Kate Thomas, MS, RD, LDN

As the founder of Karuna, I lead a multidisciplinary team delivering integrative, client-centered care at the intersection of nutrition, behavioral health, and lifestyle medicine. • Built and scaled a multi-state virtual care practice focused on lifestyle-based mental and physical health, managing clinical operations, payer credentialing, intake workflows, and client experience • Recruited, hired, and managed a diverse team of Registered Dietitians, culinary instructors, and personal trainers, fostering a strong team culture and high retention • Developed systems to track client outcomes, manage engagement metrics, and maintain strong relationships across insurance providers, referral networks, and client families • Spearheaded operational strategy including billing, scheduling, CRM and EHR integration, platform automation, and SOP development to streamline service delivery • Navigated payer relationships across multiple states, including licensure, reimbursement, and CPT code strategy to ensure sustainable growth and access • Created new service lines, membership models, and digital content streams to increase client engagement and cash flow beyond insurance reimbursement

Delivered outpatient nutrition therapy for individuals with chronic illness, metabolic disorders, and eating disorders. • Specialized in providing care to underinsured and Medicaid populations. • Participated in interdisciplinary case reviews and mentored dietetic interns.

Provided nutrition care across the continuum of eating disorder treatment—including inpatient, residential, and partial hospitalization programs—for both adolescents and adults. • Conducted comprehensive nutrition assessments and monitored clinical markers including weight trends, labs, vitals, and signs of refeeding syndrome • Delivered individual and group nutrition counseling with a focus on behavior change, education, and recovery-oriented meal support • Developed and adjusted meal plans to support weight restoration, stabilization, and individualized goals • Collaborated closely with multidisciplinary teams through chart documentation, care planning, and daily rounds to support integrated treatment • Supported patients through acute and transitional phases of care with empathy, clinical precision, and evidence-based guidance

Provided medical nutrition therapy to pediatric and adolescent patients across inpatient, outpatient, psychiatric, and pulmonary rehabilitation settings at one of the nation’s leading pediatric rehabilitation hospitals. • Delivered outpatient nutrition counseling to children and families facing a range of conditions including feeding difficulties, chronic illness, weight management concerns, and neurological disorders • Managed inpatient care plans for medically complex and psychiatric patients, with a focus on interdisciplinary coordination and family-centered care • Developed and implemented evidence-based eating disorder guidelines to enhance treatment quality across units, including the McLean Adolescent Psychiatric Program • Conducted comprehensive nutrition assessments, tracked growth parameters and labs, and contributed to care team planning for children with multifactorial needs • Acted as a clinical liaison between medical, behavioral, and dietary services to ensure holistic, trauma-informed care

Experience encompassed 1200 hours of training in medical nutrition therapy for inpatient services including cardiology, general medicine, surgery, hematology/oncology, critical care, nutrition support and the neonatal intensive care unit; outpatient services for diabetes, obesity and oncology; community nutrition; and foodservice management. Elective week completed at the Cambridge Eating Disorder Center.

Shadowed nutrition counseling sessions with cancer patients and survivors. Developed cancer-specific handouts for symptoms management and nutrition education.

Completed intake records for new patients Collected fees and co-payments Managed patient billing, familiar with CPT and ICD-9 coding Completed CMS 1500 claim forms and submitted to insurance Managed office calendar and patient scheduling Conducted reminder and follow-up calls Assisted in the development and maintenance of professional website: www.janhangen.com Wrote blog posts for website using Wordpress software

Supported execution of projects for a start-up, multimedia nutrition education platform from former executive producer for Sesame Street International Managed a group of interns while working both in the office and from home Assisted in research and writing of $450,000 USDA grant that was awarded in Sept 2012 Wrote extensive funding proposal for potential major investor Established and maintained communications with partners and sponsors Creative writing for social media including Facebook, Twitter, blog and website Coordinated relationships and development related to new programs

Minors: Studio Art Spanish Study Abroad: Universidad de Sevilla, Jan. '05 - May '05