Obtained Level 3 NCQA recognition for PCMH, the first in the state of Florida (for 8 wholly owned primary care practices)Executed transformation of wholly owned medical practices from traditional practice model into Patient-Centered Medical Homes (PCMH) Led MRA management team in physician education and validation of member clinical charts for documentation and MRA accuracy for audit purposesLed clinical initiatives including integration of ARNP's into clinical practice of Metcare wholly owned primary care practiceDirected development of acute care system incorporating LPN's, resulting in a marked reduction of ER visits, hospital admissions and a reduction in 30-day readmissions rates.Responsible for clinical oversight of South Florida and Coastal markets.Led MRA management team, directing MRA nurse staff in education of affiliated and employed physicians and review of member clinical charts for documentation and MRA accuracy for retrospective and prospective audits.

Provide physician leadership to Hospital's Utilization Review, Peer Review and Clinical Improvement processesProvide education to physicians regarding best clinical practices Support and initiate clinical utilization and cost-efficiency effortsAdvise hospital and attending physicians regarding appropriateness of admissions and medical necessity of continued hospital staysAdvise hospital and attending physicians regarding appropriateness of admissions and medical necessity of continued hospital staysReduced average hospital length of stay by 20%

Developed and managed of Full Body Screening CT, Coronary Scoring, CT Colonoscopy and Small Intestinal Capsule Imaging Programs.Provided medical consultative and counseling services to patients undergoing these procedures.

Practice of Internal Medicine. Outpatient and inpatient geriatric medical practice with focus on wellness, preventive medical care and treatment of all medical disorders including cardiac, gastrointestinal, endocrine and pulmonary diseases.

Senior and managing partner in the practice of medical, gastrointestinal, consultative and endoscopic servicesSingle specialty practice in Gastrointestinal Diseases and HepatologyPerformed all endoscopic procedures including gastroscopy, colonoscopy, polypectomy, endoscopic variceal sclerotherapy and band ligation, ERCP, endoscopic sphincterotomy biliary stent placement, laparoscopy and liver biopsy. Responsibilities included management of medical associates, nursing staff, computer and office billing services.

Devised and implemented GI endoscopy privileges regulation for hospital unitProvided advisement to hospital administration regarding capital equipment purchases for endoscopy unitTrained and supported nursing staff in advanced endoscopic procedures.

Instruction and supervision of GI fellows in advanced biliary endoscopic technique.

Devised and implemented GI endoscopy privileges regulation for hospital unitProvided advisement to hospital administration regarding capital equipment purchases for endoscopy unitTrained and supported nursing staff in advanced endoscopic procedures.