Nursing and healthcare operations expert witness with over 25 years of experience in healthcare operations and management, with expertise in nursing management, compliance, acute care hospitals, staff training and recruitment, billing, coding and reimbursement, CNA programs, MDS education, FIMs training, appeals, and LTC facilities. She also has 15 years of consulting experience. Her legal consulting work includes providing information to attorneys based on nursing experience and healthcare expertise, including assessments of whether matters involved medical malpractice, substandard care, fraud, proper healthcare delivery, policies and procedures, standardized protocols, regulatory compliance, and staff competency. She holds a Bachelor of Science in Nursing, a Master of Business Administration, and a Diploma in Nursing. She is a Registered Nurse in Colorado and California and holds AED/CPR Healthcare Provider BLS certification and Resident Assessment Coordinator certification. Her clinical background includes ICU/CCU staff nursing, emergency department charge nursing, and LTC staff, charge, ADON, interim DON, and manager roles.

Her healthcare operations background includes executive leadership and consulting for hospitals and multi-facility healthcare systems, with work focused on quality of care, operating-unit efficiencies, professional capability development, financial sustainability, policy and practice development, and strategic vision for future growth. She has worked as an independent clinical consultant, project leader, interim Director of Nursing, Nurse Manager, and DON/Administrator in acute care, LTC, and residential eating disorder center settings. Her work has included creating new units in acute care hospitals, creating and developing a residential eating disorder center, recruiting and developing units within applicable state requirements, and providing clinical oversight and staff support to ensure compliance.

Her compliance, education, and reimbursement experience includes assessing medical records flagged by Recovery Audit Contractors in an inpatient acute rehabilitation unit for denied payment, determining risks of noncompliance for medical necessity or coding, reviewing admission and documentation processes, educating staff, physicians, and billing office personnel, and preparing appeal letters with documentation support. She has also conducted mock surveys and implemented strategic plans for CMS and DHS surveys, certification surveys, survey recovery, Medicare certification issues, care plan development and implementation, regulatory compliance, case management, DON orientation, MDS education, FIMs training, CNA programs, and staff development programs.