Kris Pueblos, RN, BSN

Clinical Manager, Hospice — Amedisys

May 2026 – Present · Stafford, TX · National hospice provider

Clinical leadership seat for a hospice care center of a multi-billion-dollar national provider: census of about 40 patients; interdisciplinary team of 4 RNs, 1 MSW, 1 chaplain and 3 CNAs.

• Own CMS/Medicare readiness across the census: hospice appropriateness, medical necessity, certification support, plan-of-care alignment, visit-frequency compliance, and HOPE completeness
• Identify documentation and operational gaps that put claim support, ADR readiness, or regulatory standing at risk — and drive team follow-through to closure
• Direct staffing, visit utilization, case escalation, and medication oversight; hold clinician accountability for documentation quality
• Support admissions and census performance tied to branch targets
• Coordinate physicians, nursing, aides, social work, chaplaincy, and facility partners for timely, compliant, patient-centered care

Clinical AI Builder (Independent) — Clinician AI Assist

April 2026 – Present · Houston, TX · Independent products, not employer products

• Autonomous operations layer — two scheduled agents fenced off from clinical data: an hourly operations agent on a fixed seven-task rotation (site-error sweep, CMS public-data refresh, registry and MAC policy watch, reference refresh, integrity checks, hourly demo-environment reset) and a daily guideline-watch agent that scans completed analyses against current CMS/MAC guidance and files per-account update alerts. Updates are never auto-applied and no agent performs clinical analysis — the autonomy boundary is enforced in the agents' scope, not by policy text
• Clinician AI Assist — hospice decision support following one patient record from referral to recertification: eight live tools on a shared profile, one main engine, validators and a QA disposition on every run, guardrails against prognosis/eligibility/orders enforced in code, privacy proven by scripted cross-account audit
• Patient Chart Rating & Census Risk — deterministic, code-computed risk models on every profile: each lane's most recent released output read against the agency's CMS public standing (SSVI and Care Compare measures), with probable ADR likelihood and review-level exposure stated as analysis, never as a bare score

Founder & Agentic AI Product Manager — Care and Living Guide

April 2026 – Present · Houston, TX · Self-employed

• Care and Living Guide — an agentic AI data product designed and run end to end: an autonomous fleet of specialized agents researches, writes, independently verifies, and publishes a senior-care decision resource — a care-provider directory, Medicare coverage and cost guidance, and a medication library — for seniors and family caregivers. It is the autonomous pole of this product work: where Clinician AI Assist is human-gated by design, CLG's agents run the operation under specs and gates set by the founder
• Fleet design, specifications & gates — designed the fleet's division of labor and wrote every agent's specification and quality gates; nothing publishes without an independent crosscheck pass. Set the product direction — Medicare coverage, costs, and who pays lead — and make the growth calls from Search Console analytics. Prototype with Codex; do not write the production code
• Status, as dated — live and public: 51,024 published provider listings (November 8, 2026); 1,707 medication pages, with full Spanish parity; traffic, Google Search Console, 11 days through November 5, 2026: 587 clicks · 71,333 impressions · average position 35.8. Not monetized: no ads run on the site today — the current phase is audience growth through Medicare's enrollment season, and monetization is a deliberate later stage, treated as a proof milestone rather than a current claim

Director of Nursing, Hospice — Genus Patris Hospice

May 2025 – May 2026 · Houston, TX

Directed clinical operations for a hospice program serving up to 75 patients; team of 16 (5 RNs, 2 LVNs, 2 MSWs, 2 chaplains, 5 CNAs). Owned patient care, documentation standards, regulatory readiness, and census oversight.

• Reviewed appropriateness, terminal-decline indicators, eligibility support, plan-of-care alignment, visit execution, and symptom-management needs across the active census
• Ran certification, recertification, face-to-face, IDG, plan-of-care, and visit documentation workflows to CMS/Medicare standards
• Judged whether the record supported the care story, terminal prognosis, and level of care a Medicare reviewer would expect; made patient visits to verify status, documentation accuracy, and staff follow-through
• Strengthened referral-to-admission flow, EHR use, and facility communication; coordinated physicians, pharmacists, facilities, nurses, and marketing

Earlier experience

Earlier clinical roles include Holy Trinity, Axis, and Humana. An earlier career of about 15 years in online marketing and lead generation (including TILA) shaped a measurement-and-iteration approach to product — funnels, conversion, and evidence over opinion — now applied to how I build and judge product.