Renowned for leadership as a change agent, this healthcare professional has collaborated with diverse stakeholders to promote culturally relevant healthcare practices, drive quality improvement, and mentor future leaders in both clinical leadership and faculty education roles. Their expertise encompasses healthcare advising, program management, population health, and executive collaboration, with a strong record of implementing innovative solutions and building impactful partnerships. Available for a full-time, permanent position in healthcare.
Overview
30
30
years of professional experience
Work History
Lead Fellow
Centers for Medicare and Medicaid Services (CMS), Office of Group Director Quality Improvement & Innovation Group, Center for Clinical Standards & Quality
09.2023 - 07.2025
Oversees the Fellows Program, managing a multidisciplinary cohort of ten professionals, including physicians, a pharmacist, a nurse, a nursing home administrator, an epidemiologist, a healthcare attorney, and a dietitian/clinical researcher.
Coordinates cross-departmental projects and provides oversight for initiatives related to management, policy, and operations.
Contributes substantive input to high-level discussions and planning regarding Quality Improvement policies and program development.
Analyzes and reports on diverse data sets, such as HEDIS, eCQMs, UDS, MIPS measures, Medicare Stars, claims data, cost/utilization metrics, and chart reviews.
Supports the 13th Statement of Work, contributing to policy development and research focused on cultural humility, “food as medicine,” wellness, longevity, nutrition assessment, and exercise goals.
Serves as a subject matter expert, fostering collaboration and providing guidance within the division.
Writes proposals to align the CMS 13th Scope of Work with current administrative priorities, including prevention, disease management, nutrition, wellness, longevity, and care coordination.
Prepares and leads the development of briefings and program reports.
Recommends enhancements to administrative operations to improve efficiency and operational effectiveness.
Directs complex special assignments, leading fellows through in-depth research and analysis of critical topics such as the 13th SOW.
Establishes and maintains collaborative relationships to support ongoing and planned activities.
Conducts program evaluations to ensure alignment with agency goals and timelines.
Develops and facilitates focus groups, presenting findings to stakeholders.
Leads qualitative and quantitative assessments of key quality programs and projects.
Advances quality improvement, innovation, and systems change to support CMS’ healthcare transformation goals.
Evaluates strategies to address health inequities within quality initiatives.
Applies knowledge from real-world healthcare environments to enhance outcomes for Medicare beneficiaries.
Ensures the completion and consistency of advisement and guidance reports within established deadlines.
Maintains agility and adaptability when faced with shifting priorities and resource challenges.
Demonstrates effective meeting facilitation, engaging participants and tailoring discussions appropriately.
Draws on prior experience as a manager and leader in a Federally Qualified Health Center to provide strategic guidance across various domains.
Coordinates open exchanges of perspectives among diverse groups to strengthen internal and external collaboration.
Supervisor: Anita Monteiro (cell number available upon request)
Permission to Contact Supervisor: Yes
Led quality improvement initiatives to enhance clinical standards and patient outcomes.
Developed strategic frameworks for innovation in healthcare delivery systems.
Collaborated with cross-functional teams to implement evidence-based practices across programs.
Analyzed data trends to identify areas for quality enhancement and operational efficiency.
Facilitated workshops and training sessions to promote continuous learning among stakeholders.
Mentored junior staff on best practices in quality improvement methodologies.
Established partnerships with external organizations to drive collaborative health initiatives.
Networked and built strong presence with peers to facilitate professional relationships.
Collaborated with team to optimize workflow and achieve objectives.
Demonstrated exceptional leadership qualities while managing multiple projects simultaneously under tight deadlines without sacrificing quality or accuracy.
Contributed to research activities by providing specialist input based on professional expertise, practice, experience, and qualifications.
Chief Quality Officer, Population Health Program Coordinator
Wahiawa Center for Community Health – Federally Qualified Health Center
06.2017 - 05.2024
Directed the Research & Development/Quality Improvement Department and led teams in achieving NCQA accreditation and PCMH recognition.
Delivered comprehensive Quality Improvement training for staff and board members, covering QI fundamentals, performance measurement, tools, processes, and reporting.
Executed community health needs assessments utilizing both quantitative and qualitative methodologies, informing organizational strategic planning.
Provided regular reports to leadership and managed care organizations on clinical quality measures, guideline compliance, chart reviews, social determinants of health, and utilization.
Managed the Population Health Program, initiating chronic care management services and integrating behavioral health into chronic disease care plans.
Successfully secured grant funding, averaging $2 million annually over six years, and oversaw multiple budgets ranging from $125,000 to $1 million.
Surpassed deliverables in 82% of grant-funded projects during tenure.
Recognized as a subject matter expert, developed policy and objectives, evaluated programs, and identified key evaluation questions and indicators.
Authored scientific articles and technical reports published in public health journals.
Led the design and implementation of grant proposals and ensured regulatory compliance and project sustainability.
Collaborated with stakeholders to develop responsive strategies that address community needs.
Supervisor: Bryan Talisayan (808) 594-7250
Permission to Contact Supervisor: Yes
Developed educational materials for health promotion and disease prevention targeting diverse populations.
Facilitated training sessions for staff on program implementation and best practices in health management.
Evaluated program effectiveness through data analysis, ensuring alignment with public health standards.
Collaborated with stakeholders to secure funding and resources for ongoing health programs.
Managed outreach efforts, increasing participant engagement in community health events and resources.
Led cross-functional teams in strategic planning sessions to improve service delivery models.
Mentored junior staff, fostering professional development and enhancing team performance in program execution.
Streamlined program management processes for increased efficiency and effectiveness in service delivery.
Promoted adherence to best practices in public health by staying current on industry trends and incorporating new knowledge into program design.
Conducted thorough needs assessments to identify gaps in existing health services and inform program development.
Enhanced community health awareness through organizing educational workshops and seminars.
Managed budgets responsibly, ensuring optimal allocation of resources for maximum benefit of program participants.
Improved patient outcomes by developing and implementing comprehensive health programs.
Leveraged social media and other digital platforms to extend the reach of health promotion campaigns, resulting in greater community engagement and awareness.
Increased access to healthcare services through strategic partnership-building with local providers and clinics.
Championed a culture of continuous improvement within the organization through implementing feedback mechanisms and encouraging open communication.
Coordinated health program initiatives to enhance community wellness and access to services.
Adjunct Junior Specialist
University of Hawaii, John A. Burns School of Medicine
12.2015 - 12.2020
Instructed medical students on topics such as nutrition support, refeeding syndrome, malnutrition, and medical nutrition therapy.
Served as guest speaker and authored educational materials on public health nutrition, emergency management, cancer prevention, and renal nutrition.
Senior Nutrition Project Coordinator
University of Hawaii at Manoa
02.2013 - 08.2017
Managed federally funded projects, prepared reports for the Hawaii Attorney General, and created the Hawai‘i Foods Website with a new strategic vision.
Developed public health resources and collaborated with the University of Hawaii Cancer Center to map their nutrient database to the website, enhancing access to local nutritional information.
Developed and implemented outreach strategies to enhance community engagement in wellness initiatives.
Managed project timelines and deliverables, ensuring alignment with institutional goals and standards.
Evaluated program effectiveness through participant feedback and outcome assessments, driving continuous improvement.
Maintained comprehensive documentation of project activities, contributing to transparency and accountability efforts.
Developed culturally sensitive materials that catered to diverse audiences, resulting in increased engagement from underrepresented groups.
Strengthened partnerships with key stakeholders by maintaining open lines of communication and providing regular progress updates.
Expanded program reach by identifying new target populations and tailoring content to address specific needs.
Designed and delivered courses on Medical Nutrition Therapy I & II, The Science of Human Nutrition, and Culturally Sensitive Approaches to Childhood Obesity Prevention.
Guided over 700 students as successful learners across a range of nutrition science topics, including culturally adaptive health practices in Pacific communities.
Renal Dietitian
Fresenius Medical Care
10.2007 - 01.2013
Provided nutrition therapy and clinical management to patients with chronic kidney disease.
Developed individualized nutrition plans for patients with chronic kidney disease.
Educated patients on renal-specific dietary guidelines, enhancing adherence and understanding.
Conducted nutritional assessments to identify patients' unique needs and preferences.
Mentored junior dietitians in best practices for renal nutrition therapy and patient care.
Implemented quality improvement initiatives to enhance service delivery in dietary programs.
Utilized evidence-based practice guidelines when determining appropriate interventions for each client''s unique situation, promoting consistency in care delivery across settings.
Analyzed lab results to monitor patients'' progress closely and adjusting their diet plans as necessary to maintain optimal health status.
Clinical Nutrition Manager
Sodexo, St. Francis Healthcare System
03.2002 - 05.2006
Ensured adherence to food safety and clinical standards for multi-site operations.
Managed a team of over 50 employees, implemented automation solutions, and served on multiple committees.
Precepted interns and undergraduate students, supporting workforce and leadership development.
Developed and implemented clinical nutrition programs to enhance patient outcomes and support overall health initiatives.
Led interdisciplinary teams in optimizing nutrition care processes across various departments within the healthcare system.
Conducted regular training sessions for staff on evidence-based nutritional practices and dietary management protocols.
Managed budgetary allocations for clinical nutrition programs, ensuring financial sustainability of services provided.
Clinical Dietitian
Castle Medical Center
01.2000 - 03.2002
Delivered nutrition therapy to patients, developed outpatient diabetes and cancer prevention programs, and mentored future dietitians.
Clinical Dietitian
St. Francis Medical Center West
01.1993 - 01.2000
Provided specialized nutrition therapy and participated in interdisciplinary teams and committees.
Precepted dietetic interns and nutrition students, contributing to professional development.
Public Health Nutritionist
Department of Health, State of Hawaii
01.1991 - 01.1993
Developed and implemented culturally relevant infant feeding and breastfeeding promotion programs for Native Hawaiians and Pacific Islanders.
Provided nutrition services to Lē‘ahi Hospital residents and patients from Kalaupapa.
Education
Doctor of Philosophy - Biomedical Sciences, Clinical Research, Cultural Competency, Medical Ethics
John A. Burns School of Medicine, University of Hawaii at Manoa
Honolulu, HI
05.2017
Master of Public Health - Public Health, Nutrition and Dietetics
University of Hawaii, School of Public Health
Honolulu, HI
05.1992
Bachelor of Science - Clinical Dietetics
University of Hawaii, Human Nutrition, Food and Animal Sciences
Honolulu, HI
12.1089
Skills
Healthcare Advising
Education, Mentorship & Research
Program Management
Continuous Quality Improvement
Population Health Management
Internal & External Stakeholder Collaboration
Fundraising Expertise
Data Analysis & Validation
Medical Practice Operational Transformations
Quality Standard & Control Methods
SOP Development & Monitoring
Innovative Problem Solving
Partnership & Alliance Cultivation
Executive Leadership Collaboration
Health Initiative Project Management
Strategic thinking
Affiliations
Academy of Nutrition and Dietetics
Held positions as: Hawaii Affiliate President (2 years); Delegate (6 years), Nominating Committee Chair
Nutrition and Dietetics Educators and Preceptors
Critical Dietetics
Institute for Healthcare Improvement
Association of Asian Pacific Community Health Organizations
Native American and Indigenous Studies Association
Certification
Lead Fellow, CMS, CCSQ, iQllG
Fellow, Academy of Nutrition and Dietetics
Registered Dietitian Nutritionist (808558), Commission on Dietetics Registration
Language Skills
Spanish (Novice – Intermediate)
Hawaiian (Novice – Intermediate)
American Sign Language (Novice)
Publications
Endrizal CL, Community Health Needs Assessment – Wahiawā Health Years 2021, 2018, 2015
Border K, Endrizal CL, Cecil M. Academy of Nutrition and Dietetics: Revised 2018 Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Education of Nutrition and Dietetics Practitioners. Journal of the Academy of Nutrition and Dietetics. 2019;119(1):124-136
Endrizal CL, Fialkowski MK, Davis J, Novotny R, Delormier T, Rodriguez B. Dietetics Practice in the Unique, Culturally Diverse Pacific Island Region. Hawai‘i Journal of Medicine & Public Health. 2018;77(6):135-143
Endrizal CL, Fialkowski MK, Delormier T, Davis J, Novotny R, Rodriguez B. (2017) An Examination of Culturally Safe Dietetics Practice in the Pacific Region. Journal of Critical Dietetics. (Manuscript in preparation)
Contributing Author
A Sweet Dash of Aloha Cookbook, Culinary Arts Department, Kapi‘olani Community College, University of Hawai‘i
Centers for Medicare and Medicaid Services (CMS), Office of Group Director Quality Improvement & Innovation Group, Center for Clinical Standards & Quality
09.2023 - 07.2025
Chief Quality Officer, Population Health Program Coordinator
Wahiawa Center for Community Health – Federally Qualified Health Center
06.2017 - 05.2024
Adjunct Junior Specialist
University of Hawaii, John A. Burns School of Medicine
12.2015 - 12.2020
Senior Nutrition Project Coordinator
University of Hawaii at Manoa
02.2013 - 08.2017
Renal Dietitian
Fresenius Medical Care
10.2007 - 01.2013
Adjunct Faculty and Lecturer
University of Hawaii at Manoa
05.2006 - 09.2015
Clinical Nutrition Manager
Sodexo, St. Francis Healthcare System
03.2002 - 05.2006
Clinical Dietitian
Castle Medical Center
01.2000 - 03.2002
Clinical Dietitian
St. Francis Medical Center West
01.1993 - 01.2000
Public Health Nutritionist
Department of Health, State of Hawaii
01.1991 - 01.1993
Doctor of Philosophy - Biomedical Sciences, Clinical Research, Cultural Competency, Medical Ethics
John A. Burns School of Medicine, University of Hawaii at Manoa
Master of Public Health - Public Health, Nutrition and Dietetics
University of Hawaii, School of Public Health
Bachelor of Science - Clinical Dietetics
University of Hawaii, Human Nutrition, Food and Animal Sciences
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