SNFist program services
"The General Medicine clinicians will be supported by the staff of the nursing facilities and our own care coordinators. The ultimate goal of the Integrated Care Program is to improve care coordination via a person-centered, team-oriented delivery system which addresses individual needs.”
William Gerardi, M.D.
Chief Medical Officer
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Leadership Team

General Medicine’s leadership team members have more than 30 years of experience in post-hospitalist medical care. Many are former administrators, DONs and owner-operators of post-acute and nursing care facilities. They understand the skillful balancing act that’s required to provide outstanding patient care while operating a successful business.


Thomas Prose and His Key Team Members


Dr Thomas M Prose

Thomas M. Prose, MD, MPH, MBA – President and Senior Medical Director

Thomas Prose, MD, MPH, MBA founded General Medicine in 1983. He has more than 30 years of experience in internal medicine, geriatrics and health care administration.

Prior to developing General Medicine was medical director of Cigna Insurance Company. He also served as a medical consultant and member of the board of directors to a number of organizations, federal and state agencies, insurance carriers and health care systems.

He has authored numerous health care articles and has presented before the United States Senate, HCFA, CMS, the National Cancer Institute and the Association of Community Cancer Centers. He is a featured speaker of the National Geriatric Society and several other national, state and local health  care societies and organizations. His topics include managed care, sub-acute medicine, joint commission accreditation, medical staff credentialing and organization, and the prospective payment system.

Dr. Prose earned his doctorate in medicine, master’s in public health and master’s in business administration from the University of Michigan.


Joseph R. Gordon, FACHE -Sr. VP of Post-Acute Network & Chief Strategy Officer

Mr. Gordon has more than 30 years of senior level healthcare operations and business development experience spanning the entire healthcare continuum.

Mr. Gordon brings considerable experience in both acute care and post-acute care to General Medicine. He has held senior level operations and strategy roles for some of the country’s largest healthcare operators and integrated delivery networks. He served as President of Select Medical’s Hospital Group with responsibility for 110 specialty hospitals in 28 states and $1.9B in revenue and over 12,500 employees. In addition, he has served in Strategy roles for CHS, the country’s second largest publicly traded hospital chain as well as for a subsidiary of Highmark Health, the country’s 3rd largest integrated healthcare delivery and financing network.

He has previously served as CEO for acute care hospitals, as well as senior administrative roles managing long term care facilities. In addition to his operations and strategy roles he has extensive experience working with physicians across the country including over 110 Medical Directors and over 700 physician program directors in 28 states.

Mr. Gordon earned his Bachelor of Science from Michigan State University and a Master’s in Hospital & Healthcare Administration from Xavier University. He is also a Fellow in the American College of Healthcare Executives.


General Medicine Director of Marketing and Recruiting Scott Sansovich
Scott Sansovich – Director of Recruitment

His primary responsibilities are coordinating our national recruitment efforts for professional staff members and negotiating their employment agreements. He also identifies and negotiates physician practice acquisitions, develops new client relations and develops our marketing program.

Scott has more than 20 years of experience working with physicians, hospitals and insurance carriers. Since graduating from Southeastern Louisiana University he has served as project manager, marketing representative and marketing manager as well owned his own company in the service industry.

Prior to joining General Medicine, Scott represented a national surgical instrument company where he demonstrated the techniques for using specific instruments in the hospital room setting.

He also co-authored a very successful how-to manual on creating and operating a service business.

Scott continues to participate in various national, state and local health care conferences.


General Medicine Director of New Business Development Thomas R. Hoetger
Thomas R. Hoetger – Director of Business Development

Tom has been with General Medicine since 2003.  His primary responsibilities are to identify and develop new markets, create affiliations and key relationships with facilities, providers and agencies within those markets, and to create business opportunities for our practice.

After earning his degree at Hillsdale College, he practiced public accounting with Ernst & Ernst, one of the original “Big Eight” CPA firms.  His specialization was in audit and consulting services for health care clients. He then served in various health care organizations as a controller, CFO, director of reimbursement, regional operations manager, vice president of operations, president and CEO, board member, and owner.  Said organizations include nursing home chains, institutional pharmacies, home infusion therapy, DME and home health companies, outpatient rehabilitation agencies, health care venture partnerships and health care consulting companies.

In the early to mid-1990s, Tom helped develop a new delivery method in health care called “home infusion therapies.”  Under his leadership as the vice president of operations and later as division president, this entity grew through mergers, acquisitions and IPOs to become Coram Healthcare.

In 1996, he and several physician partners developed one of the largest multi-specialty physician group practices in Indiana.  They also became the largest provider of ancillary services to nursing homes in the Midwest.  In early 2000, HCR ManorCare acquired the practice, and Tom joined the senior management team to lead the company’s physician practice management group.  He served as the president and CEO until 2003.

Throughout his career, Tom has been identified as one of the country’s leading authorities on compliance and reimbursement issues for post-acute and long-term care. He continues to serve on several national and state committees and has been a frequent speaker at various national, state and local conferences.


Sandra Wrona-Setser – Director of Administrative Services and Compliance Officer

Her primary responsibilities are the overall administrative and financial management of our practice which includes many consolidated business units. The departments are comprised of accounting, billing, communications, credentialing, human resources, information technology, operational standards, policies and procedures, records retention, regulatory compliance, sales support and staff training.

She also maintains our corporate compliance program and our CQI/TQM process for improving policies, systems and processes.

Sandy has more than 20 years of experience working with physicians, hospitals, insurance companies, ACOs, MCOs and state managed health plans since earning her BBA in accounting from Eastern Michigan University.

Prior to joining General Medicine, Sandy served as an administrative assistant and financial manager on the board of education for a large public schools district.

Sandy continues to participate in various national, state and local health care conferences.


Nicole Mascia – Associate Director of Recruitment and Human Resources

Her primary responsibilities are to develop, implement and manage strategically aligned Human Resource activities; which include employment, talent management, employee relations compensation, orientation and process improvement initiatives which will foster growth and new operational opportunities.

Nicole has overs 20 years working in the healthcare industry; specifically, with physicians, mid-level providers and clinical staff to ensure the operations run smoothly in the practice. She has a successful track record in human resources management, performance analysis, and business/organizational development. She is dedicated to workflow efficiency in the workplace. She has a Bachelor in Science in Human Resources – Training and Development and is pursuing her Masters in Health Services Administration. Prior to coming to General Medicine, she previously oversaw operations for a large multi-specialty group in Michigan.

Nicole continues to participate in professional development activities to remain abreast of current trends, practices, and technologies in the healthcare and human resource fields.


Rebecca Coccia
Rebecca J. Coccia, MS, APRN, BC – Director of Clinical Operations (Eastern Division)

Rebecca has been with General Medicine since 1993.  Her primary responsibility is serving as a clinical coordinator and as a nurse practitioner. She has more than 20 years of extensive experience in geriatrics as a clinician and an educator.  She has practiced in various settings including outpatient, acute, sub-acute and long-term care.  She has served as a preceptor for students of several universities, authored numerous practice-related articles and has been a lecturer for several advanced practice nurse conferences. In addition, she has been an expert witness for the State of Michigan Board of Commerce and is an active member in various professional organizations including the Michigan League of Nursing, the National Conference of Gerontological Nurse Practitioners and the American Medical Directors Association.

Rebecca earned her bachelor’s degree in science from the University of Detroit Mercy and a master of science in gerontological nursing from the University of Michigan. She also received a graduate certificate in nursing education, and she is board certified as a gerontological nurse practitioner from the American Nurses Credentialing Center.


General Medicine Clinical Coordinator for Kansas and Missouri Carol Dickerson, MSN, APRN, BC
Carol Dickerson, MSN, APRN, BC – Director of Clinical Operations (Western Division)

Carol has been with General Medicine since 2007.  Her primary responsibility is serving as a clinical coordinator and a nurse practitioner.  She has more than 20 years of experience in geriatric, emergency, internal and family practice medicine.  She served as a clinician in various settings including outpatient, acute, sub- acute and long-term care. In addition, she has been a lecturer for several state and local nursing and health care conferences.

Carol received her Bachelor of Science degree from Marymount College and a master of science in family nursing from Wichita State University.  She is board certified as a family nurse practitioner from the American Nurses Credentialing Center, and she also has held certifications in ACLS, TNCC and emergency nursing.