensuring rapid stabilization of critically ill patients.
- Deployed twice for national COVID-19 relief efforts, serving as part of Medical Response Team Charlie (Farmington, NM, December 2021 – January 2022) and Medium Medical Team Charlie (Albuquerque, NM, January 2022 – March 2022), providing critical care support to overwhelmed hospitals.
- Managed ventilators and high-flow oxygen therapy for COVID-19 patients in respiratory failure, contributing to a 20% reduction in ventilator-associated complications during deployments.
- Administered high-risk medications, including vasopressors, sedatives, and paralytics, ensuring hemodynamic stability and minimizing adverse events.
Led infection control efforts, reinforcing CDC COVID-19 protocols, reducing hospital-acquired infections by 15% in critical care units. - Developed clinical training sessions for new nurses and cross-trained staff during COVID-19 surge operations, improving team response times by 25% for rapid sequence intubations.
- Collaborated with interdisciplinary teams, including physicians, respiratory therapists, and case managers, to optimize care transitions and discharge planning, reducing ICU length of stay by 10%.
- Participated in quality improvement initiatives, implementing strategies that enhanced early sepsis detection rates by 18% and increased compliance with evidence-based ventilator weaning protocols.
- Performed diagnostic tests and patient assessments, monitoring ECG changes, hemodynamic status, and ABG trends, leading to timely interventions and improved patient outcomes.
Medical ICU Nurse Contractor
Walter Reed Medical Center
Bethesda, MD
09.2020 - 05.2021
- Provided advanced intensive care nursing for active-duty military personnel, veterans, and civilians with complex medical conditions, including multi-organ failure, sepsis, traumatic injuries, and acute respiratory distress syndrome (ARDS), managing 2 high-acuity patients per shift.
- Ensured 100% compliance with military healthcare protocols, Joint Commission standards, and HIPAA regulations, maintaining accurate electronic health records (EHR) documentation for medication administration, vital signs, and patient progress.
- Performed critical interventions, including mechanical ventilation management, titration of vasoactive drips, and continuous renal replacement therapy (CRRT), contributing to a 20% reduction in ICU complications.
- Led rapid response efforts, assisting in 30+ emergent intubations, arterial line placements, and central venous catheter insertions, ensuring swift stabilization of deteriorating patients.
- Collaborated with multidisciplinary teams, including physicians, respiratory therapists, and case managers, to develop and adjust individualized care plans, leading to improved patient recovery rates.
- Provided patient and family education, ensuring enhanced understanding of treatment plans, which boosted patient compliance by 25% and reduced unplanned readmissions.
- Developed strong rapport with patients and families, fostering trust and transparency during end-of-life discussions, complex treatment decisions, and palliative care interventions.
- Participated in quality improvement initiatives, enhancing ICU workflow efficiency and reducing medication administration errors by 15% through EHR optimization and nurse education.
- Assisted in transitioning patients from critical care to step-down or rehabilitation units, ensuring seamless continuity of care and a 10% decrease in ICU readmissions.
- Trained and mentored newly assigned ICU nurses, strengthening unit competency and improving overall team efficiency in critical situations.
Neuroscience ICU Nurse II
University of Maryland Medical Center
Baltimore, MD
06.2018 - 06.2020
- Managed a high-acuity patient population, specializing in neurological and neurosurgical critical care, treating an average of 2 patients per shift with conditions such as ischemic and hemorrhagic stroke, traumatic brain injury (TBI), subarachnoid hemorrhage, intracranial hypertension, and post-operative neurosurgical cases.
- Executed advanced neurological assessments, including Glasgow Coma Scale (GCS) monitoring, pupillary response tracking, and continuous intracranial pressure (ICP) monitoring, resulting in a 20% reduction in complications related to delayed neurological deterioration.
- Expertly managed mechanical ventilation, CSF drainage, and ICP monitoring devices, ensuring optimal neuroprotection strategies that contributed to improved neurological recovery outcomes.
- Led emergency interventions, including rapid response activations for neurological declines, emergent intubations, and administration of tPA for acute stroke patients, reducing door-to-needle time for thrombolytic therapy by 15%.
- Collaborated with neurosurgeons, neurologists, and rehabilitation specialists to develop individualized care plans, leading to a 10% improvement in functional recovery rates for TBI patients.
- Assisted in cutting-edge neurosurgical procedures, including external ventricular drain (EVD) placements, decompressive craniectomies, and aneurysm coiling, ensuring sterile technique adherence and procedural efficiency.
- Participated in evidence-based quality initiatives, such as early mobility programs and delirium prevention strategies, which contributed to a 30% reduction in ICU delirium occurrences and improved patient outcomes.
- Trained and mentored new neuroscience ICU nurses, facilitating their transition to independent practice through hands-on education, case study discussions, and simulation-based learning, increasing unit competency scores by 25%.
- Maintained 100% compliance with Joint Commission, CMS, and hospital accreditation standards, reinforcing best practices in infection control, patient safety, and interdisciplinary communication.
- Engaged in continuous professional development, attending critical care neurology conferences, participating in advanced neurocritical care workshops, and staying updated on emerging treatments in neurological patient management.
Aircraft Loadmaster Instructor
United States Air Force
Albuquerque, NM
02.2011 - 09.2015
- Led qualification and instructor upgrade training, successfully producing 350+ mission-ready Special Operations Forces (SOF) and personnel recovery aircrew annually, ensuring 100% compliance with Air Force Special Operations Command (AFSOC) and Air Combat Command (ACC) standards.
- Instructed and evaluated 200+ aircrew personnel in weight distribution, cargo loading procedures, and in-flight emergency response, enhancing aircrew readiness by 30% and reducing operational errors.
- Developed and implemented advanced training programs for H/MC-130P/J aircraft loadmasters, including night vision goggle (NVG) aerial delivery and infiltration/exfiltration procedures, resulting in an 18% improvement in mission execution efficiency.
- Provided expert guidance on hazardous materials handling, ensuring adherence to DoD and FAA regulations, which reduced safety incidents by 30% and improved overall operational compliance.
- Streamlined cargo loading and weight distribution strategies, optimizing aircraft fuel efficiency by 12% while maintaining 100% compliance with flight safety protocols.
- Served as a key advisor to the Squadron Commander and Director of Operations, delivering performance evaluations and readiness assessments that shaped critical mission planning and execution strategies.
Aircraft Loadmaster
United States Air Force
RAF Mildenhall, UK
06.2004 - 02.2011
- Executed over 1,200 flight hours on H/MC-130P/J aircraft, performing preflight and postflight inspections, load planning, and weight distribution to ensure 100% mission success in high-stakes, time-sensitive operations.
- Led the loading and offloading of over 5,000 tons of cargo and personnel, optimizing aircraft capacity and ensuring zero mission delays due to cargo mismanagement.
- Coordinated complex aerial refueling operations with Special Operations Forces (SOF) helicopters, ensuring uninterrupted mission continuity and maximizing fuel efficiency for extended-range operations.
- Performed clandestine airdrop missions and rapid airland infiltrations/exfiltrations of SOF personnel and equipment in high-risk, contested environments, enhancing operational effectiveness and mission success rates.
- Utilized night vision goggles (NVG) in low-level flight operations, conducting visual threat detection and counter-threat maneuvers, reducing risk exposure by 40% during covert missions.
- Led mission planning and risk assessments for classified global operations, ensuring compliance with aviation safety regulations, cargo security protocols, and DoD operational standards while optimizing resource allocation.
Education
Master of Science - Health Informatics
University of Denver
Denver, CO 06.2022 - Current
Graduate Certificate - Health Data Informatics & Analytics
University of Denver
Denver, CO 06.2022 - 11.2024
Bachelor of Science - Nursing
University of New Mexico
Albuquerque, NM 09.2015 - 05.2018
Associate of Applied Science - Instructor of Technology & Military Science
Community College of The Air Force
Montgomery, AL 09.2012 - 09.2014
Associate of Applied Science - Aviation Operations
Community College of The Air Force
Montgomery, AL 07.2010 - 07.2012
Skills
✔ Project & Program Management
Certification
Registered Nurse (RN) - National Council of State Boards of Nursing.
Timeline
Basic Life Support (BLS) - American Heart Association
01-2025
Advanced Cardiac Life Support (ACLS) - American Heart Association
01-2025
Vocational Nursing Instructor
Concorde Career College
12.2024 - Current
Registered Nurse (RN) - National Council of State Boards of Nursing.
12-2024
Regional Clinic Manager
United States Navy, USN
06.2023 - 11.2024
Utilization Management Nurse
United States Navy, USN
01.2023 - 06.2023
Master of Science - Health Informatics
University of Denver
06.2022 - Current
Graduate Certificate - Health Data Informatics & Analytics
University of Denver
06.2022 - 11.2024
Pediatric ICU (PICU) Charge Nurse
United States Navy, USN
03.2022 - 01.2023
Critical Care Nurse
United States Navy, USN
05.2021 - 03.2022
Medical ICU Nurse Contractor
Walter Reed Medical Center
09.2020 - 05.2021
Neuroscience ICU Nurse II
University of Maryland Medical Center
06.2018 - 06.2020
Bachelor of Science - Nursing
University of New Mexico
09.2015 - 05.2018
Associate of Applied Science - Instructor of Technology & Military Science
Community College of The Air Force
09.2012 - 09.2014
Aircraft Loadmaster Instructor
United States Air Force
02.2011 - 09.2015
Associate of Applied Science - Aviation Operations
Community College of The Air Force
07.2010 - 07.2012
Aircraft Loadmaster
United States Air Force
06.2004 - 02.2011
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