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Leadership Team

Rajiv Patel, M.D.
Chief Executive Officer

Sarah Keenan, R.N.
Chief Operating Officer
President, Bluestone Integrated Care


Sarah Keenan has worked with seniors in the health care industry for more than 25 years, providing community care expertise and implementing clinical programs, care management, and care coordination programs.

Sarah has been with Bluestone Physician Services since 2011, with oversight over clinical services, including care coordination and care management. Sarah’s background is in long-term care and managed care government programs.

In her spare time, Sarah enjoys boating and biking in the MN summers.  She does her best to enjoy MN winters but most often can be found by a fire.


  • Bachelor of Science, Nursing, Montana State University, Bozeman, Montana
  • Master’s Degree in Integrated Healthcare Management, Western Governors University

David Nelsen, CPA
Chief Financial Officer


David Nelsen joined Bluestone Physician Services as CFO in 2017. Prior to Bluestone, he worked at American Dental Partners for 16 years, overseeing all financial operations and supporting the growth of the organization through both mergers and acquisitions activity and organic growth. He also held a variety of finance positions at The Pillsbury Company and was an audit manager with KPMG.

In his spare time, David enjoys traveling, running, hiking and watching college basketball.


  • Bachelor of Science, Accounting, Minnesota State University, Mankato, Minnesota
  • Certified Public Accountant (inactive status)


Nicole Beauvais, PA-C, MMS, MPH
Senior Vice President of Clinical Operations


Nicole Beauvais joined Bluestone Physician Services in 2022 as Senior VP of Clinical Operations. Her role includes overseeing the organization’s electronic health record and training programs, clinical support teams, and process improvement initiatives.

Nicole has been a licensed physician assistant (P.A.) for more than 20 years and has focused on medically complex patients, multi-disciplinary care delivery, healthcare equity, and quality improvement. Prior to joining Bluestone, she worked for several years at M Health Fairview (University of MN’s health system), most recently having served as their system Vice President of Quality and Health Equity. Previously, she worked at Northwestern Memorial Hospital in Chicago, both in quality improvement and in operations. Nicole has a passion for healthcare quality and is a six sigma black belt, and she believes strongly in patient-centered, inclusive care.

In her spare time, Nicole enjoys spending time with her family, distance running, playing her violin or oboe, or exploring new restaurants.


  • Master of Public Health, University of Illinois-Chicago, Chicago, Illinois
  • Master of Medical Science, Physician Assistant Studies, Midwestern University, Downers Grove, Illinois
  • Bachelor of Science, Chemistry and Humanities, Valparaiso University, Valparaiso, Indiana

Brian Holsten, MS, SHRM-SCP
Vice President of Human Resources


Brian Holsten possesses 30+ years of Human Resources experience across a variety of industries, including hi-tech, med-device, pharmaceutical, financial services and insurance.

Prior to joining Bluestone Physician Services in 2020, Brian was the VP of Human Resources for Perforce Software, Inc., where he led the global HR function for this enterprise software company. This included oversight of talent acquisition, total rewards, employee relations, M&A, HR technology and global payroll.

Brian has also used his extensive HR experience to teach undergraduate courses as an adjunct professor at Bethel University in St. Paul, MN.

In his spare time, Brian enjoys running, downhill skiing and a variety of other wellness activities.


    • Bachelor of Science, Business Administration, The Carlson School of Management, Minneapolis Minnesota
    • Master’s of Science, Organization Management and Human Resources, Capella University, Minneapolis, Minnesota

Jessie Waks, APRN, CNP, GNP-BC
Senior Vice President of Clinical Practice


Jessie joined Bluestone Physician Services as a Nurse Practitioner in 2009. Her experience in Critical Care and Hospice drew her to Bluestone’s innovative care model, where she could serve complex and vulnerable patients in the community setting.

Now with Bluestone for over a decade, Jessie has played an integral role in the expansion of Bluestone’s model of care. Provider on-boarding, advancement and education are a few of the many programs she has spearheaded in her tenure. Through her leadership, Bluestone has trained over 125 Nurse Practitioner and Physician Assistant students in conjunction with local universities. Her passion for quality patient care and provider excellence is clear to everyone, both in and out of Bluestone.

In her spare time, Jessie can be found doing anything (especially active) with her daughters, running up mountains, or traveling to anywhere Jack Johnson is performing.


  • Bachelor of Science, Nursing, College of Saint Catherine, St. Paul, Minnesota
  • Master of Science, Nursing, Geriatric Nurse Practitioner, University of Minnesota, Minneapolis, Minnesota
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