The Castleton Group LLC; A National Telehealth innovation company, which is powered within modern healthcare by combining data and analytics with technology and expertise. The Company insights has lead to better outcomes for hospitals, long term care organizations, doctors, pharmacies, health plans, governments, employers and the millions of lives they touch.

Essen Health Care is an integrated healthcare delivery organization that provides high quality, compassionate, and accessible medical care to many of the most under-served residents of New York State. Guided by a population health model of care delivery, Essen’s patient-centric approach is focused on meeting patient needs in all care settings. Founded in 1999, Essen clinicians provide care in all five boroughs of New York City. With 150 primary and specialty care physicians and almost 100 advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City, and is recognized for excellence in patient satisfaction and clinical care.With five clinical divisions, patient care is provided in medical offices, 17 urgent care centers, hospitals, and nursing homes, as well as directly to patients in their homes.The Care Management division cares for the community by addressing social determinants of health through RNs, care managers and care coordinators. Essen clinicians provide quality care for nearly 30,000 patient lives across our five clinical divisions. Essen was one of the initial practices to have achieved ‘Level 3 Patient Centered Medical Home’ designation in New York by the National Committee for Quality Assurance. In 2018, Essen Health Care was nominated for the Heritage Innovation Award. Essen continues to expand and grow in the five boroughs while extending its breadth of services and continuing to provide the communities with leading edge care.

Zimmet Healthcare Services Group, LLC; Morganville, New Jersey 2015- 2019Zimmet Healthcare Services Group; LLC, is a nationally recognized, full-service consulting firm; assisting organizations with achieving state and federal reimbursement regulations as well as, ongoing compliance and management support which, results in operational excellence for all healthcare organizations. The Zimmet leadership team has extensive experience within all aspects of complex Skilled Nursing Facility (SNF) reimbursement landscape including; acuity-based adjustment, cost reporting, billing, documentation, ancillary services and managed care. Zimmet Team Members have been involved in Patient Driven Payment Model (PDPM) Medicare Development and implementation which, will be implemented on October 1, 2019. In the past, Zimmet has also been involved in the development of state and federal "case-mix" payment systems. Zimmet had also led the way, in the development of "Advanced Healthcare Initiatives" program; assisting providers in positioning themselves for the new world of Accountable Care Organizations and the bundled payment system.Senior Consultant: Responsible to provide leadership and training for multiple MDS Coordinators, ensuring standards of practice are uniformly implemented across the corporation. Stays abreast of current Medicare and Medicaid regulations as well as, prepares for upcoming changes in a proactive manner. Implements corporate directives, and acts as an internal resource and support for facility MDS Coordinators and for all other facility staff inclusive of Administration and Regional support staff. Conducts educational in-services and audits as needed. Ensures staff have the necessary tools to efficiently capture and report clinical reimbursement for services rendered. Evaluates, sustains, and improves existing MDS procedures and practices as needed.

Responsible for the development and coordination of services provided to the residents in collaboration with other members of the administrative team. Lead DSRIP representative. • Assess, develop, manage and implement care and service programs to meet the residents’ needs, the facility’s goals, and New York State regulations.• Institute performance improvement measures to evaluate current and new programs. • Monitor patient care services ensuring compliance with organizational guidelines and formulate corrective action plans when necessary. • Direct and coordinate Medicaid and Medicare Managed Care services with insurance providers.• Instruct facility Administration in Federal and State health care policy and regulatory compliance.

Set the direction and led the infrastructure for all facilities to ensure that clinical service functions were managed within defined goals. Provided services to contracted facilities including continuing education, clinical resource tools, clinical resource experts and mock surveys to maintain compliance with state and federal regulations. Directed, developed and attained JCAHO accreditation for all facilities.• Developed metrics to measure and compare service quality for the facilities within the MSO yielding improvements in care delivery, development of new care services and cost reductions.• Collaborated with facilities to attain managed care contracts with insurance companies.• Led the preparation for the Quality Indicator Survey and incorporated QIS software into each contracted facilities quality assurance program.• Instituted product selection committees for the review and evaluation of care products with each contracted facilities clinical administrative staff.• Developed and directed pharmacy services and procedures related to formulary compliance and education, development and implementation of Medicare Part D.• Created product formularies with contracted facilities administrative management staff.• Directed the preparation for PRI audits and Dave audits conducted at contracted facilities.

Managed Service Organization (MSO) specializing in the acquisition and turnaround of underperforming nursing homes and long-term care facilities.Developed the strategic plan to create and expand diversified revenue streams from individual, corporate, government entities, and institutional partners. Implemented strategic direction and program growth by driving cutting edge service designs into the delivery of long-term care services. • Directed due diligence, structured transactions and identified acquisition opportunities for independent living, assisted living, skilled nursing facilities, and ancillary service companies.• Improved operating and financial performance of each facility and developed successful strategies and product development to secure multi-facility contracts.• Grew multi-layered, long-term relationships with health care providers, inclusive of government entities and professional health care organizations.• Created marketing plans, public relations campaigns and community based business plans to achieve local and company goals.

Corporate DirectorDeveloped, directed and implemented Corporate Performance Improvement Program activities at all sites throughout the U.S. Trained and educated all Performance Improvement Coordinators. Participated on all corporate management decision making committees.Established, coordinated and conducted educational in-services for IVTx personnel, managed care organizations, hospitals, physicians and other healthcare organizations. Organized and prepared for JCAHO survey visits at all company sites. Integrated all national and local regulatory standards, JCAHO standards, CHAP standards, CARP and national/state governmental health care legislation regulations. Developed automated outcome studies geared to the needs of the client, IVTx and managed care organizations. Conducted statistical analyses on all outcome data collected from all IVTx sites.

Designed, developed and established the first Licensed Home Care Agency in New York State licensed to administer blood transfusions and blood products in the home care setting.