Senior Management position which has the overall responsibility for the operational supervision and ongoing support of public health delivery at Florida Department of Health in Miami-Dade County. Serves as Director of the Office of Public Health Nursing, Refugee Health Services, Clinical Administrative Support Services and the Centralized Appointment Center. Responsible for supervisory duties including but not limited to selection and hiring, developing performance plans, conducting performance appraisals, planning and directing work, approving leave, taking disciplinary action as needed, etc. Provides feedback, support, and coaching of nursing and ancillary healthcare staff. Ensures that staff and health centers are in compliance with all regulatory standards, policies, procedures and guidelines. Assesses resources and capabilities of nursing and ancillary healthcare staff, makes decisions and/or recommendations regarding prioritization of services. Monitors the allocated budget for three health centers, refugee health services and the Office of Public Health Nursing. Examines documentation and provision of contracted services to ensure compliance. Continuously evaluates community trends and develops strategies for program performance and quality improvement. Critically examines mediation occurrences, complaints and concerns and develops plans of corrections as needed. Reviews and analyzes data to improve community/population, programs, and agency wide outcomes. Conducts meetings with staff to provide leadership, disseminate information and follow-up actions. Regularly attends meetings and establishes ongoing relationships and collaborations with department heads and relevant staff.

ARNP - Performs health histories, physical examinations, immigration clearance evaluations, order, conduct and interpret diagnostic and laboratory tests. - Diagnose and manage clients with tuberculosis disease and latent tuberculosis infection. - Prescribes, monitors and adjust medications and treatment regimens.- Develop and present tuberculosis health education programs to individual clients, community partners and groups in the community and clinical setting. - Collaborates with physicians and other health professionals in the care of a diverse client population. - Refers clients for services outside ARNP scope of practice. - Coordinates (medical and nursing) internships with universities and colleges- Serves as group facilitator and preceptor as needed. - Member of the Performance Management Council and the Education Subcommittee.Nursing Consultant (2005-2009)- Lead worker responsible for the Clinical Performance Improvement Program. - Systematically evaluated the quality and effectiveness of clinical practice and services, analyzed appropriate internal and external data and information for improving services.- Developed evidenced based mitigation plans to resolve issues related to clinical quality.- Directed staff in carrying out responsibilities and compiling measurements related to peer review. - Chaired Clinical QA/QI Committee.- Provided consultation and technical assistance, education and training related to clinical practice, collaborated with cross organizational programs, committees and workgroups.- Supervisory duties included coordinating work assignment, training, coaching and conducting performance appraisals. - Coordinated nursing student internships.

- Performed case management of employees in the return to work program and for workers' compensation claimants. - Developed and presented Occupational Health related brochures, training programs, materials and policies. - Investigated employee health concerns and developed mitigation plans. - Performed infection control activities, post-exposure response, evaluations, counseling and treatment for first responders. - Collected and analyzed data for occupational injury trending reports and studies.