Community Spotlight: Advocating for What Matters Most

Living Our Mission

As we celebrate National Nurses Week and National Skilled Nursing Care Week this May, we’re reminded that the most meaningful care often comes down to one simple thing: really listening to what a resident and their family want, then doing whatever it takes to make it happen.

Jessica Notte, a MedElite Nurse Practitioner in Vermont, has always worked that way. She started her career as an inpatient Palliative Care and Oncology nurse and quickly discovered where her heart was.

“I have always enjoyed working with the chronically ill geriatric population,” she explains, “and helping them understand their disease process and advocate for their healthcare goals.”

A physician she worked with encouraged her to go back to school and become a Nurse Practitioner. When she discovered MedElite, it felt like the right fit. “I felt our goals for caring for the geriatric population aligned; quality care and doing what is best for our residents.”

Making Time for Real Connections

At MedElite, Jessica finally has the space to do the work that feels most meaningful to her.

“I feel that I have been allowed to spend more time my residents each day, which has been very rewarding both personally and professionally,” she says. That time lets her hold thoughtful quarterly Advance Care Planning conversations so every decision honors exactly what the resident wants.

The relationships that grow from those moments are what she looks forward to most. “I love walking into the facilities each day and seeing the residents,” Jessica notes. “I have developed great relationships with them, and they are comfortable coming up to me with their ailments and know that they are being heard. I enjoy following up on not only their medical concerns but also their achievements.”

She also finds real joy in the teamwork. “I enjoy the teamwork and collaborations at the facilities and the residents I have the privilege in treating. I feel heard at MedElite and when I have a concern, it is addressed immediately.”

Standing Up for a Family’s Wish

That same dedication showed up in a powerful way. A patient in the ICU was nearing the end of his life despite maximum medical treatment. “The family wanted him to pass at home rather than in the hospital,” Jessica shares. “None of the physicians wanted this to happen because organizing it last minute was too much work on a holiday.”

Jessica stepped in. She arranged hospice support to meet the family at the house, secured the ambulance so his loved ones could ride alongside him, and once he was safely in his own bed, she removed the medical treatments.

“He passed with his wife next to him, just as they wanted,” she says.

The family nominated her for a Daisy Award. “They later told me how much it meant to them that I prioritized their wishes in the end and advocated as strongly as I did for them.”

Supported in a State that Needs Her

In Vermont, where the demand for providers in skilled nursing facilities is especially high, Jessica’s steady presence makes a real difference. Some days are tougher—especially when “a resident’s disease prevents them from telling us how they are feeling.” But she never faces those days alone.

Her medical assistant, Will, has been with her since the beginning. “Will… has been a massive help and support.” She also leans on strong clinical leadership. “I feel that I have a solid support from the Medical Director. He is very involved and wants to be a resource and our advocate,” she says. “It is reassuring to know that I can call him and walk away from the conversation having helped our resident and learning something in a very nonjudgmental environment.”

That support is exactly why she recommends MedElite to others. “MedElite sets their providers up for success. They take pride in the education they provide before we even start at the facility, and they are always available. This position is great for both new graduates and seasoned providers.”

Freedom on the Open Road

The same independent spirit Jessica brings to her work follows her when she leaves the facilities. “I love to ride my Harley on back country roads and travel all over the world!”

We’re truly glad Jessica shared her story. Her thoughtful, steady approach is exactly what our mission looks like every single day—and we’re proud to support providers like her who bring that heart to our residents, especially in places like Vermont.

MedElite Earns Great Place to Work® Certification

Brooklyn, NY — April 20, 2026 — MedElite has earned Great Place to Work Certification.

Great Place to Work® is the global authority on workplace culture and employee experience. The certification is awarded solely on the basis of anonymous feedback from employees through the Trust Index© survey, which measures trust, pride in work, and camaraderie throughout the organization.

This recognition underscores the workplace culture MedElite has built since its founding. A high-trust internal environment strengthens the team’s ability to deliver operational and clinical support, creating a positive ripple effect that enhances the quality of care provided to residents in skilled nursing and long-term care facilities nationwide.

We’re Hiring!

If you know someone who would thrive in a Great Place to Work, please share our careers page: https://medelitegrp.com/careers

About MedElite

Founded in 2011, MedElite partners with skilled nursing and long-term care facilities across the country to deliver treat-in-place care that improves resident outcomes.

About Great Place to Work Certification™

Great Place to Work Certification™ is the only recognition based entirely on what employees say about their workplace experience. It is the global benchmark for companies that maintain a consistent, high-trust workplace. More than 10,000 organizations worldwide apply each year.

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A Legacy of Advocacy

Why We’re Proud to Support the Connecticut Provider Community

In the world of healthcare, longevity is a testament to resilience and purpose. In Connecticut, that legacy is carried by the Connecticut Association of Health Care Facilities and the Connecticut Center for Assisted Living (CAHCF/CCAL). Since 1929, this organization has stood as the leading voice for the state’s long-term care community, navigating nearly a century of change with a constant focus on the residents who call these facilities home.

For over 95 years, CAHCF/CCAL has done the heavy lifting behind the scenes. They aren’t just an association; they are a necessary foundation that allows skilled nursing and assisted living communities to thrive. By balancing complex public policy with the practical, daily realities of quality care, they ensure that Connecticut’s providers have the advocacy and resources they need to keep moving forward.

Navigating a Complex Landscape

The challenges facing long-term care in 2026 are as complex as they have ever been. From evolving Medicaid funding to new regulatory standards for room configurations and specialized care, facilities are constantly asked to do more with less.

CAHCF/CCAL serves as the vital bridge between the Capitol and the bedside. They advocate for a system that recognizes the diverse needs of both non-profit and proprietary providers, ensuring that policy always reflects the human element of healthcare. This mission—improving lives by delivering solutions for quality care—is exactly where MedElite finds its alignment.

Bridging the Gap in Quality Care

At MedElite, we believe that the strength of a facility is defined by the support system around it. Our decision to join CAHCF/CCAL as business affiliates is rooted in a desire to contribute to the vitality of Connecticut’s provider community.

As facilities take on increasingly complex clinical needs, they require specialized support to manage acuity on-site. We are proud to stand alongside an organization that champions these providers, helping them access the clinical tools and expertise necessary to deliver the high standard of care that Connecticut residents deserve.

A Message of Appreciation

While we often talk about “organizations” and “associations,” the true heart of CAHCF/CCAL is the people. We want to extend our deepest appreciation to the team at the association who works tirelessly every day. Their advocacy ensures that Connecticut’s seniors lead better lives and that the professionals caring for them have a seat at the table.

Joining this mission as business affiliates is more than just a formal partnership for us—it is an opportunity to support the essential work being done by Connecticut’s providers every single day. We look forward to a long and meaningful collaboration as we work together to advance the quality of care across the state.

Quality of Care Shouldn’t Depend on a Zip Code

Bridging the Gap: Why Our Partnership with the Vermont Health Care Association Matters

In Vermont, healthcare is deeply local. It is built on a foundation of community-rooted facilities where staff often care for their own neighbors and friends. It is a system defined by dedication, but as any facility leader in the state knows, it is also a system defined by its geography.

The very thing that makes Vermont special—its rural landscape—can also create significant hurdles for long-term care providers. Accessing specialized clinical support shouldn’t depend on how close a facility is to a major city, yet geographic distance often becomes a barrier to the high-level care residents deserve.

This is why MedElite is proud to announce our official partnership with the Vermont Health Care Association (VHCA).

Supporting the Heart of the Community

Our goal in joining VHCA is straightforward: to help bridge the clinical gap for rural facilities.

We recognize that Vermont’s care providers are doing incredible work under a unique set of pressures. From managing higher-acuity residents to reducing the need for stressful hospital transfers, the demands on clinical teams are higher than ever. By bringing specialized clinical support directly into these facilities, we aim to provide the resources necessary to keep residents right where they belong—in their home communities.

A Partnership of Shared Goals

At MedElite, we believe that the best healthcare outcomes are the result of strong collaboration. The VHCA has long been a vital advocate for Vermont’s providers, and we are honored to join their mission.

We aren’t here to change the way Vermont facilities operate; we are here to support the experts who are already on the ground. Our “treat-in-place” model is designed to empower local teams, giving them the clinical depth they need to provide elite care without the logistical burden of long-distance travel for their residents.

Looking Ahead to Stowe

While this partnership is a formal milestone, the real work happens in person. We are eager to listen to facility leaders across the state, learn about the specific challenges your teams are facing, and discuss how we can work together to ensure every Vermonter has access to the specialized care they deserve.

We look forward to connecting with the VHCA community at the Annual Conference in Stowe this May. We hope to see you there to begin this next chapter of collaboration.

Vermont’s healthcare facilities are the backbone of their communities. We are honored to stand with them.

The Heart Behind the Charts

Care Coordinator Spotlight: Emily Rose Barreiro-Arechavaleta, LPN | Florida

Living Our Mission

Most people spend years trying to figure out their career path. Emily’s family jokes that she had hers sorted out when she was just a toddler.

“Healthcare has been part of my identity for as long as I can remember,” Emily shares. “My family often says I decided I wanted to work in healthcare when I was about two years old, and that sense of purpose never faded.”

Today, as an LPN working primarily within MedElite’s Behavioral Health Integration (BHI) and Collaborative Care Model (CoCM) pathways, Emily brings that lifelong sense of purpose to work every single day. She is currently pursuing her bachelor’s degree in nursing, driven by a desire to advocate for her patients at an even higher level.

Advocating for Those Who Need It Most

Throughout her life, Emily has gravitated toward those who need the most support. “I’ve always felt a strong pull toward helping people who are vulnerable or dependent on others for care (children, older adults, and individuals facing behavioral health challenges),” she explains.

As she grew older and entered the medical field, she realized that good intentions weren’t enough on their own. “I realized that compassionate care paired with strong clinical reasoning can dramatically improve someone’s quality of life. That understanding continues to guide my work today.”

The Person Behind the Chart

In her day-to-day work, Emily navigates complex behavioral health needs in long-term care settings, where vital information is often scattered across multiple systems and documentation sources. It requires a sharp eye and a steady focus.

“Attention to detail is critical, but so is clinical judgment,” she notes. “Care Coordinators must interpret large volumes of information, identify meaningful patterns, and prioritize what truly affects patient outcomes.”

But even when she is deep in the data, working behind the scenes, Emily never loses sight of the big picture. “Empathy is equally important. Even though our work happens behind the scenes, every chart represents a real person. Maintaining that perspective helps ensure decisions remain patient-centered.”

For Emily, the greatest reward is the tangible impact of that meticulous work. “The reward is knowing that identifying those gaps can stabilize residents, improve safety, and support facility teams in providing more effective care,” she says. “It’s especially fulfilling to advocate for individuals who may not always be able to advocate for themselves.”

Mentorship, Balance, and Growth

Emily is quick to point out that she doesn’t do this work alone. She credits the collaborative environment at MedElite, specifically highlighting her leadership team.

“Since joining, I’ve also been fortunate to receive strong support from leadership. Bettina, Phaimire, and Shana have provided guidance, encouragement, and high standards that helped me grow quickly in both confidence and clinical decision-making,” she shares. “Their willingness to invest time in mentoring and feedback has made a significant difference in my development and ability to contribute effectively.”

To maintain her high standards and emotional bandwidth, Emily is intentional about stepping away to recharge. “Outside of work, I prioritize time with my family and activities that help me recharge,” she notes. “Maintaining balance is essential in healthcare, as it allows you to return focused, resilient, and ready to give your best each day.”

 

A Shared Commitment to Excellence

We want to sincerely thank Emily for sharing her story and for her genuine dedication to our patients. At MedElite, we are incredibly proud to have her as part of our team. We also recognize the many Care Coordinators across our organization who bring this same level of critical thinking and compassion to their desks every day. You are the vital link that brings our mission to life.

Do you have a personal story of care to share, or know a colleague whose behind-the-scenes work deserves the spotlight?

Help us celebrate the people who bring our mission to life by reaching out to timgranato@medelitegrp.com.

Empowering Nebraska’s Healthcare Future

MedElite is Proud to be a Gold Sponsor of the NHCA

Navigating the business and clinical complexities of long-term care requires more than just hard work—it requires strategic collaboration. That is why MedElite is thrilled to announce our new role as a Gold Sponsor of the Nebraska Health Care Association (NHCA). This partnership represents a direct investment in the dedicated professionals and facilities that care for Nebraska’s aging population.

A Shared Mission: Serving Those Who Serve

The NHCA operates on a powerful, foundational mission: to “serve those who serve” through steadfast advocacy, education, and support. By uniting hundreds of nursing homes and assisted living communities across the state, the NHCA provides the essential framework that allows healthcare providers to thrive. Their core values of integrity, professionalism, quality, and stewardship are the exact principles required to sustain strong, resilient healthcare communities today.

Elevating Care Through Innovation

Aligning with the NHCA was a natural step because our operational goals are so closely matched. At MedElite, the focus is on elevating the business and clinical capabilities of skilled nursing facilities (SNF) and long-term care (LTC) centers.

The traditional landscape of post-acute care is changing. To meet these new demands, MedElite implements a comprehensive “treat-in-place” model. By bringing advanced practice providers and multi-specialty clinicians—ranging from cardiology and pulmonology to psychiatry and wound care—directly to the patient’s bedside, facilities can offer a higher acuity of care. This proactive approach significantly reduces the need for stressful, costly hospital transfers and improves overall resident outcomes.

Supporting Nebraska’s Facility Leaders

When the operational and specialized clinical burdens are streamlined, facility operators and their staff can focus entirely on what matters most: daily, compassionate patient care. Stepping up as a Gold Sponsor is a commitment to ensuring Nebraska’s facilities have access to the highest level of operational support, data-driven care management, and continuous innovation. It is about strengthening the safety net for the vulnerable residents who rely on these vital facilities every single day.

Looking Forward

The future of long-term care in Nebraska is bright, and it is being built on strong partnerships. We are looking forward to connecting with facility leaders across the state, collaborating on best practices, and supporting the incredibly important work the NHCA does for Nebraska’s healthcare ecosystem.

Let’s continue working together to enrich lives and elevate the standard of care across the state.