She has held an RN license for 20 years and a FNP license for 14 years. Most of her career has focused on the acute care setting. For the past 3 years she has taken on the role of Clinical Team Manager for a leading health care company’s House Calls Program. She leads a team of Nurse Practitioners who complete comprehensive well visits in the homes of high-risk patients. The goal is to identify and address gaps in care and avoid hospital re-admissions. Over the course of the past three years she has researched and incorporated Transitional Care into her clinical practice. Her total joint to outpatient model is based on evidence-based and protocol driven practices that Dr. Santomassino has researched over the years.