Case Management Expert Witnesses

Case management expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on case management. The case management expert witness listings on this page are typically from fields/areas of expertise such as: Cardiovascular Disease, Emergency Medicine, Family Medicine, Hospital Administration, Legal Medicine, Legal Nurse Consulting, Life Care Planning, Long Term Care, Medical Billing, Medical Management, Mental Health, Nurse, Nursing Home Administration, Nursing Homes, and Social Work.

Kathleen Fraser, MSN, MHA, RN
  • Case Management, WC/Occ Health
  • Bd. Cert. Highly Experienced.
  • Past Executive Director, CMSA
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Doreen R Casuto, RN, MRA, CRRN, CCM

Life Care Planning Expert with 40 years experience

Rehabilitation Care Coordination

Arizona
Life Care Planning, Medical Billing - Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego. In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...
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Doreen R Casuto, RN, MRA, CRRN, CCM

Life Care Planning Expert with 40 years experience

Rehabilitation Care Coordination

San Diego, California
Life Care Planning, Medical Billing - Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego. In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...
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Brook Feerick, RN, CCM, CLCP, ICCCP(F)

Feerick Medical Planning

San Diego, California
Life Care Planning - Specializing in Brain Injury, Spinal Cord Injury, Multiple Trauma, Pain Management, Burn Injury, Catastrophic Injury, Amputation Injury, Case Management
35 years experience as a nurse with a background in trauma, spinal cord injury and brain injury. 25 years case management experience with specialty in catastrophic injury, still actively practicing. 20 years Life Care Planning experience. Spanish speaking
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Rhonda S. Renteria, BSN, RN, CLNC, CLCP, CMCPS

TBI, SCI, Amp, Catastrophic, Med Mal, Autism, CP

Quality Life Care Plans, Inc.

Brea, California
Life Care Planning, Legal Nurse Consulting - Medical Malpractice, Personal Injury, Wrongful Death, Wrongful Life, Worker's Compensation, TBI, SCI, Birth Injury, Catastrophic Injury/Illness, Neonatal, Pediatrics, Cerebral Palsy, Autism, Developmental Delay, Transplant, Geriatrics, Case Management, Wound Care, Amputation, Orthopedics
Rhonda has over 40 years experience as a registered nurse and currently is a Certified Legal Nurse Consultant, a Certified Life Care Planner and a Certified Medical Cost Projection Specialist with a myriad of extensive experience as a nurse, as well, 13 years as an expert witness. Rhonda provides consultative, expert witness and testimony services, nationally and internationally, for life care planning, future care needs, medical cost projections and rebuttals for both Plaintiff and Defense cases. Rhonda's registered nursing experience includes Neonatal Intensive Care, Pediatric Intensive Care, Pediatric and Adult Home Health Nursing, Wound Care and Consulting, Air Flight Nursing, Post-Anesthesia Recovery Room, Case Management, Certified Faculty for the Accredited Continued Education, Global Affairs Dept. and Hospice Care. Rhonda has extensive experience with litigation cases involving TBI, SCI, Catastrophic Injury/Illness, Medical Malpractice, Amputation, Personal Injury, Pedia...
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Tyla DiMaria, RN, MSN, CCM, CNLCP

Nurse Life Care Planner

Best Life Care Solutions

Carlsbad, California
Life Care Planning, Nurse - Home Care Agency Owner/Expert, Nursing Administration, Long Term Care, Standard of Care Expert, Medical Surgical, Trauma, Brain Injury, Spinal Cord Injury, Pain Management, Burn Injury, Catastrophic Injury, Amputation Injury, Case Management, Plaintiff, Defense, Insurance, Medical Bill Review
Registered Nurse with over 26 years of experience. Home Care Agency Owner since 2008. Broad range of nursing experience including medical surgical, trauma/ICU, telemetry, orthopedics, rehab, workers comp, mother/baby, and more. Serving both plaintiffs and defense with life care planning services, life care plan rebuttals, medical record review, standard of care reports, medical bill review, and more. Looking forward to working with you!
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Nicole E McCarthy, MSW, LCSW, PMH-C

Experienced Therapist & Mental Health Expert.

Woodland Hills, California
Social Work, Mental Health - Mental Health, Intensive Outpatient Programs, Forensic Social Work, Adult Depression/Anxiety, Case Management, Standard of Care, Discharge Planning, Postpartum Depression, PTSD, Perinatal Mental Health, Domestic Violence, Work Place Sexual Harassment, Suicide Prevention, Institutional Abuse
Licensed Clinical Social Worker (LCSW) expert in mental health, psychiatric issues and women's health. I have a masters degree in social work from the University of Southern California and licensed in the state of California with the Board of Behavioral Sciences. I have experience and expertise with residential treatment centers, psychiatric hospitals, domestic violence shelters and outpatient mental health clinics. I was a leader for the Intensive Outpatient Program in an outpatient clinic. Supervised other therapist’s and coordinated treatment teams for patient care. I have collaborated with psychiatrists, primary care physicians, OBGYN's, medical social workers, RN's and nursing teams. I addition, I am a member of Postpartum Support International and helped create the positive motherhood transition program specializing and treating moms who struggle with postpartum depression/ anxiety. I have expertise with pregnancy loss, infertility and perinatal issues. I am also a member ...
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Joseph Domingo

RN Expert Witness – Acute, Long-term & Operations

Santa Clarita, California
Nurse, Nursing Home Administration - Acute Care, Long-Term Care, Critical Care, Quality Analytics, Case Management, California Title 22 Compliance, Regulatory Compliance, Patient Safety, QAPI, Discharge Planning, Informatics, Documentation Review, Clinical Operations, Policy and Procedure, Chart Audit, Standards of Care, Adverse Event, Medication Error, Falls, Elder Abuse
Clinical Experiences: - Acute Critical Care / Intensive Care Nursing - Clinical Education - Case Management - Clinical Informatics and Technology Leadership Experience: - Director of Clinical Operations for a Multi-Site Long-Term Care Organization - Congregate-Living Facility Administrator - Director of Nursing - Charge Nurse Registered Nurse and Director of Clinical Operations for a non‑profit, multi‑site long‑term care organization, overseeing clinical quality, regulatory compliance, patient safety, and interdisciplinary operations across multiple facilities. Broad experience in acute care, critical care (ICU/DOU), long‑term care, and Skilled Nursing Facility (SNF) operations. Former Director of Nursing with deep expertise in CMS and California Title 22 regulations, QAPI, patient safety, adverse event review, and clinical workflow optimization. Background includes hospital case management, discharge planning, medication management, pressure injury evaluation, falls analysis, an...
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Richard Giguere, RN

Med Legal Pro, LLC

Niantic, Connecticut
Nursing Homes, Long Term Care - skilled nursing facility, nursing administration, assisted living, behavioral health facility, case management, bed sores, pressure ulcers, wounds, falls, restraints, medication errors, dementia care, hospice, documentation, geriatrics, neglect, nurse, risk management, policies and procedures
Experienced Director of Nursing covering at multi-facility Skilled Nursing Group which specializes in high-risk patients including formally incarcerated residents. Daily contact with residents. Former Vice President of the Infection Control Nurses of CT.
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Melissa Sims, BSN, RN, CLNC, CNLCP, LCP-C, MCP-C, BCAP

Legal Nurse Consultant & Nurse Life Care Planner

Melissa Sims Legal Nurse Consultants LLC

Naples, Florida
Legal Nurse Consulting, Life Care Planning - Medical Bill Review, Legal Nurse, Medical Malpractice, Personal Injury, Wrongful Death, Nursing standards, Worker's Compensation, Motor Vehicle Accident, IME/DEM, Medical-surgical, TBI, Pressure Ulcer, Future Medical Cost Projections, Medical Records Review, Catastrophic Injury/Illness, Case Management, Plaintiff and Defense Work
Versatile and highly experienced professional with over 20 years of combined expertise in healthcare and legal settings. A Certified Legal Nurse Consultant (CLNC) and Certified Nurse Life Care Planner (CNLCP), I specialize in bridging the gap between medicine and law by delivering expert support to legal teams across a wide range of litigation matters. My background includes more than two decades as a paralegal—supporting both plaintiff and defense firms—and ten years as a Registered Nurse (RN) with hands-on clinical experience in hospital, clinical research, and insurance environments. I provide expert witness services and consulting for personal injury, catastrophic injury, medical malpractice, nursing home abuse, wrongful death, product liability, workers’ compensation, toxic tort, and environmental exposure cases. My services include detailed medical record analysis, case merit review, timeline development, deposition and trial preparation, medical cost projections, and life c...
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Deborah Watkins, MHL, MSN, RN, CCM, CRRN, CLCP, MSCC, LNCC, DipACLM

RN Expert in Bodily Injury & Insurance Practices

Medical-Legal Solutions

Sarasota, Florida
Life Care Planning, Medical Management - Rehabilitation, Orthopedic, Catastrophic /Complex/Chronic Disease, Developmental Disability, Adult, Pediatric, Workers Comp, Liability, Data Analysis, Medical File Review, Bill Review, Medical Cost Projections, Medicare Secondary Payer, Case Management, Disputes, Denials, Appeals, Legal Nurse Consulting
Nurse Leader Bridging Bedside Clinical Practice and Insurance knowledge. Deborah holds a Master’s in healthcare leadership (MHL), a Master of Science in Nursing (MSN) and an active Registered Nurse (RN) license. She is a Certified Case Manager (CCM), Certified Registered Rehabilitation Nurse (CRRN), Certified Life Care Planner (CLCP), Medicare Set-Aside Certified Consultant (MSCC), Legal Nurse Consultant Certified (LNCC) and a Diplomat of the American College of Lifestyle Medicine. Deborah has bedside experience in Neonatal ICU, Pediatric ICU, Adult ICU, Medical-Surgical and Rehabilitation Nursing, including home health care. Insurance experience in commercial health, Medicare, Medicaid, workers compensation, auto-liability and disability (STD/LTD) medical management, including catastrophic spinal cord injury, brain injury, concussion, amputations, multiple trauma and rehabilitation as well as many chronic disease states. Retained by both Defense and Plaintiff attorneys, she b...
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Laura K Frailey, MRC, CRC, CVE, IPEC

Vocational Specialist -Over 25 years

Core Vocational Services LLC

Sylvania, Ohio
Vocational Rehabilitation - Vocational evaluations, Case Management, Transferable Skills Analysis, Labor Market Survey, Vocational Opinions, Expert Witness, Divorce, Employability Opinions
Ms. Frailey's professional career spans multiple settings and populations. She currently operates through Core Vocational Services LLC in Toledo, Ohio, where she provides a full range of vocational rehabilitation services to injured workers. Concurrently, she serves as a Vocational Expert for the SSA Chicago Region and previously provided employment and career counseling services to consumers of Opportunities for Ohioans with Disabilities (OOD) through You Belong Ohio. Ms. Frailey held a supervisory role at CorVel Ohio MCO/CorVel Corporation, where she oversaw approximately 25 vocational case managers, reviewed BWC lost-time claims for vocational rehabilitation eligibility, and ensured compliance with vocational plans, authorizations, and progress reporting requirements. Prior positions at Markey and Company and Procura Management, Inc. further developed her skills in serving both injured workers and disabled veterans in Ohio and Michigan. Ms. Frailey began her vocational rehabili...
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Kelly K Campbell, RN BSN CP CCM CNLCP CLCP

CARDINAL LIFECARE CONSULTING

Gibsonia, Pennsylvania
Life Care Planning, Legal Nurse Consulting - Plaintiff, Defense, Insurance, Medical Bill Review, Medical Cost Projections, Medical Case Consultation, Case Management, Pittsburgh based with NATIONWIDE experience and service
Kelly K Campbell is a licensed Registered Nurse certified in Life Care Planning. She has 25 plus years experience with serious and catastrophic illness and injury. Her repeat client list includes: Plaintiff, Defense, Insurance and Workmen Comp Firms. Kelly has successfully prepared Life Care Plans - Mini/Preliminary Life Care Plans - Life Care Plan Rebuttals - Medical Bill Reviews. She has provided Expert Testimony and IME reports. Kelly's experience includes: Amputation, Birth Injuries, Burn, Cerebral Palsy, Chronic Pain, CRPS, Electrocution, Orthopedic Injuries- Poly Trauma, Spinal Cord Injury, Transplant, and Traumatic Brain Injury (mild and severe). Case Management service is also provided by CARDINAL LIFECARE CONSULTING.
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Yvette M. Twum-Danso, PhD

Cardiac Nursing Expert Witness

T-D Legal Nurse Consultant

Columbia, South Carolina
Cardiovascular Disease, Legal Nurse Consulting - Falls, Telemetry, General Cardiology, Cardiac procedures, Catheterization Lab, EKGs, Case Management, Coronary Artery Bypass, Cardiac rehabilitation, Anticoagulation medication
Yvette Twum-Danso, PhD, RN, CCRN With 29 years of nursing experience, Dr. Yvette Twum-Danso is a CCRN-certified cardiology nurse expert in cardiac procedures, heart catheterization, and telemetry nursing. She holds a PhD in Nursing. A veteran captain in the US Army, Dr. Twum-Danso brings leadership and precision to her work. She has been retained as a nurse expert over 30 cases, with deposition testimony seven (7) times, and has testified in 1 trial.
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David M Schwartz, DO

Physician Executive Privileges /Payment Denials

Memphis , Tennessee
Hospital Administration, Legal Medicine - Negligent Credentialing, Denial of Privileges, Denial of Credentials, Suspension of Privileges, Revocation of Privileges, MedicaL Staff Bylaws, Peer Review Process, Insurance Denials /Appeals, Physician Education on Documentation, Physician Care Protocols, Case Management, Utilization, Regulatory Issues
30yr history of a Physician Executive, Board Certified in Internal Medicine. Served as the Chief Medical Officer on every level from facility to regional to corporate. I am an expert in all aspects of Physician Credentialing/Privileging. I have represented both the physician and the facility side of denials of initial privileges to suspension and revocation of privilege. Extensive experience in representing medical staffs & facilities with regards to complaints from the Regulatory Authorities regarding Negligent Credentialing. I have also worked with Plaintiff Counsel regarding Negligent Credentialing Issues. Have been key advisor to Medical Staffs on revisions of their bylaws with expertise surrounding privileges, credentialing, peer review, suspension and revocation of providers . I have successfully overturned 1, 2 and 3rd level Insurance Denials. Have extensive experience of presenting to the Administrative Judge to overturn these 3rd level denials, Served as an Appeals Revi...
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Rod Sholty, MD, CLCP

Emergency Medicine, Rural Health and Tactical/EMS

Pinnacle Life Care Planning

Austin , Texas
Family Medicine, Emergency Medicine - Emergency Nursing, Paramedic, Emergency Medical Services, Tactical Medicine, Case Management, SDVOSB
Board-certified Family Medicine physician and Certified Physician Life Care Planner with 20+ years in emergency, rural, and tactical medicine. Special focus: Catastrophic injuries, chronic illnesses, disabilities, trauma stabilization, and veteran/military cases. Skills: Evidence-based life care planning, cost projections, medico-legal consulting, interdisciplinary coordination (healthcare, legal, financial), and expert witness testimony. Military veteran with SDVOSB-certified practice. MD-Level Expertise • Board-certified in Family Medicine (ABFM) with rural medicine residency training • Emergency Department provider in trauma centers, cardiac specialty hospitals, and acute care facilities • Hospitalist care including ICU/CCU, post-cardiac surgical management, discharge planning, and coordination • Certified Physician Life Care Planner specializing in catastrophic injuries, chronic illnesses, complex disabilities, trauma sequelae, and long-term cost projections • Medico-legal cons...
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Dawn Espinoza, RN, MSN, CCM, CDMS, CNLCP, LNCC

Life Care Planner, Medical Billing

Dawn Espinoza Consulting, PLLC

Arlington, Texas
Life Care Planning, Medical Billing - Case Management, Medical Cost Projection, Vocational Expert, Employability Expert, Nursing, Personal Injury, Property Liability, Workers Compensation, Brain Injury, Back Injury, Burns, Assault Injury, Trip Fall Injuries, Motor Vehicle Accident Injury, Chronic Pain, Spinal Cord Injury, Amputation, Whiplash, Concussion
A licensed Registered Nurse with over 30 years of experience. I have provided care for and developed treatment plans for a multitude of patients, including those patients experiencing orthopedic conditions that require inpatient and outpatient rehabilitation, patients with burn injuries, patients with spinal cord injuries, patients who have experienced with amputations, patients with visual impairments, and patients with acquired brain injuries. I trained as and began working as a medical and vocational case manager in 2006, becoming certified in 2007. As a case manager, I perform assessment, planning, implementation, coordination of care, monitoring, evaluation, and outcomes management in a variety of practice settings. My work as a case manager included medical billing audit, utilization review, as well as appeals and denials of hospital services which included medical and procedural coding, medical necessity, and cost review. In 2011, I became a certified disability management ...
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Doreen R Casuto, RN, MRA, CRRN, CCM

Life Care Planning Expert with 40 years experience

Rehabilitation Care Coordination

Utah
Life Care Planning, Medical Billing - Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego. In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...