Edgar Ibay
@edgaribay
I lead palliative, hospice, and care-transition planning for aging adults and families facing serious illness.
United StatesWhat I'm looking for
I've supported patients and families through serious illness as a Hospice Liaison RN at Sutter Care at Home Hospice, coordinating hospital and community discharge planning, goals-of-care conversations, care plans, and palliative medication regimens.
At John Muir Palliative Care, I lead symptom management and advance-care-planning discussions for people with life-threatening and advanced chronic conditions. I advocate for patient-focused care by helping families understand treatment options, insurance limitations, and local resources.
I've also directed multidisciplinary rehabilitation teams at the Jewish Home of San Francisco and managed interdisciplinary home-health services through Sutter Care at Home AIM. I mentor new nurse liaisons and care coordinators while building processes aligned with CMS guidelines.
Experience
Work history, roles, and key accomplishments
Hospice Liaison, RN
Sutter Delta Medical Center
Mar 2016 - Present (10 years 6 months)
Subject matter expert for palliative/hospice care, coordinating hospital and community case management for discharge planning. Facilitated family discussions for goals of care and mentored new palliative care and hospice nurse liaisons.
Palliative care leader managing symptoms for patients with severe life-threatening conditions and advanced chronic illnesses. Advocated for patient-focused care through education, treatment planning, and connecting patients with community resources.
Case Manager/Care Plan Coordinator, RN
Jewish Home of San Francisco
Sep 2011 - Apr 2025 (13 years 7 months)
Directed a multidisciplinary team for a 40-44 patient short-term rehab unit, overseeing admission assessments and discharge planning. Analyzed Quality Measures per CMS guidelines and educated staff on evidence-based practices.
AIM Case Manager, RN
Sutter Care at Home
Nov 2014 - Mar 2016 (1 year 4 months)
Nurse leader in care planning and direct patient care, collaborating with physicians, therapists, nutritionists, and social workers. Oversaw palliative skilled home health services for 15-20 patients and managed an interdisciplinary team.
Education
Degrees, certifications, and relevant coursework
Roseman University of Health Sciences
Bachelor of Science, Nursing
Grade: Cum Laude
Bachelor of Science in Nursing, graduated Cum Laude in March 2011.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Skills
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