Leadership Team

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Susan Larman, BSN, MBA
Chief Executive Officer – VNA Home Health, Visiting Nurses Home Care, VNA Foundation

Sue is responsible for partnering with the Board of Directors in setting the strategic direction and implementing the strategic goals of VNA Home Health and its affiliates. She has been with the organizations since October of 2010, and brings 30 years of extensive home care and executive leadership experience. Beginning her home care career as a home care nurse, she has an appreciation and firsthand knowledge of the patient population, needs, and challenges.

In 2013, Sue spearheaded VNA Home Health’s service expansion from the three counties of Albany, Saratoga, and Rensselaer to include eight additional counties in the greater Capital Region: Columbia, Fulton, Greene, Montgomery, Schenectady, Schoharie, Warren and Washington; as well as the implementation of a state-of-the-art clinical information system.

Sue holds a BSN and Masters of Business Administration, both from the State University of New York at Buffalo.  She has served on numerous community boards throughout her career, currently serving as Chair of the Board of the Home Care Association of New York State.

Iyabode (Yabo) Alfred, RN, MSN, Ph.D
Vice President/Chief Clinical Officer
Yabo joined VNA Home Health in August of 2018. She is responsible for the delivery of quality clinical care for all nursing, rehabilitation, social work, and home health aide services. Yabo develops innovative clinical models and programs to promote excellence in clinical practice, optimal patient outcomes, and successful positioning for new and innovative reimbursement models.

Yabo has worked in home care for over twenty years. For sixteen of those years, she served in different leadership capacities with the Visiting Nurse Service of NY (VNSNY), the largest not-for-profit home health care organization in the United States. The last position she held with VNSNY was Director of Quality Management Services, developing agency-wide educational programs for Quality Assurance/Performance Improvement. In addition to her extensive home care experience, Yabo holds a Bachelor of Science degree in Business Administration, a Bachelor of Science in Nursing from New York University, a Master’s of Science in Nursing from the University of Phoenix, and a Doctorate in Education/Nursing from Capella University.

Paul Rice, BBA, CFP
Chief Financial Officer – VNA Home Health, Visiting Nurses Home Care, VNA Foundation

Paul is responsible for the development and direction of the financial management strategy for the VNA corporations, ensuring financial viability and performance in an evolving reimbursement environment. He advises the Chief Executive Officer of financial trends and recommended strategies and directs the planning and administration of the business, financial, and information systems of the corporations.

Paul has been in the healthcare field for over 30 years, serving the last 15 years as a Director of Finance. Paul has extensive experience in financial management and analysis, strategic business planning, risk management and a thorough knowledge of the healthcare industry. He has been with the organizations since September 2016.

He holds a Bachelor’s degree in Accounting from Siena College in Loudonville. Paul is also a Certified Financial Planner.

Jacqueline Kretser, RN, MSN
Director of Clinical Integration and Care Transitions – VNA Home Health

Jackie oversees the transition of patients to VNA services, ensuring an efficient, effective, and responsive intake process. She also manages our relationship with referral sources and supervises VNA Home Care Coordinators in partner hospitals. In addition, Jackie works with clinical partners and the NYS Delivery System Redesign Incentive Program to integrate VNA services and collaborate on clinical opportunities.

Jackie has extensive leadership and 40 years of home care experience in certified home health care, hospice and community health planning. Jackie began her nursing career as a Public Health Nurse employed by county nursing services. Jackie’s program development experience includes: Telehealth, Palliative care, Transitional Care, Social Day Care, Licensed home care, early intervention and developmental services and the Long Term Home Health Care Program.

Jackie holds a BSN from State University of New York at Plattsburgh, and a Masters in Nursing, clinical nurse specialist and parent-child nursing from Russell Sage College.


Seba Varughese, MBA
Director of Human Resources – VNA Home Health

Seba plans, coordinates, and administers all human resource policies and procedures, and oversees HR activities including recruitment, benefits and compensation, employee relations and risk management.

She has more than ten years of experience in the Human Resources field, and has been working with VNA Home Health since 2013.

Seba holds a Bachelors degree in Science and a Masters of Business Administration in Human Resource Management from Bangalore University. She also holds memberships in the Society for Human Resource Management and the Capital Area Human Resource Association.