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Our Leadership

claire_photoClaire M. Zangerle, MSN, MBA, RN
President and Chief Executive Officer

Claire Zangerle brings a wealth of clinical experience and innovative business practices to her role as President and Chief Executive Officer.  Before joining VNA of Ohio in 2008, Claire served in a variety of roles including Chief Nursing Officer and Director of Quality at the Cleveland Clinic.  She currently serves on the Board of the American Organization of Nurse Executives, the Greater Cleveland Healthcare Association, YWCA of Greater Cleveland, and is a founding member of the Circle of Red Society of the American Heart Association and InCounsel with Women.  She earned her Bachelor of Science in Exercise Physiology from Texas A&M University, Associate Degree of Nursing from Houston Baptist University, a Masters in Business Administration from Lake Erie College and her Masters of Science in Nursing from Kent State University.

Senior Leadership Team


Holly Coughlin
Holly Coughlin, Chief Development Officer, VNA of OhioChief Development Officer

Joining the organization in 2014, Holly Coughlin serves as Chief Development Officer and is responsible for all development and marketing activities across the organization. She has been instrumental in raising awareness and funding amongst stakeholders in alignment with a strategic development plan. Prior to joining VNA of Ohio, Holly served as a Senior Campaign Director at The Leukemia & Lymphoma Society. Holly received her Bachelor Degree in Business Administration with a focus on marketing from the University of Notre Dame and her Master in Business Administration with a marketing emphasis from DePaul University.


Gene Karlen

Chief Human Resources Officer

Gene Karlen brings years of human resources experience and expertise to his role as Chief Human Resources Officer. Joining the organization in 2016, Gene provides direction over the Human Resources activities across the organization. He is charged with the strategic planning and execution of Human Resources strategies, programs, policies and practices that support strategic objectives. Gene earned his Bachelor Degrees in Communication from Baldwin Wallace University and his Master of Labor Relations & Human Resources from Cleveland State University.


Michelle Kerr

Michelle Kerr, MSN, RN
Chief Clinical Officer

After serving as a case manager, clinical manager, and most recently, executive director of operations for the organization, Michelle Kerr serves as the Chief Clinical Officer and provides leadership over Clinical Operations, Clinical Quality and Clinical Development functions. As a highly skilled registered nurse, Michelle has extensive clinical, operational, and financial training with multiple departments. Michelle earned her Bachelor of Science from The University of Akron and her Master of Science from Chamberlain College of Nursing.


Lisa Kristosik, MSN, RNLisa Kristosik
Chief Operating Officer

Lisa Kristosik brings years of supervisory knowledge and oversees all operational aspects of home health and hospice services.  Lisa is charged with the development and execution of the operational policies and procedures and the supervision of the day-to-day operations including patient admissions, accreditation and quality standards, and team and culture management.  Joining the organization in 2010, Lisa has served as Director of Nursing, Associate Chief Clinical Officer and Chief Clinical Officer.  Before VNA of Ohio, she served as the Director of Home Health at Montefiore.  Lisa holds an Associate Degree from Lakeland Community College in Nursing and Medical Technology. She earned her Bachelor of Science in Nursing from Indiana Wesleyan University, and her Master of Science in Nursing from Walden University.


Janis LyonsJanis Lyons
Chief Financial Officer

Janis Lyons brings years of finance and risk management leadership to the organization. In her role as Chief Financial Officer, she participates and executes in the strategic planning and implementation of financial operations across the organization. Janis provides leadership to the financial departments to ensure maximum productivity and success. Prior to VNA of Ohio, Janis held various leadership roles at PNC Financial Services Group, formerly National City Corporation. Janis earned both her Bachelor of Science in Finance and her Master of Business Administration with a Finance concentration from Cleveland State University.


Christine MarsickChristine Marsick, JD, MD 
Medical Director, VNA of Ohio Hospice

Dr. Christine Marsick is responsible for the medical components of the hospice program including oversight of nursing care for each patient.  She offers counsel to patients and families navigating hospice and end-of-life care, while providing leadership and education for the hospice interdisciplinary care team.  Before permanently joining VNA of Ohio in 2013, Dr. Marsick acted as the organization's on-call physician since 2010.  Previously, she served as house surgeon at Robinson Memorial Hospital and Marymount Hospital.  Dr. Marsick received her Bachelor of Art in Comparative Literature from Cornell University, her post-baccalaureate Premedical Program Certificate from Columbia University, and her Juris Doctorate and Medical Doctorate from the University of Illinois.

Emily Smayda Kelly, Esq.Smayda-Kelly Emily
General Counsel

Emily Smayda Kelly oversees litigation, labor negotiations, contractual relations, and advises on various legal issues for the organization.  Prior to joining VNA of Ohio in 2011, Emily served as in-house counsel for a skilled labor supplier, an associate at a boutique union law firm, and assistant director of law for the City of Cleveland.  Emily is a member of the Cleveland-Marshall Alumni Association and the Mentor Program for the Cuyahoga County Bar Association.  She received her Bachelor of Arts from Case Western Reserve University and her Juris Doctorate from Cleveland Marshall College of Law.


For complete bios and high-res photos of Claire Zangerle and her
leadership team, please contact the Communications & Marketing department at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .



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