Crown Health has grown out of the experience of a decade of delivering care to seniors both in a clinic setting and mobile in home care. Patient centered primary care for seniors means “traveling medical practitioners” come to you. For those for whom a trip to the doctors office is difficult and often results in delayed care that can turn into ER visits or even hospital stays, Crown Health provides convenient care, in the context of the patient’s home so patient needs are assessed and managed within the context of daily living.

Dr. Raymond Hutson, DO, Internist
Associate Medical Director

Dr. Raymond Hutson, DO

Residency: Texas Tech Health Science Center, branch campus, Amarillo, TX. Internal Medicine

Medical School: Texas College of Osteopathic Medicine, North Texas State University

Undergraduate Studies: B.A. Psychology, Central Washington University, B.S. Biology, Central Washington University

Medical Technologist: ASCP, Central Washington University

Graduate Studies: Masters of Fine Arts in Creative Writing, Queens University of Charlotte

Hobbies / Interests: Creative Writing (fiction), photography, wood-working, bicycling, target shooting, cooking, downhill skiing, canoeing/kayaking

Bio: Dr. Hutson was in private practice with the Wenatchee Valley Clinic for 15 years, cared for a large nursing home population in Moses Lake WA, and has worked in a variety of Emergency rooms around eastern Washington.

Traci Mancuso, ARNP, FNP
CEO / Medical Director

Traci Mancuso, CEO, Medical Director, Nurse Practitioner

Trained at: Washington State University-Masters of Science in Nursing

Board Certified: Family Nurse Practitioner

Bio: Traci attended the University of Washington where she earned her Bachelor of Science degree in nursing. She earned her Master of Science degree in nursing, Family Nurse Practitioner track from Washington State University. Traci has completed several post-Masters degree credits towards a Doctorate in Nursing which she expects to complete in the near future.

Traci has worked for the past 14 years as a Family Nurse Practitioner. In recent years, Traci’s focus has been on the care of geriatric and homebound patients.  She has helped pioneer two clinics that bring mobile Primary Care Services to homebound patients in private homes, Adult Family Homes, Assisted Living Facilities and Residential Care Facilities in the greater Spokane and Seattle areas. Much of her career has been devoted to working with vulnerable populations including homeless, developmentally disabled and elderly patients. Her experience also includes working in emergency medicine as a Nurse Practitioner for over 5 years.  Traci is certified in Wound Care and Diabetic Wound Management which enhances her ability to deliver comprehensive care to the vulnerable patients for whom she attends.

Traci lived in Salamanca Spain where she became fluent in Spanish. She was also honored as the Citizens of the World Scholar at the University of Washington in 2001 where she had the opportunity to work in Trujillo Peru with indigent and poverty stricken populations. In 2004, Traci was named the Anderson Family Scholar for academic excellence at Washington State University.

Traci’s philosophy is to always serve patients with an open and understanding heart. Traci’s moto is “meet patients where they are.” She believes compassion starts with respect for everyone regardless of ethnicity, developmental status or creed. Traci’s goal is to provide top quality, value & evidence based, patient centered and compassionate care. She believes this will foster the type of value-based care every patient needs and truly desires.

In her spare time, Traci likes to spend time with her husband Scott, four children, cat and hamster. She also enjoys riding her Harley Davidson cruiser alongside her husband on road trips, traveling, exercising and trying new cuisine.

Laura Uhlmansiek, MSN, ARNP, AGPCNP-BC (Uhl-man-seek)
Clinical Manager

Laura Uhlmansiek

Trained at: Marquette University – Masters of Science in Nursing

Board Certified: Adult and Gerontology Primary Care Nurse Practitioner

Bio: Laura attended Marquette University College of Nursing in Milwaukee, Wisconsin where she earned a Masters of Science in Nursing. She is a board certified nurse practitioner in both adult and geriatric primary care. She is passionate and dedicated to providing high quality, holistic, care to the underserved and vulnerable patient populations. She strives to enhance patient outcomes and improve the quality of life of her patients through the delivery of compassionate and individualized care.

During her ARNP preceptorships through Marquette University, Laura got the opportunity to work with the organization Community Care Inc., where she provided primary care to frail elders and adults with disabilities in the home and community setting with the mission to prevent unnecessary nursing home placement and trips to the emergency room. She also has experience working one-on-one with a diabetes specialist where she effectively managed and provided diabetes care for both type 1 and type 2 diabetic with complex health issues.

In addition, she has worked the ambulatory/urgent care setting as a registered nurse for the Medical College of Wisconsin. Here, she gained vast experience in the treatment and management of both acute and chronic illness in a wide array of patient populations.

Laura also has a Bachelors degree in psychology from Willamette University in Salem, Oregon and is an active member of Sigma Theta Tau International Honors Society of Nursing.

As a northwest native, Laura is excited to be back in Washington and to be part of the unique, high caliber care team that is Crown Heath “Medical House Call Service”.

Amy Warner, MSN, ARNP, FNP-C

Amy Warner

Trained at: South University– Masters of Science in Nursing

Board Certified: Family Primary Care Nurse Practitioner

Bio: Amy attended The University of Alabama, where she obtained a Bachelor of Science in Nursing. She also attended South University, where she completed a Master of Science in Nursing specializing in family primary care. She is board certified with the American Academy of Nurse Practitioners and is a member of Sigma Theta Tau International Honor Society of Nursing.

Amy has worked in many areas of the medical field, including as a medical records clerk, receptionist, nursing assistant, bedside nurse, charge nurse, and nursing student instructor. The bulk of her nursing career has been completed in critical care, including cardiac, surgical, and medical critical care units. As a bedside nurse in critical care, she became passionate about preventing complications of common medical conditions and caring for geriatric patients. She recognized that many of the patients in critical care had conditions that could be easily treated in an outpatient setting, which may have led to better outcomes for the patient. After this realization, she decided to pursue her MSN to become a primary care nurse practitioner.

Amy is passionate about providing compassionate and quality care to her patients. She believes every patient has the right to be involved in his or her care and to feel empowered to make informed healthcare decisions with his or her healthcare provider. She strives to improve the quality of the care of her patients by ensuring individualized treatment for each patient that is holistic and evidence-based.

Amy is married to her husband of three years, Jeremy, and is expecting their first child later this year. She is new to Washington, and she is enjoying exploring the area through day excursions and hiking. She enjoys cooking new dishes, traveling, and relaxing with her Maltese and two cats.

Lindsay Nofziger, MSN, ARNP, AGPCNP-C

Lindsay Nofziger

Trained at: Seattle University – Master of Science in Nursing

Board Certified: Adult and Geriatric Nurse Practitioner

Bio: Lindsay attended Seattle University where she earned a Master of Science degree in Nursing with specialization in Adult and Gerontology Primary Care. She is board certified by the American Academy of Nurse Practitioners and is a member of the Sigma Theta Tau International Honor Society of Nursing. Additionally, Lindsay has a bachelor’s degree in Biology from Seattle University.

Lindsay’s interest in healthcare closely followed her personal diagnosis of Type 1 Diabetes. Understanding the complexities of chronic disease and how important quality patient education is what prompted her to return to school for her master’s degree. Lindsay’s Nurse Practitioner clinical experiences at Seattle University included adult and geriatric primary care where she worked with clients on all ends of the health spectrum as well as two specialty rotations in Endocrinology focusing on diabetes management and patient education. Since graduation, Lindsay has been working as a field Nurse Practitioner doing home-health assessments.

Lindsay strives to provide quality care to all of her patients and collaborate with them for better health outcomes. Most importantly, Lindsay wants her patients to feel heard and understood by their care providers.

Lindsay and her husband are both avid outdoor enthusiasts. In her free time, Lindsay spends a lot of time running, cycling, and hiking. She also loves cooking, knitting, and a good novel.

Rachel Malof, MSN, ARNP, FNP-BC

Rachel Malof

Trained at: University of Cincinnati – Master of Science in Nursing

Board Certified: Family Nurse Practitioner

Bio: Rachel attended the University of Cincinnati and completed a Masters of Science in Nursing specializing in Family Primary Care. She is board certified with the American Nurses Credentialing Center and a member of Theta Tau International Honor Society of Nursing.

Rachel began her nursing career and earned her Bachelors in Science of Nursing from the University of Kentucky. As an undergraduate she was a research assistant for one of her professors and had the opportunity to publish one of her own studies examining communication barriers between patients and providers. While in nursing school she also worked as a certified nursing assistant on an oncology unit where she was able to foster many precious relationships with patients through their toughest moments.

After graduating Rachel worked as a registered nurse in the critical care unit for two years in Kentucky. Shortly after those two she decided she wanted to explore other cultures and help people across the country so she ventured off and began travel nursing. The following four years she was able to learn many different ways and techniques of how other practitioners and hospitals would treat common medical ailments. It was also during these four years she moved to Washington for a travel assignment and fell in love with the area and people. With six years of bedside nursing experience her passion for wanting to help adult and geriatric patients grew so she pursued her MSN to become a Family Nurse Practitioner.

Rachel is excited and dedicated to building relationships with vulnerable and underserved patient populations. Her goal is to provide holistic care while making sure her patients and their family members are involved along the entire journey and healing process. She also enjoys exploring western medicine treatment as well as alternative therapies to fit the precise needs and wants of her patients.

In her spare time, Rachel enjoys traveling, being active outdoors and spending time with her friends and family.

Amanda Jenkins, MSN, ARNP, FNP-C

Amanda Jenkins

Trained at: Seattle University – Master of Science in Nursing

Board Certified: Family Nurse Practitioner

Bio: Amanda attended the University of Washington where she attained her Bachelor of Science in Biology. She later attended Seattle University, where she earned both her Bachelor of Science in Nursing and Master of Science in Nursing. She aims to contribute to the evolution of nursing practice and improve the quality of patient care based on evidence-based practice. Currently, she is completing a Doctorate in Nursing Practice at Seattle University. She is a board-certified Family Nurse Practitioner with the American Academy of Nurse Practitioners.

Amanda began her career as a registered nurse in the obstetric unit at St. Francis Hospital where she cared for diverse patient populations. She witnessed pervasive health disparities, which adversely affected the health outcomes of mothers and infants. This experience inspired her to continue her education and actively explore solutions to reducing health inequities. Throughout her clinical rotations, she managed primary care for complex patients across the lifespan with multiple chronic conditions. Her clinical experience spans a variety of health settings such as primary care, urgent care, and home health.

Amanda not only acquired critical advanced practice nursing skills during her clinical rotations, but she also learned the importance of collaborating with interdisciplinary teams. She highly values team-based healthcare and believes it is essential to delivering the highest quality of care for her patients. Amanda was drawn to Crown Health because their mission closely aligns with her passion for addressing health disparities and making excellent care accessible to vulnerable and underserved populations. The Crown Health Family exemplifies a spirit of collaboration and a commitment to community that extends beyond the walls of a clinic.

Jill Maliske, PA-C
Physician Assistant General Medicine

Jill Maliske

Trained at: Des Moines University

Board Certified: Physician Assistant

Bio: Jill attended South Dakota State University, where she obtained a Bachelor of Science in biology with minors in chemistry and Spanish. She later attended Des Moines University, where she earned a Master of Science in Physician Assistant Studies. Before attending physician assistant school, Jill worked as a direct support professional (DSP) caring for adults with disabilities.

Jill is passionate about providing empathetic, quality care to vulnerable populations, especially seniors and those with disabilities. In addition to working as a DSP, she has coached Special Olympics since 2013. She is also passionate about working with the homeless, after volunteering with a homeless community outreach club during graduate school. Jill has also worked in developing countries, and became interested in global health after working at a clinic in Cusco, Peru. She completed an international clinical rotation in Punta Gorda, Belize during physician assistant school.

Jill values interpersonal relationships and aims to provide compassionate care to all patients, assuring they feel understood by their healthcare provider. She is dedicated to helping patients maintain a good quality of life.

Jill is from South Dakota, and recently moved to Seattle. She enjoys spending time with her husband, Mike, and their two cats. In her free time, Jill enjoys being in the outdoors and exploring the pacific northwest. She also enjoys traveling, reading, and film.

Mychelle Bowers, PA-C
Physician Assistant, Primary Care Provider

Mychelle Bowers

Trained at: Pacific Lutheran University, Kings College

Board Certified: Physician Assistant

Bio: Mychelle Attended Pacific Lutheran University in Tacoma, WA, where graduated cum laude with a Bachelor of Science in Biology Degree and minor in Spanish. Her studies included a semester in Guayaquil, Ecuador, volunteering in a female-run, charity-care based medical clinic. Upon graduating she returned to her home town of Spokane and worked in phlebotomy, blood banking, and elder care. In 2006 she started her Masters in Physician Assistant Studies at Kings College in Wilkes-Barre, Pennsylvania.

Upon graduating in 2008 she returned to Tacoma to work in the clinic where she had been a patient while attending PLU. Mychelle developed her practice style in her 10 years of primary care at that clinic with rolls as primary care provider, acute care provider, and clinician leader of the wound care and diabetes management teams. Additional clinical interests include obesity medicine, lifestyle medicine, precepting students and improving organizational efficiency. She has a strong commitment to providing timely, comprehensive care to her patients with an emphasis on placing the patient’s priorities first with respect to their health care needs and goals.

Mychelle spends her time away from work hiking and camping with friends and her standard poodle, Rudy. She also enjoys curling up in front of the fire with a good book or trying out new local cuisine.

Dr. Guenever Parsley, DNP, ARNP, FNP-C
Doctor of Nursing / Family Nurse Practitioner

Dr. Guenever Parsley

Trained at: University of Portland – Doctor of Nursing Practice

Board Certified: Family Nurse Practitioner

Bio: Guenever attended the University of Utah where she earned her Bachelor of Science of Nursing and her Master of Science of Nursing, Nurse Teacher track. She received her Doctor of Nursing Practice, Family Nurse Practitioner track, from the University of Portland. Guenever’s doctoral project focused on updating healthcare providers’ practices in helping patients to manage their chronic pain.

Guenever has worked as a nurse for the past 16 years. She has shared her passion for caring for patients with nursing students for ten years and currently teaches at the University of Portland. A large portion of her healthcare career has been directed at working with the elderly, including as a nurse delegator working with geriatric and homebound patients. Much of her career has been devoted to working with vulnerable populations including intimate partner violence survivors, homeless, physically disabled, and elderly patients. Her extensive nursing experience enhances her ability to deliver comprehensive care to the vulnerable patients for whom she partners with to promote wellness.

Guenever’s philosophy is to treat the whole person: physical, emotional, and family. She believes that wellness comes from finding balance and working within the framework of the person. She believes compassion starts with respect for everyone regardless of ethnicity, developmental status or creed. Guenever’s goal is to provide top quality, value & evidence based, patient centered and compassionate care. She believes this will foster the type of value-based care every patient needs and truly desires.
Guenever likes to spend time with her teenage daughter, foreign exchange student, and dog. She enjoys amateur nature photography associated with hiking nearby trails. She loves traveling and trying new cuisine.

Christina L. Gelder, MSN, ARNP, FNP-C
Family Nurse Practitioner

Trained at: Seattle University – Masters of Science in Nursing

Board Certified: Family Nurse Practitioner

Bio: Christi is board certified as a Family Nurse Practitioner. She earned her Masters of Science in Nursing from Seattle University in Seattle, Washington, her Associates Degree in Nursing from Olympic College in Bremerton, Washington, and her Bachelor of Arts in Political Science from Kalamazoo College in Kalamazoo, Michigan.

Christi is dedicated to serving patients of all ages by meeting them at their level. She believes in building trust and a strong partnership with her patients and their families through active listening to understand their challenges, strengths, long-term goals, and learning needs. Christi is passionate about bridging language and cultural barriers with humility, curiosity, and respect. She is committed to promoting health and wellbeing and to the prevention of illness through optimizing nutrition, physical fitness, and timely medical care for acute and chronic illnesses.

Christi shares Crown Health’s vision of meeting vulnerable patients in their home setting, getting to know them and partnering with their caregivers. She believes in touching base regularly with patients to try to avoid unnecessary hospitalizations and to catch potential problems before they become life threatening.

Christi comes to Crown Health with experience as a family nurse practitioner in a busy community health clinic where she was honored to care for people of all ages from a hugely culturally diverse population. As a registered nurse she worked in a variety of settings such as gastroenterology, IV therapy, and acute care medical/ surgical nursing.

In her spare time, Christi can be found bicycling, running, sailing, or camping outdoors. She enjoys spending time with her two daughters, travelling, singing, dancing, sharing a sunbeam with her cat, and cooking for her friends and loved ones.

Rachael Breeden
Director of Operations

Rachael BreedenTrained at: Green River Community College. Associates in Business Administration

Bio: Rachael Breeden grew up in Covington WA. A native of the Pacific Northwest, she is eager to serve the vulnerable and less fortunate populations in the local area. Rachael worked 2 years in an urgent care clinic and then moved into the medical billing side for 5 years. Rachael has over 20 years of Office Management experience.

Rachael understands the difficulties of getting cognitively impaired, non-ambulatory residents to the Doctor’s office. She is very excited to be a part of Crown Health where she can assist patients, caregivers and families with similar challenges. Rachael looks forward to serving patients as a key member of the Crown Health integrated care team.

BobbieJo Covey
Marketing and Public Relations Manager

BobbieJo CoveyBio: BobbieJo Covey has spend a majority of her life living in the Enumclaw and Buckley area with her husband Tad and their two kids, Elle and Carson. BobbieJo has over 16 years of experience working in the medical field managing a chiropractic office and over 10 years experience working in the personal injury and insurance industry.

She takes pride in delivering excellent patient care and always providing outstanding customer service. She enjoys spending time with family and friends, camping and helping in youth ministry.

BobbieJo is very excited to be part of the growing team at Crown Health and to apply her experience, her passions and her enthusiasm to serve others.

Jessica Reamer, CMA
Lead Certified Medical Assistant

Jessica ReamerBio: Jessica comes to us after obtaining her Medical Assistant Certificate along with her Associates Degree. Her extensive customer service background along with her phlebotomy skills are enabling us to extend our patient care program. She enjoys the outdoors and spending time with her new husband. She is a valuable member of our team!

Nanci Cortes, RMA
Registered Medical Assistant

Nanci Cortes

Bio: Nanci worked with children in the education setting for 10 years while living in Surprise, Arizona. Following, Nanci decided to pursue her other dream of becoming a Medical Assistant.

After attending Medical Assistant school, her first job was in dermatology and cosmetic surgery. It was there that Nanci learned she has a passion to serve geriatric patients.

After moving her family back to Washington, Nanci rediscovered how much she loved the beauty of the PNW by hiking and exploring new places.

In her spare time, Nanci enjoys spending time with her three children, her three sisters, their families and reconnecting with old friends.

Jennifer Santiago, CSR
Clinical Support Representative

Jennifer Santiago

Bio: Jennifer is a Washington native who has found passion in the healthcare industry. She has worked in the administrative department at skilled nursing facilities for nearly 20 years. Her experience ranges from Payroll and Accounts Payable, to Medical Billing and has been working as a Billing Consultant for the last 5 years.

Jennifer prides herself on delivering excellent customer service to the clients we serve and demonstrates patience and compassion to our caregivers, families, and patients. She is eager to learn the varying aspects in her role as Administrative Assistant and is excited to be a part of the Crown Health team.

Jennifer loves spending time with her husband of 20 years, Ruben, her son and daughter, and their dog, Karma. She enjoys spending time with her extended family and traveling to Guatemala to visit family there. She enjoys reading, swimming, singing, and spending time at the ocean.

Rene Sherry, CSR
Clinical Support Representative

Rene Sherry, CSR

Bio: Rene grew up as a “Navy brat” and had the opportunity to live in many exciting locations while her father served in the U.S. Navy. After his retirement, the family returned to their home state of Washington and put down their roots. Rene fell in love with the Pacific Northwest and has been here ever since. She enjoys spending time with her two sons, daughter-in-law, extended family and friends. Rene is an avid reader, a cat lover and she enjoys swimming, especially at warm, tropical beaches, which she hopes to include in her retirement plan.

Rene has worked in the healthcare industry for the last 29 years, primarily in billing and administrative roles for radiology, oncology and hospice providers in the Puget Sound region. At Crown Health, her role as a Clinical Support Representative will enable Rene to interact with patients, families, caregivers and healthcare providers on a daily basis and provide excellent customer service in a kind, compassionate and professional manner. Rene is excited to join the Crown Health team and provide service to others.