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Ralph H. Johnson VA Medical Center


Leadership Team

Portrait of Scott R. Isaacks, MBA, FACHE

Scott R. Isaacks, MBA, FACHE | (843) 789-7200

Director, CEO

Mr. Scott R. Isaacks, MBA, FACHE, FAAMA, is the Director at the Ralph H. Johnson VA Medical Center, appointed in November 2014. He served as the Associate Director at the Charleston VAMC from August 2010 until assuming his role as Director. The Ralph H. Johnson VA Medical Center and its six community-based outpatient clinic (CBOCs) serve approximately 70,000 Veterans along the South Carolina and Georgia coast, providing comprehensive primary, mental health and specialty care. Charleston VAMC provides more than 1 million outpatient visits and 4,440 inpatient stays each year, and serves as a regional referral center for a number of medical specialties. Charleston VAMC is also a major teaching hospital and research facility with more than 100 principal investigators performing more than 200 studies, funded in excess of $21M annually. Mr. Isaacks has led in improvements that have resulted in Charleston VAMC being recognized as a top performer for quality of care and efficiency both within VA and nationally amongst public and private sector hospitals and health care systems.
Mr. Isaacks began his VA career at the Miami VAMC in 1992 as an Administrative Resident. He has held a variety of administrative and clinical management positions in services, including serving as Executive Assistant to the Director, Staff Assistant to the Chief of Staff, and Acting Associate Director. He has also served as Acting Director in Birmingham, Dublin and Charleston. Before coming to Charleston, Mr. Isaacks served as the Assistant Director at the Birmingham VA Medical Center. Throughout Mr. Isaacks’ career, he has had responsibility for oversight of clinical and administrative operations at the Miami, Amarillo, Birmingham, and Charleston VA Medical Centers.
Mr. Isaacks earned a Bachelor of Arts Degree in English and Economics from the University of Miami and a Master of Business Administration Degree with a concentration in healthcare management from the University of Tennessee.

Portrait of Florence N. Hutchison, MD

Florence N. Hutchison, MD | (843) 789-7202

Chief of Staff

Dr. Hutchison is Chief of Staff at the Ralph H. Johnson VA Medical Center and Associate Dean and Professor of Medicine at the Medical University of South Carolina. She is a graduate of Millsaps College and the University of Mississippi School of Medicine. She completed her residency in internal medicine at St. Mary’s Hospital and Medical Center in San Francisco, CA, and a fellowship in nephrology at the VA Medical Center in Martinez, CA. Dr. Hutchison is board certified in internal medicine and nephrology.

After completing her fellowship, she served as a staff nephrologist at the VA Medical Center in Martinez, CA, and was also Assistant Professor of Medicine at UC, Davis. Dr. Hutchison became Chief, Dialysis Unit at the VA Medical Center, Charleston, South Carolina, in 1989, as well as Associate Professor of Medicine at the Medical University of South Carolina (MUSC). She was named Chief, of Medical Specialty Service in 1997, and was appointed Chief of Staff in 2000. She is also a Professor of Medicine and Associate Dean for VA Affairs at MUSC.

Dr. Hutchison has served as the Director of the VISN 7 Research Service Line, the Chair of the VISN 7 Compliance Committee, a member of the VHA National Finance Committee, and as an advisor to the National VA Office of Research Compliance and Assurance. She has served as Program Chair for the National Women in Nephrology organization, as a member of the Program Committee for the National Kidney Foundation, the Public Advisory Committee for the American Physiological Association, the nominating committee of the Southern Society for Clinical Investigation, and currently serves as a member of the Board of Directors of the OQUIN Foundation. She was Co-Chair of the VHA Systems Improvement Subcommittee of the Systems Redesign Steering Committee and on the VHA Chiefs of Staff Advisory Board and numerous other national committees. Dr. Hutchison recently served as the Acting Chief Medical Officer for VISN 7 for more than

Portrait of Garett Schreier, MSN, RN

Garett Schreier, MSN, RN | (843) 789-7411

Associate Director for Patient/Nursing Services

Garett Schreier, MSN, RN, was appointed as the Associate Director, Patient Care Services/Executive Nurse at the Ralph H. Johnson VA Medical Center in Charleston, SC on May 1, 2016. He served in the same capacity at the W.G. (Bill) Hefner VA Medical Center in Salisbury, NC since August 2013.

Mr. Schreier served as the Director of Quality Management at the Lebanon VA Medical Center, Lebanon, Pennsylvania, and was the Deputy Nurse Executive at the Lebanon VA prior to his role in QM. Mr. Schreier served a detail to VA Central Office to support the implementation of the Caregiver Support Legislation. Mr. Schreier has been an Associate Chief of Nursing Service for Geriatrics and Extended Care, Acute Care, and Mental Health at various times during his VA Career. During this time Mr. Schreier served as the Clinical Nurse Advisor for the Geriatric Nursing Field Advisory Committee for the Office of Nursing Services. Mr. Schreier is a Veteran of the United States Navy and served as a Fleet Marine Force Navy Corpsman. Mr. Schreier went on to receive a commission as a Nurse Corps Officer.

Mr. Schreier holds a Master’s of Science in Nursing from the University of Phoenix and Bachelor of Nursing from York College of Pennsylvania.

Portrait of Felissa Koernig

Felissa Koernig | (843) 789-7500

Assistant Director

Felissa B. Koernig is the Assistant Director at the Ralph H. Johnson VA Medical Center. She joined the Charleston VAMC in 2014 from the Wilkes-Barre VA Medical Center where she served as the Executive Assistant to the Director. In this role, she served as the liaison between the Director and all departments, programs and services for a Medical Center that served over 40,000 Veterans per year. As part of her responsibilities guiding the Space and Construction and Interior Design Programs, she developed a 10-year space and construction plan which resulted in more than $27 million in construction expenditures in fiscal year 2013. She chaired, sponsored and participated in numerous committees, systems redesign projects and workgroups.

Ms. Koernig served as Interim Associate Director of the Wilkes-Barre VA Medical Center in the fall of 2013 during which time she supervised Human Resources, Police Service, Voluntary Service, Public Affairs, Facilities Management Service, Logistics Service, Nutrition and Food Service, and Environmental Management Service. Ms. Koernig also served as Assistant Chief, Human Resources for a 120 day appointment. Prior to Wilkes-Barre, Ms. Koernig served as the Executive Assistant to the Associate Director and Facility Planner at the Philadelphia VA Medical Center, where she served as the VISN 4 Eastern Market Strategic Planning Lead.
Ms. Koernig began her career in VA as a Presidential Management Fellow at the Lebanon VA Medical Center in 2007. Throughout her fellowship she served as the Facility Planner and the Business Manager for the Behavioral Health Care Line. She now serves as a mentor for PMF program.

Ms. Koernig is a licensed attorney in the state of Pennsylvania and a member of the American Bar Association. She obtained her JD-MBA from Pennsylvania State University and has a Bachelor of Science in Business Administration from Elmira College.

Portrait of Renae Jacobson

Renae Jacobson | (843) 789-6190

Acting Assistant Director

Portrait of Jeffrey Sage

Jeffrey Sage | (843) 789-7500

Acting Associate Director