Beth Reilly, BSN RN CCM
Waterbury,VT
Summary
Community health leader with deep experience coordinating interdisciplinary teams, strengthening cross‑sector partnerships, and advancing health equity. Proven ability to assess community needs, improve care systems, and mobilize partners across health care, social services, and public health. Brings a systems‑level perspective shaped by frontline work with diverse populations, and a strong commitment to building healthier, more resilient Vermont communities.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Community Care Manager, WRAP
UVM Health
Burlington, VT
08.2023 - Current
- Strengthen and leverage cross‑sector partnerships to reduce preventable ED utilization and ensure coordinated responses to acute safety, medical, and psychosocial crises.
- Direct care management for a predominantly unhoused, high‑utilizer population at UVMMC, providing intensive outreach and aligning medical, behavioral health, housing, and social service resources to address complex needs.
- Played a key role in advocating for and launching Burlington’s Situation Table, and facilitated the Care Coordination in Chittenden County (CCCC) —creating cross‑agency spaces for proactive, coordinated support.
- Streamline timely communication between ED teams and community providers to strengthen proactive, patient‑centered care planning.
- Provide on the ground insight in order to help develop a program focused on supporting high ED utilizers, collaborating closely with ED clinical teams and leadership, UVM Health High Value Care, and community partners to improve care coordination for highly vulnerable patients.
- Maintain a consistent field presence in downtown Burlington—COTS Daystation, Champlain Housing Trust Pods, and weekly interdisciplinary Situation Table Meetings.
School Nurse
Harwood Union Unified School District
Waterbury, VT
07.2020 - 06.2023
- Led public health initiatives by obtaining $80k nursing leadership grant and organizing community health programs to enhance public health outcomes.
- Orchestrated COVID-19 response strategies, executing testing, screening, contact tracing, and vaccine clinic operations alongside Vermont Department of Health.
- Trusted collaborator supporting students, families, and staff through pandemic and a multitude of community health needs.
- Administered health services and support to a diverse population of 350+ students in pre-kindergarten through fourth grade.
RN Case Manager IP Per Diem
UVM Health
Burlington, VT
01.2018 - 06.2023
- Facilitated development of collaborative care and discharge plans with patients, families, and multidisciplinary teams.
- Leveraged extensive knowledge of Vermont’s healthcare system to enhance transitional care planning and facilitate daily rounds.
- Collaborated with community partners, including home health and skilled nursing facilities, to support safe post-acute transitions. Assisted in various settings, including ICU, cardiology, medicine, surgery, and pediatrics.
Community Health RN
Community Health Centers
Burlington, VT
11.2014 - 01.2018
- Facilitated coordination of care for medically complex patients through strategic short- and long-term planning.
- Facilitated collaboration among medical providers, behavioral health specialists, dieticians, pharmacists, and discharge facilities within a multidisciplinary transitional care clinic.
- Facilitated patient support for diverse social and healthcare needs through effective navigation and follow-up coordination.
- Executed comprehensive medication reconciliation and education for patients post-discharge.
- Delivered compassionate care to pediatric and adult patients across diverse cultural and socioeconomic backgrounds.
- Oversaw acute care triage nursing and optimized patient flow in a high-volume clinic serving over 30,000 patients annually.
Education
Bachelor of Science - Nursing
UMASS Boston
Dorchester, MA Bachelor of Arts - English Literature & Psychology
Saint Michael's College
Colchester, VTSkills
- Collaborative Community Partner
- Strategic Planning Experience
- Innovative & Critical Thinker
- Transformational Leader
Certification
Vermont RN License # 026.0085891
Vermont School RN License, PK-12, # 8034333
Basic Life Support and First Aid for Healthcare Providers
Certified Case Manager, CCM
Timeline
Community Care Manager, WRAP
UVM Health
08.2023 - Current
School Nurse
Harwood Union Unified School District
07.2020 - 06.2023
RN Case Manager IP Per Diem
UVM Health
01.2018 - 06.2023
Community Health RN
Community Health Centers
11.2014 - 01.2018
Bachelor of Science - Nursing
UMASS Boston
Bachelor of Arts - English Literature & Psychology
Saint Michael's College