Staff nurse, assistant head nurse Albany (New York ) Medical Center, 1981-1985, clinical nurse specialist, 1985-1987, manager loss prevention, 1987-1988, adjunct faculty department nursing education, 1986-1988. Manager quality support services Saratoga Hospital, Saratoga Springs, New York, 1988-1992. Director clinical services Northeastern New York Hospital Council, 1992-1994.
Director professional and quality improvement services HANYS Services, Albany, New York, since 1994.
Board directors Visiting Nurses Association Albany, since 1989, Safety Network, 1986-1991. Member New York State Nurses Association (board directors since 1992, council on legislation 1990-1992, chair 1991-1992), Capital District Nurses Association (president 1989-1991), National Association Quality Assurance Professionals, New York Association Quality Assurance Professionals, Northeastern New York Association Quality Assurance Professionals, American Association Healthcare Risk Management, New York State Organization of Nurse Executives, Sigma Theta Tau.