Meet the Transgender Care Team

Transgender Care Providers


Jean Amoura, MD

Jean Amoura, MD, MSc

Jean Amoura received her medical degree from the University of Nebraska Medical Center and is board certified in Obstetrics and Gynecology. As a specialist in transgender care and hormone therapy, Jean serves both adolescents and adults. She is a member of the World Professional Association for Transgender Health (WPATH).


Sean Figy, MD

Sean Figy, MD

Sean Figy is a reconstructive microsurgeon offering gender affirmation services including chest surgery and, in the near future, genital procedures. View Dr. Figy's profile video.


Leslie Karas, APRN

Leslie focuses exclusively on clinical care including hormone therapy for transgender adults.

Behavioral Health


Megan Smith-Sallans, MS, LIMHP, LIPC

Megan Smith-Sallans, MS, LIMHP, LIPC

Megan is the director of behavioral health at the Transgender Care Clinic. Megan provides gender health planning for youth, fertility counseling, letters of support for surgical services, and runs a support group for parents and caregivers raising gender expansive youth. Megan is a certified World Professional Association for Transgender Health (WPATH) provider.


Megan Smith-Sallans, MS, LIMHP, LIPC

Thomas Magnuson, MD

Thomas Magnuson is a psychiatrist trained at UNMC who is board certified in both adult and geriatric psychiatry. He has worked across campus providing care for neurology, psychiatry and internal medicine patients. In addition, he has a developed a telepsychiatry network across the state involving over 80 community sites. Dr. Magnuson is excited to now be part of the transgender clinic due to both the need for mental health care in this patient population as well as the opportunity to work with Dr. Amoura and her outstanding team.


Madeline West, MD

Madeline West, MD

Madeline West specializes in child and adolescent psychiatry. She is interested in cultural psychiatry and outreach to various communities, including the transgender community. She received her degree from the University of Nebraska Medical Center.

Nurse Case Manager

Lindsey Creekmore, RN

Lindsey Creekmore, RN

Lindsey joined Nebraska Medicine in July 2017 as a Nurse Case Manager. She has been a nurse for 15 years in multiple specialty fields. She is looking forward to getting involved in community functions and activities.

Medical Receptionist

Genie Shumaker

Genie Shumaker

Genie is the Specialty Care Center Medical Receptionist. She is the first person you see when you visit the clinic. Her role is to get you registered and checked in for your appointment. Genie is an advocate for pediatric brain cancer research in addition to mental illness awareness.


Medical Assistants

Rachelle Carr, MA

Rachelle joined the Nebraska Medicine in May 2004 as a medical assistant. She previously worked in internal medicine, until joining the Specialty Care Center in November 2007. Rachelle is very devoted and passionate in assisting in the medical care of the LGBTQ+ Community. She also attends and volunteers at many community events.


Adele Haas, MA

Adele is a certified medical assistant and has worked for Nebraska Medicine since January 27, 1982.  She joined the HIV team in May of 2010. She works as a medical assistant and fills in as a clinic clerk and phlebotomist when needed. She enjoys working at the HIV and Transgender clinics.


Social Work

Jeremy Johnson, MSW

Jeremy joined the team at the Specialty Care Center in October 2005 as a social worker and a Ryan White program coordinator for Nebraska. He received his Master’s degree in Social Work from the University of Denver, Colorado. Prior to working with the Specialty Care Center, he was the Southwest Iowa case manager for Nebraska AIDS Project. Jeremy has spent 14 years volunteering as an adult facilitator for the LGBTQ+ youth support group Proud Horizons and continues to do so.  He is committed to working with diverse populations and is himself a LGBTQ+ community member.  He greatly enjoys being a part of the Transgender Clinic team.

Accreditations and Awards

Nebraska Medicine is proud to be awarded the 2016 Healthcare Equality Index LGBTQ Leader in Healthcare Equality designation and Top Performer status in both 2017 and 2019 by being nationally recognized by the Human Rights Campaign, America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual and transgender (LGBT) Americans.