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White River Junction VA Medical Center, Vermont


Leadership Team

Portrait of Alfred Montoya

Alfred Montoya | 802-295-9363 EXT 5400


Al Montoya, MHA was appointed the Interim Medical Center Director of White River Junction VA Medical Center in November 2015. Prior to assuming that position he served as Assistant Director in the Connecticut VA Health Care System.

Al is a veteran of the U.S. Air Force serving for over 10 years as a Russian Cryptologic Linguist. He served as an Instructor of Technology and Military Science, providing our Air Force personnel operational training on the EC-130H Compass Call which is a system on a C-130 Hercules airframe that disrupts enemy command and control communications.

Mr. Montoya has a Bachelor's Degree in Occupational Education from Wayland Baptist University and a Master's Degree in healthcare administration from Walden University.

Portrait of Matthew Mulcahy

Matthew Mulcahy | 802-295-9363 EXT 5410

Associate Director

Mr. Matthew Mulcahy began his duties as Acting Associate Medical Center Director White River Junction (WRJ) VAMC in October of 2015. He began his VA career in June of 2007 as the Chief of Facilities Management Service WRJ VAMC.
Previous to commencing his VA career, Mr. Mulcahy was an officer in the United States Navy’s Submarine Force for twelve years where he served in a variety of billets to include Flag Aide and the Chief Engineer of a fast attack nuclear submarine.

As an enlisted United States Marine, Mr. Mulcahy was selected for a Naval Reserve Officer Training Corps scholarship and attended Tulane University where he earned Bachelor of Science degree.

Portrait of Brett Rusch

Brett Rusch | 802-295-9363 ext 5420


Brett Rusch, MD, is the Acting Chief of Staff at the White River Junction VA Medical Center. He joined the organization as the Chief of Mental Health and Behavioral Science Service in 2015, and additionally has an appointment as an Assistant Professor of Psychiatry at Dartmouth’s Geisel School of Medicine. Dr. Rusch received a Bachelor’s Degree in Psychology from the University of Wisconsin and completed medical school and a psychiatry residency at the University of Wisconsin School of Medicine and Public Health (UWSMPH).
Prior to joining the White River Junction VAMC, Dr. Rusch served as Director of Inpatient and Intensive Outpatient Mental Health Services at the William S. Middleton Memorial Veterans Hospital in Madison, WI, and as an Assistant Professor of Psychiatry at the UWSMPH. He is an experienced educator and received the UWSMPH Department of Psychiatry’s Award for Excellence in Resident Education for the three consecutive academic years bridging 2012-2015.

Portrait of Laura F. Miraldi, RN, MSN

Laura F. Miraldi, RN, MSN | 802-296-5127

Associate Director for Nursing/Patient Care Services

Laura Fisher Miraldi, MSN, RN, NEA-BC, was appointed to the position of Associate Director, Nursing and Patient Care Services/Nurse Executive at the White River Junction VAMC in June of 2010. Mrs. Miraldi has responsibility for all Nursing programs and personnel, as well Geriatrics and Extended Care, Social Work Service, Home Based Primary Care, Case Management, Office of Education, Sterile Processing Services, Infection Control and Chaplaincy, programs serving Veterans across the state of Vermont and four counties in New Hampshire.

Mrs. Miraldi began her career at the NY Regional Burn Center at NY Hospital/Cornell/Presbyterian Medical Center, New York City, in 1980. In 1985 she began her work at the White River Junction VAMC, first as a staff nurse, then Nurse Manager, in the Intensive Care Unit. She worked as a clinical research coordinator, Administrative Officer for Research & Development and the Executive Director of the Collaborative Medical Research Corporation from 1997 to 2008. Ms. Miraldi obtained her Master of Science degree in nursing from the University of Vermont in 1998, with a focus on community health and nursing administration.

Mrs. Miraldi successfully completed the VA's Healthcare Leadership Institute and graduated from the Executive Career Field Development Program in 2009. She participated in the Federal Executive Institute's Federal Executive Leadership Program, is LEAN Yellow Belt Certified, and is a VHA Certified Mentor at the Fellow-Level. Throughout her career, Mrs. Miraldi has focused on initiatives to improve the quality of patient care and patient satisfaction, and empowerment and development of nurses and others.

Mrs. Miraldi is the daughter of a Veteran of the Korean war, and the mother of two active duty Army soldiers. Mrs. Miraldi is proud to be a long serving member of the White River Junction VA community and honored to provide leadership in promoting excellent patient care for our Veterans.