Accountable for overseeing and managing all inpatient, outpatient clinical and support services within Stephens Memorial Critical Access Hospital: nursing, surgical services, imaging, laboratory, rehabilitation, diabetes education, cardio-pulmonary, pharmacy and informatics. Responsible for community programs: Healthy Oxford Hills, Western Maine Mountain Clinic at Sunday River and the School Based Health Centers in the middle and the high schools. - Executed the planning & implementation of Stephens Memorial Hospital Epic Electronic Medical Records - Directed the Quality Improvement Project to redesign the Western Maine Medical Office Phone System - Oversee and provide leadership for the participation of Community Health Needs Assessment (CHNA) mandated by the Affordable Care Act since 2010 within Oxford County. Responsible for the development of their required implementation plan.

Direct clinical and diagnostic services for full-service, critical-access hospital, including: -Inpatient and emergency services -Outpatient services -Physician practices (primary and specialty care) -Cancer/infusion center -Certified home health and hospiceDevelop clinical quality leadership structure, creating enhanced professional practice and collaboration among the interdisciplinary team. Advance nurse and manager practice by establishing in-house and e-learning opportunities for professional development and clinical expertise. Colloborate with New England Alliance for Health, an affinity group of 18 hospitals, to share methods of decreasing expenses, accessing community and professional resources, and generating innovative practices.Report to the Chief Executive Officer.

Responsible for the strategic and day-to-day operations of inpatient and critical care services of a two-hospital, 277-bed system, directing 180 unionized nursing staff and 90 other personnel.Chaired multiple process-improvement initiatives, including developing evidence-based clinical practice guidelines and structuring a method to submit nursing outcomes data.Collaborated with Endicott College in developing and obtaining grant funding for tution reimbursement for onsite BSN program, enhancing recruitment and practice level of staff.Contributed in the Strategic Master Planning Initiative, leading the planning and implementation of inpatient unit renovation.Reported to the Vice President of Patient Care Services and Senior Vice President of Medical Affairs.

Oversaw strategic planning and day-to-day operations for women's, children's, and emergency services at a 298-bed, acute-care Level 2 trauma center and Level 3 NICU.Coordinated with Vice President of Patient Care Services to manage 270 FTEs and an annual budget of $16 million.Organized and participated in system-wide Quality Council, focusing on improving ED wait times, laboratory turn-around, patient satisfaction, and prevention of infant abduction.Facilitated individual, group, and inter-organisational strategy seminars designed to promote nursing recruitment and retention.

Responsible to the Vice President of Patient Care Services for the management of nursing staff of 400 FTEs with an annual budget of $20 million. Responsible for directing the operations, fiscal and professional nursing practice within the Division of Nursing for nine units, 280 beds.

1995 - 96 Director of Hospital and Clinic Services1993 - 95 Director of Nursing1991 - 93 Nurse Manager of Ambulatory Care Center