Expert Details
Internal Medicine & Hospital Medicine, Utilization Management & Managed Care, Hospice & Palliative Care, Occupational Medicine & Urgent Care
ID: 740516
Texas, USA
Expert's clinical career has spanned hospital medicine, post-acute care, hospice and palliative care, cardiopulmonary disease management, occupational medicine, and telemedicine-based urgent care and weight-management practice across health systems and organizations in California, Georgia, Texas, and other states, including extensive locum tenens hospitalist assignments during the COVID-19 pandemic. Expert has also held progressively senior utilization management and medical director roles overseeing inpatient, post-acute, and prior-authorization functions for major national managed care organizations.
Expert has founded and managed a private medical practice encompassing primary care, direct primary care, concierge medicine, and aesthetic medicine services, gaining business management experience in billing, insurance credentialing, human resources, and regulatory compliance in addition to clinical duties. Expert is board certified by the American Board of Internal Medicine, holds active medical licensure in numerous U.S. states, and serves as a medical expert witness in addition to clinical and administrative practice.
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 2006 | Degree: MD | Subject: Medicine | Institution: Creighton University School of Medicine |
| Year: 1999 | Degree: BS | Subject: Biochemistry & Psychology | Institution: Loras College |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2016 to Present | Employer: Undisclosed | Title: Founder, CEO | Department: |
Responsibilities:Urgent careMedical weight loss Non invasive aesthetics |
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| Years | Employer | Title | Department |
| Years: 2024 to Present | Employer: Undisclosed | Title: Medical Director | Department: National Inpatient Clinical Management Team (West Region) |
Responsibilities:Provides utilization management oversight for inpatient Medicare, Medicaid, and Commercial populations. |
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| Years | Employer | Title | Department |
| Years: 2023 to 2024 | Employer: Humana, Inc. | Title: Medical Director, South Central Region | Department: |
Responsibilities:Oversaw utilization management functions for post-acute care, prior authorization, and inpatient services. |
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| Years | Employer | Title | Department |
| Years: 2023 to 2024 | Employer: Various Telehealth Companies | Title: Physician, Urgent Care/Medical Weight Loss | Department: |
Responsibilities:Provided virtual urgent care and medical weight loss consultations. |
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| Years | Employer | Title | Department |
| Years: 2011 to 2024 | Employer: Various Staffing Associations | Title: Inpatient Hospitalist | Department: |
Responsibilities:Provided inpatient hospital medicine care. |
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Career Accomplishments
| Associations / Societies |
|---|
| • American College of Healthcare Executives — 2023–present • American Association for Physician Leaders — 2022–present • Texas Medical Association — 2020–present • American Medical Student Association (AMSA) — 2018–present (also 2006–2011) • American Medical Women's Association (AMWA) — 2015–present (also 2006–2011) • Placer County Medical Society — 2014–2020 • Atlanta Medical Association — 2013–2015 • Georgia Medical Association — 2011–2015 • Society of Hospital Medicine — 2011–present • Physician Moms Group — 2012–present • Artemis Medical Society — 2012–present • American College of Physicians — 2002–present • American Medical Association — 2001–present |
| Licenses / Certifications |
|---|
| • American Board of Internal Medicine (ABIM) Certification — 2013–present • United States Medical Licensing Examination (USMLE) — Steps 1, 2, and 3 (passed) • Advanced Cardiac Life Support (ACLS) • Basic Cardiac Life Support (BCLS) • Active medical licensure in 16 U.S. states: Arizona, California, Florida, Georgia, Idaho, Montana, Nevada, New York, North Carolina, Ohio, Oregon, South Carolina, Texas, Utah, Virginia, and Washington |
Fields of Expertise
Hospitalist, Transplant Medicine, Medical weight loss, Outpatient, internal medicine, Utilization Management, Prior Authorization, Hospice and Palliative Care, Aesthetic Medicine, Direct Primary Care, Perioperative Medicine, Critical Care, urgent care, occupational medicine, telemedicine, hospital medicine, managed care