.btn-patient-hub {
    position: relative;
    top: -47px;
    right: -420px;
    text-transform: uppercase;
    padding: 10px 20px!important;
}
@media (max-width: 1149.5px) {
    li.nav-itembtn {
    list-style: none;
    padding: 25px 0;
}
.btn-patient-hub {
    top: 0!important;
    right: 0!important;
}
}