IASN is a network exclusively dedicated to serving and representing the needs of Iowa non-profit, post-acute, long-term care providers.

Members have access to resources, contract review and negotiating services, utilization reports and scoring that shows how their facilities rank both statewide and nationally.

Plus, members have a dedicated managed care team for contract negotiation, credentialing services, and a robust quality program.


To maximize the health and well-being of seniors in its member communities through innovative, cost-effective care management practices and quality improvement activities through contracting relationships with health plans and health delivery systems.

Meet The Team

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Carolyn Roten

Partner, Strategic Health Care

Carolyn’s more than 20 years of experience in health care include serving as the Director of Business Development for a large health care network where she presented and negotiated contracts with managed care organizations and working in the health insurance division of a national insurance carrier. As a Partner with Strategic Health Care, Carolyn provides managed care contracting services to a broad spectrum of health care providers. She holds a degree with honors from Franklin University in Business Administration.


Arlene Jaroscak

Vice President of Network Management and Quality

Arlene Jaroscak is the President of Innovative Long-term Care Advisors, a Licensed Nursing Home Administrator, Registered Nurse, Clinical Consultant, Conference Presenter, Speaker, and Author. Arlene received her Bachelor’s Degree in Long-term Care Administration from St. Joseph’s College of Maine and is a member of the Leadership Lorain County Class of 2009. As the Vice President of Network Management and Quality at Strategic Health Care, Arlene works with health care networks, managing their Quality and Contracting efforts, as well as the pay for performance initiatives of providers, including facilities, physicians and suppliers.  Arlene’s visionary executive leadership in healthcare and her passion for quality and serving seniors, has traversed the long-term care continuum.


Grant Swemba

Director of Post-Acute Contracting & Alternative Payment Initiatives

As Director of Post-Acute Contracting and Alternative Payment Initiatives at Strategic Health Care, Grant brings over 20 years of comprehensive post-acute care knowledge across multiple service domains including skilled nursing, assisted living, home health, hospice, outpatient rehabilitation, and adult day care. His financial and operational contract development expertise is focused on building sustainability and ensuring that mandates are met. He offers essential knowledge vital to the development of effective alternative payment initiatives, including value based reimbursement and pay for performance models focused on quality outcomes and reduced spending

Board Members

Meth-Wick Community

Robin Mixdorf, Chair

1224 13th Street, NW

Cedar Rapids, IA 52353



On Board – 03/01/2017


Stonehill Franciscan Services

Gretchen Brown

3485 Windsor Avenue

Dubuque, IA 52001



On Board – 03/01/2017


Friendship Haven

Julie Thorson, Membership Chair

420 Kenyon Road

Fort Dodge, IA 50601



On Board – 03/01/2017

Grand Jivante

Kory DeBerg, Finance Chair

502 Butler

Ackley, IA 50014



On Board – 03/01/2017


Mill Pond Retirement Community

Mark Hudson

1201 S.E. Mill-Pond Court

Ankeny, IA 50021



On Board – 03/01/2017


NewAldaya Lifescapes

Millisa Tierney, Quality Chair

7511 University Avenue

Cedar Falls, IA 50590



On Board – 09/01/2019


Western Home Services

Kris Hansen, Contracting Chair

420 E. 11th Street

Cedar Falls, IA 50613



On Board - 03/01/2017