LAKESHIA LENARD

• Oversee operations and quality performance across 14 primary care clinics and lead 5 clinic managers, supporting provider alignment, workflow optimization, and strategic performance goals.
• Improved follow-up appointment adherence from 20% → 85% region-wide, with multiple clinics reaching performance above 90%, strengthening continuity of care and treatment outcomes.
• Redesigned front-office workflows to reduce no-show rates and increase appointment access, resulting in more efficient and predictable scheduling.
• Elevated clinical quality performance to consistent 6–7 STAR ratings, meeting and exceeding internal benchmarks for patient care quality metrics.
• Led successful PCMH re-accreditation across clinics, aligning care delivery with national patient-centered primary care standards.
• Strengthened culture, morale, and retention through leadership coaching, open communication structures, and accountability systems that support staff engagement and trust.

Provided regional oversight for home dialysis programs across multiple locations, supporting clinical teams, patient care quality, and regulatory compliance. Partnered with nephrologists, nurses, and clinical leadership to improve patient outcomes, strengthen care transitions, and support continuity of care for chronic disease populations. Monitored CMS-driven quality and performance metrics, identifying trends and implementing corrective improvement plans to align outcomes with organizational standards. Coached and developed clinical staff to enhance skill proficiency, maintain care standards, and promote a patient-centered culture grounded in dignity and clinical excellence.

Provide direct oversight to the Palliative Care Home Program which includes leading a multi-disciplinary team of Nurse Practitioners and Business managers. Responsible for the operational leadership, supervision, provision, and documentation of the palliative care interdisciplinary team in accordance with Federal and State regulations. Provide clinical leadership in conjunction with and under the guidance of the palliative care service medical director to achieve consistent high-quality patient care, outcomes, and satisfaction. Manages day-to-day operations of palliative care consult service and acts as driver for the care management process by coordinating all aspects of the referral process, including addressing issues or inquiries promptly with appropriate information, strategies, and follow-up. Ensures operating metrics are generated accurately through timely entry of referrals, completion of visit notes, and transfer/ discharge workflow. Facilitates daily adequate communication of patient care needs with clinical staff, administrative support, and physicians as needed. Coordinates attendance and facilitates scheduling of IDG meetings biweekly to ensure team communication, collaboration, and documentation. Ensures the review, accuracy, and maintenance of relevant clinical notes, documentation, referral information, discharge information, and event reporting; reports any identified need/issues to Hospice Executive Director, Palliative Care Program Director, Physician, Nurse Practitioner, and interdisciplinary team as appropriate. · Developed and implemented processes that have increased patient census by 30% · Decreased patient missed appointments by 40% · Streamlined communication between business lines, thus increasing referral percentage and decreasing time between referral and initial visits. · Created processes to maximize provider schedules and improve continuity of patient care. · Added new job opportunities to the team due to the growth in census in a short period of time. · Improved team and patient satisfaction with the implementation of new operational procedures. · Successfully met patient productivity expectations within 60 days of hire

Directed complete management of acquiring new clients, from contract acquisition to execution.

Devised project plans and processes to ensure the delivery of excellent services to all clients. Planned and implemented new procedures to ensure the smooth progression of work within the clinic, while meeting all state, local, and federal standards in compliance with WorkCare best practice guidelines. Developed and maintained professional relationships with clients by determining requirements and efficiently addressing all issues. Planned and carried out client site visits to meet all specifications and objectives, as well as perform gap analysis. Collaborated with key internal and external stakeholders for the implementation of strategic plans, which include clinic design, staffing, and training. Analyzed the performance of the implementation process and suggested improvements to meet all requirements. Coordinated with operations and the IT team to support onsite software and hardware, which include clients' specific equipment requirements. Reviewed and troubleshot technological and process issues within the field. Successfully optimized client satisfaction by strategically redesigning current processes and procedures. Played a key role in increasing employee satisfaction and retention through the execution of a hire training program for new staff members within the company and department.

Led multi-disciplinary team of 15 – 20 professionals, including primary care, physical therapy, and wellness lines of services. Coordinated with on-site / regional medical director, DCO, and VP of operations to resolve provider related issues via execution of strategic plans. Developed and implemented impactful plans to enhance overall site performance to ensure quality patient care. Coordinate with client liaison on both local / corporate levels to execute new initiatives for employees/patients to meet client healthcare strategy needs. Chaired staff and provider meetings to efficiently communicate changes and update. Headed end-to-end management of all business functions, such as operations, workflows, schedules, budget, and AVB report assessment. Ensured accuracy of coding invoices as well as shared reason for budget variances. Minimized patient appointment cancellations by 50% via implementation of new workflow procedures. Increased engagement within the health centers by fostering strong relationships with patients. Nominated by senior executives to serve as Premise Champion as Health Center Manager preceptor for demonstrating excellent management skills. Received recognition as one of Premise Health's Top Leaders in July 2021 PH Publication for leveraging exceptional team building and management skills. Achieved AAAHC accreditation and surpassed management expectations during multiple client authorized site audits, such as Mercer and QWAPI via planned management of professionals’ team

Administered all aspects of patient cases suffering from complex and high-risk medical conditions and educated on prevention and management of chronic diseases such as: hypertension, diabetes, asthma, and obesity. Reviewed all documents shared by patient during checkup and described effective healthcare plans. Oversaw complete primary care, and medication of the patient. Attended unit-based quality assurance program and organized staff wellness programs. Designed and introduced new procedures to ensure compliance with company standards and performance metrics. Devised and executed strategic plans to initiate wellness programs, including Biggest Loser Programs to enhance patient engagement and health results.

• Coordinated patient care plans to ensure optimal health outcomes and resource utilization.
• Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
• Collaborated with interdisciplinary teams to enhance communication and streamline care delivery processes.
• Monitored patient progress, adjusting care plans based on ongoing evaluations and feedback.
• Educated patients and families on disease management, medication adherence, and preventive care strategies.
• Advocated for patients by navigating healthcare systems and addressing barriers to access services.