Care Management Solutions 

Vickie’s career began as a Certified Therapeutic Recreation Specialist, specializing in adaptive equipment and brain injury, acquired through a Bachelor of Science program through the School of Nursing at the University of Southern Maine. The project Vickie chose for her required internship was to mainstream 17 geriatric patients from the Augusta Mental Health Institute into a small town community within six months. The program was a great success in which all 17 patients, though trying at times, acclimated to their new surroundings and became slowly accepted by the residents of the community. From this project, Vickie realized that the true meaning of “home” is the comfort and security that someone feels in their “home” environment.
 

Vickie’s career continued at the Center for Brain Injury in Kennebunkport, Maine for the next six years. Here, she learned to put all the components of her training into action. In this environment, Vickie worked with the social/emotional, socio-economic, physical, and mental/cognitive pieces of her training. It is this part of Vickie’s career where she truly acknowledged the compassion that she felt in helping people acquire the lifestyle that they deserved.
 

In 1996, Vickie moved from Maine to Connecticut and worked on the psychiatric floor of Middlesex Hospital, in Middletown. Vickie embraced this journey as she developed empathy for the many unfortunate situations that people faced in being homeless, living in unacceptable situations or being moved from one facility to another. There were several elderly people whom Vickie became close to and realized that she wanted to go back to assisting aging people to grow “old” (a relative term!) with dignity and respect.
 

In 2001, Vickie completed the 2 year, postgraduate, Nursing Home Administrator Program. Six months later, Vickie passed the board exams and acquired her license to be a nursing home administrator in Connecticut. Vickie’s goal as a nursing home administrator was to make each nursing home a place where her own parents, one day, could live with the respect, dignity, independence and comfort that they deserved. Vickie realized that nursing homes are good for many, but others want to return/stay at home. To balance these outcomes, Vickie developed in 2010 a concept for care management, nursing care and homemaker/companion care to come together. This concept later became Care Management Solutions.

Jessie Hatfield, BSN, RN, began her nursing career as a CNA and shortly thereafter she worked her way to becoming a Licensed Practical Nurse before advancing her education with an Associate Degree in Nursing and later a Bachelor of Science in Nursing. Her career spans long-term and short-term care, clinical research, medical-surgical and oncology units, the emergency department, home health, and a rural island medical clinic. This diverse background gave her a comprehensive view of patient needs across the continuum of care and prepared her to excel in one of her strongest areas—case management. Jessie is skilled at coordinating care plans, advocating for patients, and connecting individuals with the resources they need to improve outcomes and quality of life.

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Her mission as a nurse is to deliver compassionate, evidence-based care while empowering patients and families to navigate the health care system with confidence and dignity.

 

When not working, Jessie enjoys family and personal life, as well as spending time with her grown children, family, friends, and her beloved golden retriever, Fender. Her adventurous and family-centered lifestyle reflects the same values she brings to her nursing career—resilience, adaptability, and genuine care for others.

Alexandra Cerquera has over ten years of experience as a Certified Nursing Assistant (CNA) and is passionate about helping others live with dignity. She has completed certifications in Anger Management and Conflict Resolution, Domestic Violence, and Supporting Individuals with Intellectual Disabilities and Mental Illness. She is currently studying Foundations of Nursing Practice to continue expanding her skills.

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Outside of work, Alexandra enjoys spending time with her toy poodle, exercising, swimming, and practicing aquatic therapy. Bilingual in English and Spanish, she also loves singing and dancing as a way to recharge. With both professional and personal experience in disability, Alexandra is dedicated to ensuring every individual feels respected, included, and valued.

McKayla Olechnicki is a Certified Nursing Assistant (CNA) and currently studying at the Arizona College of Nursing in East Hartford, Connecticut, where she's working toward her Bachelor of Science in Nursing. She has about a year and a half left in her program, and is excited to keep growing as she prepares for a future career in nursing.

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Caring for others has always been important to McKayla, and working as a CNA has only strengthened that passion. She loves being able to make a difference in someone’s day, whether through compassion, attentiveness, or simply showing kindness.

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Outside of school and work, McKayla enjoys spending time outdoors and being creative. Cooking is one of her favorite hobbies, she loves trying out new recipes and sharing meals with loved ones. She also enjoys kayaking, relaxing at the beach, and traveling whenever she can.

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McKayla would describe herself as kind, respectful, and passionate, with a strong drive to keep learning and improving. Her ultimate goal is to build a meaningful career in nursing where she can combine skill with compassion to make a positive impact in people’s lives.

Hannah Schilling recently graduated from Bucknell University with a double major in Sociology and Philosophy and is a member of Phi Sigma Tau, the International Philosophy Honor Society. During her time at Bucknell, she was also a dedicated member of both the Bucknell Dance Company and the Bison Girls Dance Team, combining her passion for the arts with her academic pursuits. Hannah further broadened her perspective through a semester abroad in Copenhagen, where she deepened her interest in social systems, cultural perspectives, and equity in healthcare.

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At Care Management Solutions, Hannah brings together her academic foundation with real-world experience to assist with care coordination, client advocacy, and program development. Guided by a passion for mental health, trauma-informed practice, and social justice, she combines a systems-level perspective with personal commitment to ensuring clients never feel overlooked or unheard. Hannah is particularly interested in how healthcare systems can better support individuals and families through transitions of care, and she is passionate about advancing healthcare equity and accessibility. These experiences have inspired her long-term goal of pursuing a master’s degree in Social Work or Public Policy, with a focus on health care advocacy and systemic change.

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Outside of her professional and academic roles, Hannah enjoys dancing, writing, and spending time with her Mini Goldendoodle, Millie. She is committed to blending creativity, compassion, and critical thinking in her work, and dedicated to shaping systems rooted in dignity, inclusion, and justice that truly serve people in their everyday lives.

Gwendalynn Carter is an Office Administrator for Care Management Solutions. With experience in healthcare administration, patient coordination, human resources, marketing, and clinical support, Gwen plays an important role in the daily operations of both organizations.

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Her background includes physician communication, EMR documentation, scheduling, insurance eligibility, intake support, clinician billing documentation, in-service data management, patient satisfaction follow-up, OASIS exports, recruitment coordination, and office management. She is also passionate about building strong professional relationships through weekly physician outreach and community marketing efforts.

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Known for her caring and supportive nature, Gwen brings a calm, collected, and approachable energy to both her team and the families she serves. She takes pride in helping create a positive experience for patients, clinicians, and community partners alike.

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Outside of work, Gwen is a devoted mom who spends most of her free time with her daughter. As the youngest of five siblings, family has always been at the center of her life. She also enjoys spending time outdoors and making memories with family and friends.

Sonia Lenha is a dedicated Office Administrator with over four years of experience in the home care and care management industry. Known for her strong organizational skills, attention to detail, and compassionate approach, Sonia plays a vital role in supporting both clients and care teams behind the scenes to ensure smooth daily operations and high-quality service delivery.

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Throughout her career, Sonia has developed extensive experience managing state waiver billing, private pay billing, payroll administration, and state licensing processes. 

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Sonia is passionate about helping home care organizations provide dependable, client-centered care. Her modern, solutions-focused approach helps improve workflow, strengthen communication, and contribute to a positive experience for everyone involved.

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Outside of work, Sonia is a proud mother of three who enjoys staying busy and spending quality time with her children. Whether managing a busy household or supporting her team professionally, she brings the same energy, dedication, and caring mindset to everything she does. Her ability to balance family life with a successful career reflects her strong work ethic, adaptability, and commitment to helping others. 

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Recognized for her reliability, professionalism, and friendly personality, Sonia brings both administrative expertise and genuine compassion to her work every day.