Lester is the founder and President of Next Step Medical
Consulting, Inc. She brings over twenty years of clinical, management,
and consulting experience in Orthopedic, Medical/Surgical, Pediatric,
Psychiatric, Rehabilitation, and Geriatric healthcare services.
She is a Certified Legal Medical Consultant.
is a registered Nurse licensed in New York, Missouri, Illinois and
has functioned as administrator in hospital, home health
and long term care settings. She has an extensive career in managed
care employed by insurance companies as well as national health
is the co-founder of the National Case Management Association
and expert clinician for development of certification examination.
Her experience includes working closely with attorneys and physicians
on cases involving issues related to worker 's compensation, personal
injury, medical malpractice, elder law and mental health issues.
Tommie has worked for the Federal Government reviewing physician's
records for standards of medical practice compliance, and with attorneys
investigating fraud and abuse of billing practices including adherence
to government mandated corporate compliance. Her positions include
vice president of quality assurance and clinical operations
for two national health care providers as well as regional director
for case management for Cigna Insurance.