Family Nurse Practitioner

• Apr 2022 - Present

I provide a full range of primary care services for families at Sea Mar's White Center and Vashon Island clinics. As a buprenorphine waived provider, I support patients and their families recovering from opioid use disorders. A particular interest is preventing kidney disease through health promotion and expanding conservative management of end stage renal failure for people who forgo dialysis and transplant. I enthusiastically endorse enjoying the natural world to improve health. I provide a full range of primary care services for families at Sea Mar's White Center and Vashon Island clinics. As a buprenorphine waived provider, I support patients and their families recovering from opioid use disorders. A particular interest is preventing kidney disease through health promotion and expanding conservative management of end stage renal failure for people who forgo dialysis and transplant. I enthusiastically endorse enjoying the natural world to improve health.

Research

• Mar 2021 - Present

Assisting Susan Wong, MD with qualitative research in palliative care to support providers and their patients with end stage renal failure who forgo dialysis and transplant.

DNP FNP-student

• Jan 2021 - Mar 2021

Providing care with UWMC Pain Management team for patients with acute and chronic pain due to cancer, cardiovascular disease, pulmonary disease, sickle cell anemia, gastrointestinal disease, complications of diabetes, and rare genetic diseases. Experience with opioid management and weaning techniques.

Trustee

• 1999 - Present

School Nurse

• Nov 2018 - Feb 2022

I provided a comprehensive program of services encompassing prevention, early detection, and remediation of health problems by providing health services, health education, and a healthy environment. I managed all aspects of school health care including immunization surveillance, mandated screenings, setting up health care and medication administration plans, illness and injury care, coordinating services with other health care professionals, and working as a member of the school team to identify and mitigate health barriers to learning through 504 or IEP development.

DNP FNP-student

• Mar 2021 - Mar 2021

Pharmacologic and non-pharmacologic palliative care for patients in recovery from severe illness and injury or end of life. Focus on teamwork and emotional support of patients/families. Experience with all elements of palliative care consultations, including patient evaluation in ICU guided by sedation level and mental status, symptom assessment and treatment plans, POLST, DPOA, pain management, family meetings, hospice transition, and ongoing support. Pharmacologic and non-pharmacologic palliative care for patients in recovery from severe illness and injury or end of life. Focus on teamwork and emotional support of patients/families. Experience with all elements of palliative care consultations, including patient evaluation in ICU guided by sedation level and mental status, symptom assessment and treatment plans, POLST, DPOA, pain management, family meetings, hospice transition, and ongoing support.

DNP FNP-student

• Sep 2020 - Mar 2021

Premera Rural Health Initiative Scholar to advance health in rural WA. Communities served include Tonasket, Omak, and Oroville. Comprehensive primary care of adults and children in rural setting. Emphasis on health promotion, management of common acute illnesses and injuries, chronic disease management (diabetes, hypertension, heart failure, obesity), reproductive health services, mental health management, and urgent care. Majority of patients had complex health histories. Focused on history-taking, physical exam, case presentation and assessment/plan.

DNP FNP-student

• Jun 2020 - Sep 2020

Comprehensive primary care of adults and children in urban multicultural setting. Emphasis on health promotion, management of common acute illnesses, management of chronic diseases of poverty, reproductive health services, mental health management, sexually transmitted infection care, and substance abuse care Comprehensive primary care of adults and children in urban multicultural setting. Emphasis on health promotion, management of common acute illnesses, management of chronic diseases of poverty, reproductive health services, mental health management, sexually transmitted infection care, and substance abuse care

Certified Nursing Assistant

• 2016 - 2017

Executive Director

• May 2013 - May 2014

The Linehan Institute was founded by DBT treatment developer Dr. Marsha Linehan to make compassionate and effective behavioral treatments available to all persons with complex and severe mental disorders. The Linehan Institute was founded by DBT treatment developer Dr. Marsha Linehan to make compassionate and effective behavioral treatments available to all persons with complex and severe mental disorders.

CEO

• May 2013 - May 2014

We are committed to the dissemination of scientifically validated behavioral therapies and evidence-based practices with goals of improving treatment delivery and reducing suffering caused by mental illness. We are committed to the dissemination of scientifically validated behavioral therapies and evidence-based practices with goals of improving treatment delivery and reducing suffering caused by mental illness.

CEO

• Jan 2011 - Nov 2012

• Led a two-year strategic plan to implement a more sustainable business model resulting in improved programs and stronger fiscal management.• Enlivened marketing strategies and led public relations initiatives that resulted in increased enrollments in core program areas during a prolonged recession.• Initiated a youth service program with the Seattle Mariners to promote recycling at games and a partnership with Seattle Childrens Autism Center to provide outdoor recreation programs for children with special needs.• Reinvigorated donor advancement strategies and worked closely with the board to create asset management strategies to meet revenue targets.

Executive Director of Communications

• Sep 2006 - Jan 2011

• Collaborated with community groups to pass school levies with some of the highest approval ratings in the nation, securing $50 million in funding for a 46,000-student urban public school district.• Supervised creation and implementation of a new web content management system to improve the central website and 100 school web sites, earning an external A+ rating for transparency.• Managed a public relations campaign that resulted in continuous increases in student enrollment and voter confidence, all without paid advertisement and through a period of significant challenges.• Directly supported Superintendent and Board with messaging and tools to facilitate engagement on issues including a landmark teacher contract, a new student assignment plan, school closures, layoffs, and a new strategic plan, winning state and national awards for excellence in communications. • Created policies and developed toolkits to improve the quality of communications within organizations and with key constituencies.

VP and Chief Programs Officer

• Jan 2001 - Feb 2006

• Developed partnerships and programs to launch Talaris and gain national recognition in early learning.• Developed multimedia tools for parents and professionals, including materials for PBS broadcasting and community-based outreach in over 200 media markets. • Led competitive grantmaking process to support hundreds of community awareness campaigns. • Developed partnerships and programs to launch Talaris and gain national recognition in early learning.• Developed multimedia tools for parents and professionals, including materials for PBS broadcasting and community-based outreach in over 200 media markets. • Led competitive grantmaking process to support hundreds of community awareness campaigns.

Council Member

• 2004 - 2006

Asst VP for Regional Affairs

• Jan 1997 - Jan 2001

• Coordinated UW leadership and consultant teams in successful negotiations with Sound Transit. • Resolved longstanding land use disputes with neighborhood groups and local government.• Created a partnership to increase homeownership by staff through negotiated fee reductions. • Coordinated UW leadership and consultant teams in successful negotiations with Sound Transit. • Resolved longstanding land use disputes with neighborhood groups and local government.• Created a partnership to increase homeownership by staff through negotiated fee reductions.

Sr Policy Advisor

• May 1988 - Jan 1997

Ten years of successive promotions to positions of increased responsibility based on consistently exceeding goals and expectations. • Negotiated the first government-to-government agreements with tribal governments. • Coordinated planning and created partnerships to convert Sand Point Naval Base for community uses. • Designed and conducted public outreach for multi-year strategic planning and policy initiatives. • Formed and led a non-profit to build and promote a $6 million watershed education center.