Rodney Bacho, RN BSN
Tampa,Florida
Summary
Dynamic healthcare professional with extensive experience in designing and managing value-based care programs, focused on optimizing operational efficiency and driving measurable outcomes. Expertise in leading cross-functional teams to streamline processes while achieving financial and quality performance goals within fast-paced healthcare environments. A strong commitment to delivering high-quality care and improving patient outcomes through strategic planning and effective collaboration is evident in every initiative. Recognized for adaptability to evolving healthcare needs, consistently delivering exceptional results alongside excellent communication and critical thinking skills that enhance team effectiveness.
Overview
16
16
years of professional experience
Work History
RN Care Manager
Sharecare
Tampa, Florida
07.2025 - Current
- Delivered telephonic and digital care management for assigned patient populations, focusing on chronic disease management, preventive care, and care gap closure within value-based care models.
- Managed approximately 50+ cases
- Conducted comprehensive patient assessments addressing clinical, behavioral, psychosocial, and social determinants of health (SDOH) to identify risks, barriers, and intervention needs.
- Developed and maintained individualized care plans in collaboration with patients, caregivers, primary care providers, and interdisciplinary care teams.
- Performed proactive outreach and patient engagement to improve medication adherence, health literacy, self-management, and compliance with evidence-based guidelines.
- Coordinated care transitions following hospitalizations, emergency department visits, and post-acute stays to reduce readmissions and improve continuity of care.
- Documented assessments, interventions, and outcomes in EMR and care management platforms, supporting HEDIS measures, quality metrics, utilization reduction, and reimbursement goals.
Admissions RN
Trusted Homecare
Tampa, Florida
02.2025 - Current
- Conducted thorough evaluations of patients' physical, psychosocial, and environmental conditions at the initiation of home health services.
- Initiated and finalized admission documentation following Medicare and agency guidelines.
- Created customized care plans addressing clinical needs, safety, and personal goals for home health aides.
- Reviewed and reconciled current medications.
- Ensured clear communication of care plans to home health aides and interdisciplinary team members.
- Educate patients and families on disease processes, medication regimens, and home safety.
- Coordinate with physicians, therapists, and other clinicians to ensure the timely initiation of services.
- Maintain accurate, timely, and thorough documentation in EMR systems to support clinical and billing compliance.
Manager of Value Based Care
Herself Health
Saint Paul, MN
08.2023 - 02.2025
- Developed and introduced cutting-edge initiatives: RN Case Manager Program, Chronic Case Manager Program, and Behavioral Health Program.
- Directed team consisting of 4 Registered Nurses, 4 Care Coordinators, and a Social Worker.
- Led the development of company's Value-Based Care Department, achieved a readmission rate below 1%, and secured $80K reimbursement for chronic care management.
- Facilitated closure of HEDIS measures, driving substantial bonus payouts from Medicare Advantage plans.
- Developed and executed detailed SOPs for triage calling, medication refills, non-clinical personnel triage, transition care, inbox management, and chronic care management.
- Designed and streamlined workflows within Salesforce CRM and contributed to workflow enhancements in Athena EMR, ensuring seamless integration and operational efficiency.
- Drove organizational alignment with strategic goals by acting as a primary decision-maker for value-based care programs.
Clinical Operations Manager
Papa, INC
Miami, FL
03.2021 - 08.2023
- Established inaugural department for care navigation.
- Facilitated development of departmental processes and procedures for clinical operations leadership.
- Played a first hand role in piloting care coordination outreach program for Papa which ultimately lead the product team to create a new platform for the company called 'admin production'
- Supervised staff of 10 care navigators effectively.
- Enhanced communication strategy for sales and marketing teams through impactful presentations on care navigation.
- Directed team efforts to address 68,000 social determinants of health-related needs for Papa members.
- Acted as clinical resource for company.
- Supported development of emergency protocols.
- Achieved program success, garnering partnerships with 24 prominent healthcare providers.
- Facilitated care coordination for a membership base exceeding 100,000.
- Facilitated growth in care navigation department and Papa services, driving membership expansion by over 800,000 patients in 2023.
Business Development Representative
Carter Healthcare Inc.
Tampa, FL
12.2018 - 03.2021
- Collaborated with local businesses and community groups to identify potential leads.
- Established connections with potential clients, maintained strong relationships and addressed their service requirements.
- Expanded client base through strategic networking.
- Executed tactics to leverage new prospects and enhance growth.
- Collaborated with existing clients to evaluate requirements and devise enhancement strategies.
Lead Healthcare Services and Physician Consultant
Physician Partners
Tampa, FL
01.2017 - 12.2018
- Oversaw operations of six care coordinators, ensuring alignment with Independent Physician Association objectives.
- Collaborated with physicians and office teams to promote timely access to appropriate care.
- Increased utilization of preventative care and reduced emergency room utilization and hospital readmissions
- Facilitated continuity in care through coordination with tertiary care providers and effective management of referrals.
- Gained deep understanding of department operations including physician recruiting, credentialing, and network management reporting to Regional Manager.
- Created positive change in the market through recruiting and contracting primary care physicians, monitoring monthly financial reports and executing marketing strategies.
- Collaborated with regional Quality Analysts and Care Coordinators to support office teams.
Transitional Care Manager
Doctors Choice Homecare
10.2015 - 12.2016
- Aided in creating an innovative transition care initiative.
- Leveraged PAS software during telephonic evaluation to quantify patient disease control.
- Collaborated with Transition Care managers, coordinators, and case managers across hospitals and skilled nursing facilities to streamline patient care transitions.
- Streamlined patient admission into medical home care services using organized processes.
- Played crucial part in sustaining a 6% readmission rate for patients qualified for the transition care program.
RN Transition Care Clinical Liaison
ACM Medical Transition Care
Tampa, FL
12.2012 - 10.2015
- Coordinated and managed referrals from providers, facilities, customer sources.
- Collaborated with Transition Care managers, coordinators, and case managers to manage patients through the continuum of care.
- Coordinated patient admissions to medical home care services through a smooth, systematic process.
- Functions as liaison for care coordination with internal staff and external agencies.
RN Clinical Liaison
Rehabilitation and healthcare of Tampa
02.2012 - 12.2012
- Coordinated and managed incoming referrals from diverse customer sources.
- Conducted clinical assessments to evaluate patient eligibility based on facility admission criteria and capabilities.
- Evaluated patient and resident charts to ensure accurate assessments.
- Gathered essential medical and financial data to ascertain patient admission eligibility.
- Evaluated referral payer sources like Medicare, Medicaid, and managed care.
- Coordinated patient assignments aligning clinical requirements, space availability, and geographical considerations.
- Supports the Business Development Consultant in special programs and training initiatives, as needed.
ER Registered Nurse
Mease Countryside Hospital
10.2011 - 02.2012
- Managed emergency services for a 42-bed unit.
- Delivered nursing care across various developmental stages using comprehensive assessment and planning.
- Managed care of assigned patients effectively.
- Evaluate physiological and psychological needs of patients comprehensively.
- Plans, implements and evaluates patients' care plan
- Showcases dedication to professional practice by managing patient care assignments cost-effectively.
ER Registered Nurse
Kennedy Health System
06.2010 - 10.2011
- Managed a high-acuity, 26-bed emergency department unit.
- Delivered nursing care to patients across various age groups by employing comprehensive assessment, planning, implementation, and evaluation processes.
- Managed care for assigned patients.
- Evaluated patient physiological and psychological conditions thoroughly.
- Developed, executed, and assessed tailored care plans for patients.
- Exhibited dedication to professional standards by efficiently managing patient care assignments.
- Exhibits leadership capabilities in charge nurse duties.
Education
Bachelor of Science - Nursing
Jacksonville University
Jacksonville, FL01.2010
Bachelor of Arts - Communication
University of North Florida
Jacksonville, FL01.2006
Skills
- Development and execution of programs
- Team leadership and mentoring
- Value-based care strategies
- Healthcare operations management
- SOP creation
- Cross-functional collaboration
- Readmission reduction strategies
- Healthcare market expansion
- Computer literacy
- Goal-driven
- Effective time management
- Home care management
- HIPAA compliance
- Clinical assessment
- Care coordination
License and Certification
- Florida Registered Nurse BSN Jacksonville University
- Nurse Licensure Compact (NLC)
- Life and variable contracts insurance FL DFS
- Value-Based Care: Introduction to Value-Based Care and the U.S. Healthcare System University of Houston
- Value-Based Care: Managing Processes to Improve Outcomes University of Houston
- Value-Based Care: Organizational Competencies University of Houston
- Value-Based Care: Population Health University of Houston
- Value-Based Care: Reimbursement Models University of Houston
- Value-Based Care: Quality Improvement in Organizations University of Houston
- BLS/CPR/First Aid
The Fun Side of Me
- Dance fitness aerobics instructor
- Avid gym goer
- Love traveling and going on cruises
Timeline
RN Care Manager
Sharecare
07.2025 - Current
Admissions RN
Trusted Homecare
02.2025 - Current
Manager of Value Based Care
Herself Health
08.2023 - 02.2025
Clinical Operations Manager
Papa, INC
03.2021 - 08.2023
Business Development Representative
Carter Healthcare Inc.
12.2018 - 03.2021
Lead Healthcare Services and Physician Consultant
Physician Partners
01.2017 - 12.2018
Transitional Care Manager
Doctors Choice Homecare
10.2015 - 12.2016
RN Transition Care Clinical Liaison
ACM Medical Transition Care
12.2012 - 10.2015
RN Clinical Liaison
Rehabilitation and healthcare of Tampa
02.2012 - 12.2012
ER Registered Nurse
Mease Countryside Hospital
10.2011 - 02.2012
ER Registered Nurse
Kennedy Health System
06.2010 - 10.2011
Bachelor of Arts - Communication
University of North Florida
Bachelor of Science - Nursing
Jacksonville University