Today’s health system wasn’t designed to serve the needs of aging patients. In caring for the elderly, providers too often rely on research based on very different populations and training protocols designed for less complex patients. While well intentioned, these practices are as likely to harm as to help — with serious consequences for patients’ wellbeing and quality of life.
Genevive is changing the outlook. By applying the best medical knowledge with compassion and respect, our model has been shown to improve lives and health outcomes. From recruiting to training to service delivery, we are raising the standard of accountability for geriatric providers in Minnesota and beyond.
To us, this work is a privilege. We wouldn’t think of doing anything else.
Genevive was founded as Geriatric Services of Minnesota in 2003 as a division of North Clinic. Dr. Nick Schneeman, Renee Doering GNP, Alaina Lerfald RN, and Kathie Surma LPN were the original employees. Celebrating 20 years, Genevive now employs a team of over 180 including 50+ Physicians, Nurse Practitioners, Nurses, and Social Workers deployed throughout the Twin Cities and greater Minnesota. We continue to stand by our mission to provide expert, compassionate care to everyone we touch.
Julia Crist brings over twenty years of diverse healthcare leadership experience to her role, having worked across international, domestic, for-profit, and not-for-profit organizations. Her career has been driven by a commitment to improving access and affordability for underserved patients, with a special passion for enhancing elder care services. Julia is particularly dedicated to innovating care for seniors, focusing on delivering quality support in the home.
A proud graduate of the University of Wisconsin-Madison with a Bachelor of Science degree, Julia also holds a Master’s in Healthcare Administration from the University of Minnesota, Twin Cities. Outside of her professional pursuits, she loves spending time outdoors with her family and exploring new places. These experiences fuel her passion for creating a more inclusive and compassionate healthcare system, where everyone has the opportunity to receive the care they deserve.
I provide whole person care, centered on what matters most to patients and their families. The people I care for often have a lot going on with their health; many different medical conditions and symptoms that are not fully managed are quite common. I work with patients, families, and the rest of the care team to figure out how to help patients feels as good as they can feel. Conversations with patients and their families about what matters most are critically important at this phase of life. I will deliver high quality care and work to help you have more good days.
Raymond Keller is the Chief Financial Officer and interim Chief Operation Officer at Genevive. In this role he oversees the finance and business operations functions including technology, analytics, revenue cycle management, project management, and strategic growth. Ray has been with Genevive since 2023.
Ray has over 30 years of experience in finance and operations. Prior to coming to Genevive, Ray spent 18 years working in leadership for the country’s largest health care insurance company where he worked in the Medicare and Medicaid space as well as primary care and case management. Ray holds a Bachelor of Arts Degree in Accounting from University of Minnesota Duluth and a MBA from Saint Thomas.
Andrea is Chief Population Health Officer of Genevive and the Chief Population Health Officer for Responsive Care Solutions, a new national MSSP ACO and the. Andrea has over 20 years of experience leading large nursing and social work teams, clinical support operations, and change management in a value-based environment. With her team, she has created, implemented, and maintains successful high-risk care coordination strategies, transition management teams, effective risk adjustment processes, and interventions to achieve quality metrics under D-SNP, I-SNP, and Medicare Advantage contracts.
Andrea received a Bachelor of Science, Nursing degree and Public Health Nurse (PHN) certification with an emphasis in Transcultural Nursing from Augsburg College in Minneapolis, MN, she has created educational content for the Home Centered Care Institute and is a Certified Lean Healthcare Professional (CLHP). Andrea sits on the advisory boards of the State of Minnesota Health Care Home Committee and The Women in Leadership Executive Program at Minnesota State University, Mankato, and is a board member of the St. Anthony Community Theater in St. Anthony, Minnesota.
I started as the Human Resource Manager in January of 2019. Prior to Genevive, I worked in various HR roles in both the for profit and non profit sector. I was drawn to Genevive as the mission of Treat Them like Family is present in all aspects of the work from patient care to supporting front line employees. I’m proud to be a part of a culture that drives innovative change in healthcare and has all employees work at the top of their licensure. The inclusive and progressive values allow our employees to be their true selves. I am passionate about engaging our people, working with our diverse and talented group of employees to support them in all their human resource needs.
I knew I had a calling to work with elderly patients since childhood. I believe in the power of on-site, team based, geriatric care. I am passionate about treating patients in their homes and working directly with care givers to improve geriatric patient care. I have expertise in caring for patients across the care continuum: independent living, assisted living, transitional care units, and long-term care. It is a privilege to care for my patients and being a part of their care journey.
From a very young age, I knew I was destined for health care and to impact those living with complex or chronic diseases. For the past 12+ years, my nursing career has led me down a laser focused path of caring for the aging adult population. Wherever seniors call home, I have been privileged to be able to be a part of their care.
My ongoing practice as a Geriatric Nurse Practitioner will focus on delivering high quality and evidence-based primary care for aging adults with complex or chronic health conditions. I feel it is vital that each individual feels heard and involved in their care with planning focused on the individual's defined health and life goals.
As a geriatric nurse practitioner, I enjoy working with older adults to help them manage and live with chronic medical conditions. My goal is to promote and enhance quality of life while maintaining the older adult’s dignity and comfort. I enjoy the history and wisdom each older adult possesses and am committed to meeting their ever-changing health care needs.
Passionate about providing medical care for adults and elders in the long term care setting to maintain the highest quality of life based on my patients personal goals of care.
I bring a unique perspective to the collaborative team at Genevive, having spent 9 years as a nurse practitioner prior to
medical school. I am a board-certified internist, in practice for 20 years as a hospitalist and educator for residents and medical students. Education aside, caring for both of my parents in their last years is likely what influences my practice the most.
I have spent my entire nursing career caring for the geriatric population. I consider myself truly privileged to be part of the care team of a patient and to be able to get to know them and their loved ones on a personal level.
I worked in acute care family medicine for 31 years. Over time, I became aware of the complexity of caring for seniors and their special needs, which could not be met with the hectic pace and difficult patient experience of acute care. Geriatric medicine in a nursing home setting allows me to meet these special needs with empathy and compassion. I am a good listener and nursing home medicine gives me time to get to know my patients and their families.
I immigrated to the United States in 1992 from a small country in West Africa called Gambia. I went straight into nursing caring for the elderly as a nursing assistant in long term care settings across the country. I never looked back. Went back to school for my advance degree in geriatrics in order to continue to deliver the best evidence based practice for my elderly clients.
I’m a lifelong learner when it comes to improving the care for the elderly population. Working in health care this long also provided me great experience on how unique we are as individuals. I’m very passionate in improving the quality of life for all those who entrust me with their care.
I am truly blessed to have the opportunity to work within Geriatrics. It is an honor and privilege to be able to focus on enhancing and promoting the quality of life of the elderly, while preserving comfort and dignity.
I have been a Nurse Practitioner for six years and a Registered nurse for over 14. I love caring for patients as if they are my family, deserving of compassion, honesty, patience, knowledge, and a little bit of humor. I provide patient-centered care, aiming to maintain quality of life by listening to each person’s unique goals and implementing plans to reach them.
I love spending my free time with family, reading, and working in my gardens. I look forward to continuing my career at Genevive and building relationships with my patients and their families.
If primary care doctors are the “people doctors,” then seniors are by far my favorite people. Getting to know my patients and their families is something I value highly. Guiding them through the decisions and complexities that arise in their health care is also highly rewarding. It is at GENEVIVE, helping the frailest of these patients manage chronic disease, acute illness and end-of-life transitions, where I believe a physician can have the greatest impact in primary care.
I really enjoy my work and working with older adults. I love hearing all the life stories, and working in a team environment like the nursing home. It is a privilege getting to know residents and their families, and I’ve taken care of a lot of people from the same families over the years. Sometimes I get to work with residents and their families for decades, other times just weeks. Either way I try to help them along their journey, and get to know what is important to them.
My role is to help my patients live their best life by preventing disease when able, alleviating symptoms that affect their quality of life, and working to understand their individualized goals and values to guide their care. I have knowledge in
managing chronic diseases, co-morbidities, and complex patients in both the acute and chronic settings. I use my own experience as a patient and a family member to guide my work with patients and their families.
As a provider I feel I can bring empathy, understanding and caring as well as the expertise of over 20 years in Geriatric Medicine. I want to become a present and constant person in the life of my patients and their families.
I have held several roles as an NP including a practice in long term care, short term rehab, on line telemedicine, and I have also had a leadership/management role supervising and leading 20 NPs. I prefer the bedside care of patients in long-term care and specifically enjoy managing chronic health conditions and helping patients and families with end of life decisions and comfort.
My primary focus is in honoring patient’s dignity and getting to know and understand their life history, work, passions and desires and what has brought them to the long term care setting. One of the most rewarding aspects of my career is the relationships that develop in caring for someone at the end of their journey in life.
I have always loved working with the geriatric population. Working at Genevive allows me to provide personalized care to the elderly and their families. As part of the primary care team, I am able to provide care at the nursing facility allowing the eldery to receive care at their home where they are comfortable.
I am passionate about providing individualized patient care while maintaining dignity, comfort, and quality of life all based off the patient’s goals of care. I enjoy working as part of a collaborative team to ensure the best outcomes for the patients and families we serve.
After 31 years in a robust full-service family practice in Saint Paul, I am proud to have transitioned into my current role as a Geriatric Physician. I find that I learn continually from my patients and their families and hopefully educate them in return. I try to incorporate compassion, competence, and communication in my daily work. I find it a true privilege to attend to this special group of patients.
I have been a nurse practitioner for 5 years, with both clinic and hospital experience, working mainly with cardiology and heart failure patients. Prior to starting my career at Genevive I worked as an RN for 14 years with cardiac and transplant patients.
I enjoy working with the older population as I love hearing about their lives. I appreciate being able to bring care to them to meet their needs. I aim to be a partner in their health and supporter of their care goals. It is rewarding for me to build meaningful relationships with people and their loved ones through compassion and communication.
I am an Internal Medicine physician who values providing compassionate quality care to my patients. The last 25 years as an Internist has prepared me for my true niche – which is to partner with my senior patients and their families, to care for them with dignity and respect.
I have been a Nurse Practitioner for over 20 years. I’ve enjoyed many aspects of assessing and treating older adults with complex medical conditions. One of the many rewards of this work is to see the patient as a person apart from just their illnesses or diagnoses, I learn their life story, what they value, and more of who they are as people. For me it’s about seeing the bigger picture of the individual, supporting them at this stage of their life and developing a relationship of trust. I’m also there for families, who at times feel overwhelmed, and help them through the journey of changing health conditions and educating them in the medical decisions that inevitably arise. Every day I have the opportunity to touch people’s lives, and the privilege to have my life touched by theirs.
I have been a nurse practitioner in geriatrics for 15 years. I love the work that I am privileged to do each and every day. Geriatrics was easy for me to choose. I used to walk to the nursing home in my hometown as a kid to visit all of my “adopted grandparents” and enjoyed spending a lot of quality time with my Grandma as she grew older.
The thing I like most about my job is not only getting to know my patients, but getting to know their families as well. I enjoy feeling part of their lives, even if briefly. I enjoy the communication and contact with staff and caregivers alike. I feel we all need the most care when beginning life and again as we prepare for our final journey.
I am passionate about geriatric care; it is where I have spent my entire nursing career. I started as a floor nurse in a nursing home, then a nurse manager, and finally a certified nurse practitioner. I believe my purpose is to help guide older adults through their healthcare journey to reach their fullest potential. I feel privileged to be a part of their journey.
My passion for working with the elderly population dates back to childhood, when I’d volunteer with my grandmother at the local long-term care center to help residents play BINGO. I loved listening to residents’ stories and earning a smile or laugh from of them. As a certified nurse practitioner, I aim to blend nursing and medical services to provide care for individuals and families. My objective is to make connections with my patients and families; to learn their goals and values so that, together, we can create a comprehensive, patient-centered care plan that focuses on quality of life and meets patients where they are at in their life journey.
I believe there are better patient outcomes when patients are empowered to make their own health decisions. This means putting patients and their families at the center of our care model and helping than through their health Journey even if we do not always agree with the choices they make. In my years of experience, my patients and families have consistently commented that I am a good listener and I am thorough. My elderly patients feel value because they are the focus of my visit. Simple gesture of placing my chair at a position of direct eye contact with the patient is always much appreciated.
I am very interested in focusing on the overall well-being of the patient. Each person is an individual, not a diagnosis or disease process, and will be addressed as such. I value working with the patient, family members, and facility staff to offer the best care for each person. I enjoy learning about each patient’s journey, their past, and work to honor each individual through their care.
I am grateful to be a part of the Genevive team where I can develop a relationship with the patient, their family, and their care team. My intention is to work with the individual to manage their chronic medical conditions by implementing evidence-based practice. I hope to provide individualized care and support in such a way that they can have the best quality of life as directed by their choices and goals of care.
I have an extensive history working with the geriatric population. Starting in high school, where I had a volunteer opportunity with an assisted living facility. That experience put me on a path toward a lifelong career in healthcare.
I enjoy getting to know my patients and learning their history. By understanding their life, what makes them happy, and what they are proud of, I can help them set meaningful goals. I work collaboratively with each patient and their loved ones to develop a plan of care centered on the individual.
I keep busy outside of work with my 4 children (aged 16, 14, 12, and 7) and our pug. I also enjoy traveling, concerts, camping, shopping, and relaxing with my family.
My passion for working with the geriatric community started in childhood when I’d frequently tag along with my mother, a CNA, to her workplace and spend time playing board games with the elderly and hearing stories about their lives and travels. I have worked for eight years in geriatrics and three years in Med/Surg. I’m honored and thrilled that I can still build these meaningful connections and gain insight into the lives of my patients, just as I did in childhood.
My experience consists of Assisted Living, TCU, and Long-Term Care, as well as inpatient acute care. I am passionate about providing safe, compassionate, evidence-based care whilst keeping my patient's goals and values at the center of my decision-making. It is both an honor and a privilege to be part of the Genevive team serving the geriatric population here in the Twin Cities.
I have been involved with Family Medicine for over 20 years and appreciate the special bond that I have been able to develop with my patients. I am especially grateful for the opportunity to work with senior patients to provide empathetic and compassionate care. I consider it a privilege to work with seniors and their families. I consider my senior friends to be repositories of living history and learn from them daily. I believe that care of our senior patients is the most rewarding role in the practice of medicine.
It is a privilege to practice in an area of my passion. My interest for geriatric medicine stemmed from earlier years working as a nursing assistant who saw a profound need for compassion and holistic medicine in a geriatric setting. This desire continued throughout my nursing career at nursing homes and hospitals from hospice to critical care areas.
Recognizing a patient’s uniqueness and individuality, my desire is to seek a balanced care plan that parallels a geriatric patient in their current circumstances through assessing areas that necessitate care service, planning for the implementation, and evaluating the effectiveness. Therefore, my Mission Statement is to provide ethical and compassionate care while promoting a healthy lifestyle with utilization of collaborative resources. I promise to faithfully and full heartedly provide remarkable care that advocates, protects, promotes, and optimizes health and comfort for the long-term care population.
After 36 years of practicing full spectrum family medicine, I am excited to focus now on geriatric medicine here at Genevive. As I watched my own parents on their journey to end of life, then saw my in-laws struggle with age, the complexities of aging took on a more personal meaning. As a part of Genevive, I am pleased to work with a remarkable collaboration of providers. May the truly good work done here be experienced as love made visible.
My passion for geriatrics as a Primary Care Nurse Practitioner is driven by my high energy and positive outlook, which fuels my commitment to enhancing and optimizing the lives of older adults. I am dedicated to providing comprehensive, patient-centered care plans that focus on quality of life as directed by each patient’s heard choices, visions, and goals of care. By fostering a collaborative, supportive environment, I strive to make a holistic, meaningful impact throughout my patient’s adult life and in their final journey, while providing grace, guidance, and education to their family throughout the process as well.
I have been with Genevive since June of 2010. I have 25 years of experience in family medicine and have chosen to spend the latter portion of my career working with this very special population and their families.
It’s a privilege for me to work with seniors who have lived full lives and have experienced so much, and who have done so much for our country. I learn so much from them every day and often feel at the end of the day that I have received much more than I have been able to give. I am blessed to be able to work with a great team of caregivers that enables us to give the best care possible.
I love being a Family Practitioner because I believe that the best care comes from being able to put a person’s medical issues in the context of the rest of her life. I spent the first dozen years of my practice providing full-spectrum primary care in a clinic setting, and time and again, my experiences there reinforced the importance of looking at the big picture.
For the last few years, I’ve focused on taking care of seniors in long-term care settings, and I’ve continued to apply that approach. I try to get to know each of my patients – not only his medical history, but also his hobbies, his career, his family life, his goals and hopes.
Each patient is unique, and getting to know the whole person helps me provide the best care possible.
I focus on high quality evidence based primary care to give patients the best quality of life. I provide patient-centered care to build relationships with the patient, family, and care teams. I treat everyone as an individual and have the best interest for them, not just as a diagnosis or disease process. Together we can promote optimal health and wellbeing.
I began my nursing career in 2006 as a nursing assistant in long-term care. It was then that I developed my passion for caring for older adults and desire to be a nurse practitioner. I have a personal belief that as a nurse practitioner I don’t only care for the patient, but also care for their family. I want to be able to accompany the patient and their family throughout every step of their health. I view and treat all patients and family as if they were my own. It is such an honor to be able to care for our older adults.
I love Genevive’s focus on person-centered care in which a patient’s values and goals shape the team’s clinical care plan. While I provide information to patients about the latest evidence-based guidelines, my goal is to make sure that every patient and their family feels cared for, heard, empowered and supported in fulfilling their personal vision for the next stage of their lives.
Guided by the belief that excellent health care is a basic human right, I have concentrated my 20+ year career in family medicine on populations whose voices have historically gone unheard or been neglected, including seniors from a wide range of cultural backgrounds, and I’m grateful to be able to continue that work here.
I enjoy practicing in the full spectrum of geriatric practice, caring for patients in independent living, assisted living, memory care, skilled nursing facilities and transitional care units. A particular interest is in developing teams that use strong communication skills to more effectively care for our elderly residents. I am medical director of several skilled nursing facilities and support the Optage Hospice as an associate medical director.
My first job in high school was as a Certified Nursing Assistant at a long term care center. Now, after more than fifteen years of practicing Family Medicine and Express Care Medicine, I find myself drawn back to that initial setting. I look forward to working with residents both in a transitional care setting and also those in long term care. My goal is to provide quality and compassionate care to each and every resident I encounter!
My interest in working with the geriatric population grew from my personal, work and educational experiences. I have come to embrace the holistic approach that is needed to care for adult and geriatric patients. This has enabled me to grow in other areas, such as being patient, being a great team player, and taking time to listen.
I enjoy hearing the life stories my patients and families have to share. Though some days are challenging, the reward of making a difference in the life of my patients, small as it may be, far outweighs anything else. The more I am involved in the care of older adults, the more I count myself as privileged to be caring for such a special group of people.
As a Nurse Practitioner, I provide care for older adults in the comfort of their homes, through examination and assessments, treatment plans, and education about wellness, disease prevention, and chronic disease management. I have extensive experience in primary care management for older adults with complex and chronic medical conditions, I have additional expertise in geriatric health care in Assisted Living, Long Term Care, and Acute Care to further prepared me for this role.
I am not sure when I decided I wanted to be a doctor; however I know that growing up with my grandmother as part of our household led me to be a geriatrician. She showed me that with age comes experience and wisdom. I believe that although our youth may be our future, our older adults are our treasure. My approach as a physician is to understand my patient’s preferences – what is important to them, and their families, in order to maximize their quality of life and sense of well-being. My goal is to help my patients continue to share their experience and wisdom with all of us and the upcoming generations.
I knew I had a calling to work with elderly patients since childhood. I believe in the power of on-site, team based, geriatric care. I am passionate about treating patients in their homes and working directly with care givers to improve geriatric patient care. I have expertise in caring for patients across the care continuum: independent living, assisted living, transitional care units, and long-term care. It is a privilege to care for my patients and being a part of their care journey.
While I enjoy managing patients with complicated medical issues, I believe my true superpower is kindness. I look forward to working with patients and their families, whether it's to rehabilitate them back to their prior living situation, or simply to help them with love and comfort through the evening of their lives.
I have been working across the care continuum in the geriatric population for over two decades. This includes interests in healthy aging, functional health, management of chronic conditions, palliative care and end of life planning. I discovered providing care to older adults with complex health problems is highly challenging, exciting, and rewarding. I love working with the geriatric population. What I love most about my work are the relationships I establish with patients and their families and the differences I can make in their lives.
I am passionate about providing quality healthcare to elderly populations. I like to work closely with patients and their families to develop personalized care plans that promote optimal health and well-being. My goal is to enhance the quality of life for each of my patients by addressing their unique needs and providing compassionate, comprehensive care. I am passionate about helping older adults live their best lives and am honored to be a trusted healthcare provider for the geriatric community and Genevive.
I provide care for older adults in the comfort of their homes, through examinations and assessments, treatment plans, and education about wellness, disease prevention and chronic disease management. I have extensive experience in primary care management for older adults with complex and chronic medical conditions and additional expertise in geriatric health care and total care management in a variety of settings that have further prepared me for this role.
I have worked in long term care settings since 1992. Initially, I started as a floor nurse and then a manager. Understanding the value of on-site medical team visits, I became a Geriatric Nurse Practitioner. I enjoy my patients’ individuality and their life wisdom lessons they have to teach us.
Because this job is full of challenges, fascinating people, and interesting complex medical situations, I expect to be a nurse practitioner for the geriatric populations for many years to come.
My choice to become a nurse practitioner stems from my desire to make a positive difference in the lives of those who live in the long term care setting by providing on-site medical care, personal attention and prompt conversation with families on a routine basis and as needed.
Genevive patient/family interactions are relaxed, with time taken to prioritize any patient/family concerns, while keeping patient goals of care in mind at all times.
I have a lifelong passion to help others and have worked in healthcare since high school. I’ve worked in hospital settings and homecare, and especially enjoy the elderly population. Nursing is very rewarding, but I knew I wanted to further my education and geriatrics is what I wanted to specialize in. I love getting to know my elderly patients as individuals along with their families.
I am passionate about caring for the elderly population and enabling my patients to live a life focused on what is important to them. I love having the ability to serve my patients in the comfort of their home. It is important to me to get to know each person as a whole, which includes meeting their family and surrounding community. I am honored to continue my career as a Nurse Practitioner with Genevive and look forward to being a part of the positive impact in the lives of our patients.
I have been involved in the field of nursing for over 25 years. I began my career as a nurse in hospital acute care. After completing my Masters Degree in Nursing at the College of St. Scholastica as an Adult and Geriatric Nurse Practitioner, I decided to devote my advanced nursing practice caring for the geriatric and adult population in the long-term care setting.
I believe my mission in this occupation is to be open, honest, accessible and approachable making the relationship with the resident and family/loved one a personable and comfortable experience. I am truly blessed to work in the field of Geriatrics. It is an honor and a privilege for me to focus on quality health care for this patient population.
I feel fortunate to have found the opportunity to provide quality care to elders at Genevive. Those in our care have reached a point of becoming more medically vulnerable, but they have survived a lot. I value taking the time to get to know each patient’s story both medically and personally. My goal is to optimize every patient’s care based on their individual health conditions, values, and needs. I strive to explain things in ways that patients and family members can understand, so that together, we can balance the benefits and risks of various options in treatment plans and overall care. What I love about my work is relationships – my relationships with patients and families, patients’ connections with the important people in their lives, collaborative relationships in both long term care settings and home-based care, and the positive, collegial relationships at Genevive.
I am very excited to be part of the Genevive team serving our community. My background is in geriatric nursing and skilled nursing facility management. I am fortunate to bring that experience to my patients to help them lead healthier, more fulfilling lives. It is my honor to advocate and collaborate with those I serve and their families to bring high quality healthcare to them wherever they are – be it in a facility or their home.
I started my healthcare journey as a CNA 20 years ago working in different healthcare settings including nursing homes and hospitals. My interest in going back to school and becoming a Nurse Practitioner was motivated by my personal experience during my father’s transition.
Dedicated to lifelong learning and patient-centered care, I am passionate about providing holistic, compassionate, individual-focused care and education to patients and their families. I Strive to provide high-quality care to all my patients. I love creating a bond with my patients and their families.