… Commonwealth. And his organization has the platform to do it. Paredes is the new Lead Medical Director of Casa Esperanza , a behavioral health treatment agency that … his time at Conexiones, Paredes has held positions as Clinical Supervisor and now, Lead Medical Provider - a position that has him supervising a staff of five nurses … - one psychiatric nurse practitioner and one family nurse. Paredes will lead the integration of additional medical services and create standard operating …