Practice management of Specialty Group, day to day operations. Twenty plus years as a clinician, adult, pediatric and neonatal care, 15 years as a Manager/Director in Acute Care settings, LTAC (4 years as Clinical Liaison), Skilled Nursing Facilities, Home Health Services, within several Level I & II Trauma Centers and PICU, Pediatric ED, Level II NICU, staff of 15-130. Staff consist of Respiratory Therapists, Sleep Techs, Echo and non-invasive Vascular Techs, EEG Techs, EKG Techs, PFT Techs, Pulmonary and Cardiac Techs/Nurses. I have worked in several Teaching Hospitals. Manage and updating Policies and Procedures. Sleep Lab/Center Accreditations through American Academy of Sleep Medicine 2010 and Joint Commission 2018. Experienced in preparing for Joint Commission, National and State Regulatory Standards Implementing several new service lines, Pulmonary Rehab, Pediatric ICU, place new protocols Ventilator Weaning Protocols and Nebulizer Protocols Manage Cardiac and Pulmonary Rehab Programs, Sleep Labs, PFT Labs and ABG Labs, familiar with ECMO