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Kelsey-Seybold Population Health

The Kelsey-Seybold Population Health team, along with our physicians and other providers, is dedicated to partnering with patients to assure they’re following up with recommended appointments, monitoring chronic illnesses, following their doctor’s treatment plan, taking medications as prescribed, and more.

There are many barriers to managing disease, from finances and transportation to caregiver support. This is where our Population Health team comes in. Our team of nurses, dietitians, social workers, and pharmacists work together to overcome the clinical and non-clinical barriers by bridging care gaps to achieve the best outcomes for our patients.

Kelsey-Seybold identifies and refers patients needing assistance to Population Health and a member of the team pays a home visit to perform an assessment and determine how best to help patients improve their health. Patients referred to Population Health receive this high-touch service until they show an improved level of compliance, lowered health risks, and an understanding of and ability to maintain both.

Meet the Population Health Team

Physicians


Director

Denise Jonathan

Denise Jonathan, PharmD Director, Pharmacy Health Plan Services & Population Health


Nurse Practitioners

Amina Ogunlana

Amina Ogunlana,  AGPCNP-C

Tami Andrus

Tami Andrus, FNP-C

Shanea Hall

Shanea Hall, APRN, FNP-BC

Babylyn Roos

Lyn Roos, FNP-C


Pharmacist

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Morgan Droog, PharmD


Social Workers

Donetta Ibe

Donatta Ibe, LMSW

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Tecelia Spence, LMSW

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Courtney Nieten, LMSW


Dietitian

Marne Keeler

Marne Keeler, RD


Care Navigator LVNs

Alaya Smith-Lewis

Alaya Smith-Lewis, LVN

Veronica Johnson

Veronica Johnson, LVN

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Rachel Robinson, LVN

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Miesha Mitchell, LVN

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Angela Sims, LVN


Nurse Manager

Michelle Foster

Michelle Foster, RN


Certified Medical Assistant (CMA) Care Coordinators

Jessica Casteal

Jessica Casteal, CMA

Zakia Brooks

Zakia Brooks, CMA

Claudia Escalante

Claudia Escalante, CMA

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Eslyn Jones, CMA

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Maria Nasir, CMA

Schedule an appointment with our Contact Center 

Our Contact Center is here to serve you, 24 hours a day, 7 days a week.