Meet the Team

Executive Team

  • Dr. Elijah Wilder, D.O., was born and raised in Raleigh, North Carolina. He earned a Bachelor of Science degree in Biology from Campbell University. He attended medical school at the Philadelphia College of Osteopathic Medicine. He completed Psychiatry residency training at prestigious Duke University, followed by Addiction Psychiatry fellowship subspecialty training at the University of Cincinnati. Dr. Wilder is dual board-certified in both Psychiatry and Addiction Psychiatry by the American Board of Psychiatry and Neurology, and he is also a member of the American Psychiatric Association and the American Medical Association. He has over 10 years of experience providing specialized care in mental health and addiction treatment. Prior to joining Renal Psychiatry Services, he has worked in various care settings including inpatient, outpatient, long-term care, detoxification, and residential facilities, and he has recently served as Regional Medical Director for a large addiction treatment consortium with countless facilities across the entire country. He also holds an ongoing appointment as Assistant Clinical Professor at the University of Cincinnati - Department of Psychiatry and Behavioral Neuroscience.

    Dr. Wilder comes to Renal Psychiatry Services with a strong passion, dedication, and commitment to providing compassionate, high quality, individualized, and evidenced based patient care. He also prides himself on pioneering and delivering the most up-to-date and cutting-edge treatments to help patients live beyond their mental health and substance abuse issues as successfully as possible.

Kristin OBrien

  • Kristin OBrien is the Chief Operating Officer for ActivateCR. She is an Air Force brat that lived in multiple states growing up. She earned her Bachelor of Science degree from St. Francis in Peoria, IL. She has worked in the medical field for over 25 years in multiple positions. She has worked in admissions, clinically, and administratively throughout her career. She has managed vendors and negotiations; collaborated with professionals, contractors, consultants, and fellow co-workers, striving to create the most efficient processes possible. Working in the Emergency Room and Cardiac Catheterization Lab are high stress positions requiring attention to detail, professionalism, and a desire to assist and provide compassionate care to the patients. Currently, she is working as Chief Operating Officer of a transitional healthcare corporation, and now additionally ActivateCR.

Paul D. Gordon

  • Healthcare Operations Leader
    & Dialysis Expert

    With over two decades of dedicated service in the dialysis sector, Paul Gordon brings a unique blend of clinical expertise and operational acumen to the healthcare industry. His career spans impactful leadership roles, including Director of Clinical Projects and Patient Services Director, where he has consistently driven initiatives that enhance operational efficiency, regulatory compliance, and patient care.

    At Dialyze Direct, Paul led transformative efforts across 175 facilities, standardizing processes, transitioning admissions documentation to electronic systems, and guiding the organization through the complexities of COVID-19 regulatory adaptations. At Fresenius Kidney Care, he managed the psychosocial needs of diverse patient populations, spearheading cross-functional initiatives to improve patient services and outcomes. During his tenure at Quality Insights Renal Network 4, Paul secured and exceeded CMS-ESRD contract objectives, provided expert guidance on CMS Conditions for Coverage, and successfully led the Patient Services Department.

    Paul’s career is defined by his commitment to excellence, his passion for patient care, and his ability to translate strategic objectives into actionable plans that drive meaningful impact across the healthcare continuum.

Board Members

  • Jennifer is a dual-certified nurse practitioner with acute care and psychiatric-mental health nurse practitioner certifications.  She graduated from Texas Christian University. She received her master’s in nursing from UT Arlington. She also completed her training for the acute care and psychiatric mental health certifications through UT Arlington. She has a passion for helping others and empathy for those with mental health needs

  • Karen is a Florida native and Licensed Clinical Social Worker with over a decade of experience providing compassionate, client-centered support to individuals navigating the challenges of chronic illness. Throughout her career, she has worked extensively with patients living with End-Stage Renal Disease and Chronic Kidney Disease, guiding them through the complex journey of dialysis and transplant evaluation. Her expertise extends to supporting patients with rare diseases and those managing intricate behavioral health needs, where she combines clinical knowledge with empathy to help clients feel seen, heard, and supported.

    Karen’s professional philosophy is rooted in the belief that every patient deserves dignity, clarity, and hope, even in the most difficult circumstances. She is known for her ability to balance warmth with professionalism, ensuring that patients and families feel both cared for and empowered to make informed decisions about their health. 

    Beyond her clinical practice, Karen is deeply committed to service. She actively contributes to her community and church, finding joy in giving back and building connections that extend beyond her professional role. Her dedication to others is matched by her devotion to her family. As a wife and mother of four energetic boys, Karen embraces the fullness of life at home, where resilience, humor, and love are daily practices.

  • Rehan Shah, MD, received his training at SUNY Downstate Medical Center. He has gained valuable experience by treating a very diverse population with vast pathology in the New York area. He currently serves as Medical Director on inpatient dialysis units, giving him firsthand knowledge and expertise in kidney disease and dialysis. He is currently the Founder and CEO of Renviva, a physician-owned and physician-led dialysis provider focused on bringing dialysis services to the home and onsite at SNFs.

    Most recently, CardioRenal Therapeutics, LLC was formed to bring not only dialysis services to SNFs but also to provide onsite cardiology and nephrology care. This full spectrum of care provides an integrated care approach to SNFs, thereby improving patient outcomes and decreasing costs by reducing hospital admissions.