Grace Luangisa
@graceluangisa
I lead integrated care, case management, and healthcare operations to improve patient outcomes.
What I'm looking for
I've led integrated care at Blue Cross Blue Shield of Arizona, coordinating care plans, applying medical-necessity criteria, supporting accreditation requirements, and mentoring care-management teams. I also provide telehealth psychotherapy through Spring Health, completing assessments, treatment plans, diagnosis support, and evidence-based care for children, adolescents, adults, couples, and families.
Previously, I built the case management department at Everest Rehabilitation Hospitals, leading 12 employees and overseeing discharge planning, utilization review, interdisciplinary care, denials, appeals, and process improvement. My background includes care management at Baylor Scott & White Quality Alliance, clinic and hospital administration, transplant social work, and healthcare quality, supported by an MBA in Healthcare Management, MSW, CCM, CPHQ, and LCSW-S credentials.
Experience
Work history, roles, and key accomplishments
Therapist Contractor
Spring Health
Jan 2023 - Present (3 years 7 months)
Provides telehealth psychotherapy, conducts assessments, develops treatment plans, and collaborates with support teams.
Coordinates care across settings, applies medical necessity criteria, and ensures compliance with accreditation standards while mentoring team members.
Therapist
Spring Health
Jan 2003 - Present (23 years 7 months)
Provides psychotherapy to diverse clients using evidence-based modalities, collaborates with care teams, and delivers culturally competent care.
Director of Case Management
Everest Rehabilitation Hospitals
Feb 2019 - Jun 2020 (1 year 4 months)
Established case management department, managed team of 12, developed policies, and ensured compliance with CMS and UR standards.
Managed patient panels, coordinated care, and participated in readmission and LOS committees while training staff.
Co-managed bariatric surgery group, supervised staff, and utilized Lean principles for process improvement.
Transplant Surgery Social Worker
Jan 2013 - Dec 2016 (3 years 11 months)
Conducted psychosocial evaluations, led process improvement projects, and developed support groups for transplant patients.
Manager Social Work Service
Columbus Neighborhood Health center
Jan 2010 - Dec 2012 (2 years 11 months)
Managed social work services across multiple departments including internal medicine, OBGYN, pediatrics, and mental health.
Lead Therapist
Rosemont Center, Inc.
Jan 2009 - Dec 2010 (1 year 11 months)
Provided therapeutic services and leadership in a clinical setting.
Social Worker
The Mental Health Center of Dane County
Jan 2007 - Dec 2008 (1 year 11 months)
Provided social work services for children, youth, and families.
Team Lead/supervisor
West Cooperation Warren
Jan 2005 - Dec 2007 (2 years 11 months)
Supervised customer services team, ensuring quality and performance.
Research/Project Assistant
Wisconsin Center for Education Research
Jan 2003 - Dec 2004 (1 year 11 months)
Assisted with research projects, specifically the Families and Schools Together (FAST) program.
Social Worker
Dane county Department of Human Services
Jan 2003 - Dec 2004 (1 year 11 months)
Provided social work services for children, youth, and families.
Education
Degrees, certifications, and relevant coursework
Texas State University
Master of Business Administration, Healthcare Management
Master of Business Administration in Healthcare Management from Texas State University in 2017.
University of Wisconsin-Madison
Master of Science, Social Work
Master of Science in Social Work from the University of Wisconsin-Madison in May 2008.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Website
everestrehab.comJob categories
Skills
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