Northwest Senior Management Services, Inc. was founded in 1996 by Penelope J. Leiment, MS, ANP in response to the growing needs of the elderly community. NSMS is a unique company that maintains the highest quality nursing and in-home caregiving staff, serving the greater Portland Metro area and parts of Southwest Washington. Using a "fee for service" model that is closely coordinated to minimize fragmentation of care, NSMS provides services for older adults and their families, either directly or by referral. Working with a staff of Nurse Practitioners, Registered Nurses, Certified Nursing Assistants and qualified professional in-home caregivers, Ms. Leiment created a corporation that provides services in the home, wherever home is. 
Today NSMS has grown in size and services provided to the members of our community. Please review our website and explore the many options provided to you and your family to help you maintain independence and dignity in the the home of your choice.

Robert W. Neuner 
President, Northwest Senior Management Services, Inc.
                 
   

   Mr. Neuner graduated from Portland State University in 1985, with a Bachelor's of Science in Business Administration, majoring in Finance and Operations Management. He spent 20 plus years in several small and large electronics manufacturing companies in Oregon. His primary focus was in planning, scheduling, and materials management.
   In 2005, Mr. Neuner was seeking new challenges and looked for an avenue where he could use his management and planning experience in an area where he could also give back to the local community. Northwest Senior Management Services, Inc. was a perfect match to achieve his goals and provide the challenge he was seeking. The excellent work Ms. Leiment has done in building the company was the perfect springboard.
   Mr. Neuner is dedicated to preserving the unmatched quality of care Northwest Senior Management Services is known for in the community.

Darlene Anderson, GNP

   Darlene received her Geriatric Nurse Practitioner preparation at the University of Colorado, Denver, in 1977-78 and has been nationally certified by the American Nurses Credentialing Center since 1983. She has done extensive work with dementia patients and has had 15 years of experience working in out-patient clinical geriatrics. She also worked as a member of a multi-disciplinary team doing comprehensive geriatric assessments. She enjoys teaching and is available for public speaking engagements. 
  Darlene is a contributing author to the book titled Confusion: Prevention and Care ; published in 1980 by Mosby. Mosby recognized it as a "book of the year." Darlene enjoys working outside, reading, sports, and visits to the beach. Most recently, she is staff with  a local non-profit medical practice for the homebound.

Debbie Cianci, RN
Nurse Manager

   Debbie graduated from Loma Linda University in 1975 with an Associates Degree in nursing. She has worked in every area of nursing except surgery and psychiatry (including ICU, NICU, CCU and ER). Before joining NSMS, she taught patients how to dialyze at home (hemodialysis, CAPD and APD), first through Legacy Good Samaritan and then with Pacific NW Renal Services. She feels most fulfilled when teaching people how to live longer, healthier lives. 
   Debbie has been active in the local Coronary Health Improvement Project (CHIP) program for the past year and is also a member of an NIH twenty-five year health study. She has been on several mission trips to Mexico and Bolivia and intends to continue to volunteer as the opportunity arises.

Katie O. Koerper
Operations Coordinator

   Katie comes to NSMS with 20+ years of experience working in various administrative support roles, and has years of experience working with seniors in our community. When Katie is not working in our office she is usually working in her position as Kitchen manager/caterer at her church. She is a freelance writer and enjoys family life with her three young adult children.

Julia Farman, RN, BSN
Phelbotomy Program Director

   Julia received her ASD in Nursing from VirginiaWesternCommunity College and her BSN from OregonHealthSciencesUniversity. She comes to us with a wide variety of nursing experience. She has worked in rehabilitation for closed head injuries and strokes, medical oncology, orthopedics/trauma step down unit, operating room, long term care, 5 years in long term care insurance sales, public education seminars in long term care planning, in-home management and currently is program director for Northwest Senior Management Services. 
   Volunteer work includes board work for Oregon Nurses Association's Political Action Committee, Housecall Providers, Inc, food delivery for Snow Cap and founding partner of ONE Source LLC. Julia is married and has two children, 2 dogs, 3 cats and is active in her parish. Her passion is to ensure families experience positive and quality transitions during the aging process.

Josie Quimba-Sinclair, RN
Caregiver Training Instructor

   Josie's background in nursing is varied. She was a nurse instructor both here and in the Philippines for about eight years, working fifteen years in an acute nursing setting and six years in home health nursing. She also teaches CPR and First Aid. Josie enjoys helping international students as they adjust to life here in the United States.

Elliza McGrand, RN

Elliza has a B.A. in English and became an RN in 2001. In 1997 Ms. McGrand took care of her father during his last days. She was so moved by the end-of-life experience that she entered the health field, first as a Certified Nurse's Aid, then as a Registered Nurse. She has practiced primarily in Adult and Pediatric Medical-Surgical hospital floors, but has also practiced in Pediatric and Adult clinics, hospice, and with visiting nurses. She is a writer (poetry and fiction) and worked in administration, computer applications and editing for 20 years before becoming a nurse.

Patt D'Ambrosia
Scheduler & Staff Recruiter

Joined the team in May 2007.  Patt  recruits caring and compassionate caregivers to take care of our clients. She matches caregivers with clients so that both are comfortable with each other. Graduated from Everest College in 2005 with an Associate's Degree in Accounting and again in 2006 with an Associate's Degree in Computer Applications. Currently attending DeVry University studying Technical Management; focusing on Health Systems Management. She loves to learn and love people.
 Now a little background, she has been married for 15 years to a wonderful man who is the love of her life. They are raising two beautiful children, 2 dogs, and 2 cats. They love to sing, go camping, four-wheeling in the sand at the coast, playing board games and computer games. She also enjoys making beaded jewelry, rosaries, crocheting, and reading. 
     
Eva Books
Office Assistant



Pam Ezell
Accountant
Biography soon to come.