Dr Gruner is a consultant in health services management, particularly involved in organisation-wide continuous quality improvement and change management, health planning, clinical governance, in depth review of health services, complex problem solving, and risk management and consumer participation mechanisms. She also is involved in both team coaching in health service organisations and in individual coaching. She consults Australia wide and overseas.
In the past, she has held senior positions in both public and private health services and continues to do occasional locums as Director of Medical Services in a variety of jurisdictions.
She has been a lecturer and unit coordinator for the Masters of Health Administration at Monash University and an educator for the Royal Australasian College of Medical Administrators (RACMA) and the Australian Council on Healthcare Services (ACHS) for over 20 years. She is a coordinating ACHS surveyor and regularly coordinates ACHS surveys of both mental health and acute health organisations. In addition, she has trained others in designing and delivering workshops and facilitated many events in health services and government.
Dr Gruner is immediate past President of RACMA and is the present Chair of the World Federation of Medical Managers. She is presently a member of a number the Medicare Review Taskforce.