top of page
Catastrophic Injury Management

Catastrophic Injury Management

Home Care Services

Home Care Services

Medical Case Managers

Medical Case Managers

Transitional Planning

Transitional Planning

Pediatric Care

Pediatric Care

We provide a comprehensive team approach to client recovery.

About The Karring Group


The Karring Group is different because of our team approach to managing your case. The team members include the client, family (caregivers), physicians, therapist, attorneys, and adjusters. With this core group, we are able to customize a treatment plan that will allow us to enhance the recovery of our clients.


The Karring Group Case Managers are dedicated to assisting our clients and their families in managing their catastrophic injuries. Having a personal, experienced, and knowledgeable case manager by your side when making difficult decisions about you or your loved one's healthcare provides a sense of security that will put you at ease. Our Case Managers are committed to respecting and caring for our clients in the best possible way. 


A Case Manager is your personal spokesperson and advocate. They quarterback your care by coordinating with each member of your medical team whether it be: physicians, therapists, attorneys, or adjusters. 


Karri Dotstry RN, BSN, CCM, CLNC is the Founder and CEO of The Karring Group. Karri was born and raised in Washington State. She moved to Michigan in 1989 and has lived in the Detroit Metro Area since. Karri attended college at the University of Detroit Mercy where she earned her Bachelor’s Degree in Nursing. 


Karri has worked as a Floor Nurse on a Medical Floor and in the Intensive Care Unit. She later went to work as an Infectious Disease Nurse and a Nurse Educator. Later in her career, she transitioned to a hospital sales representative, where she learned how to run a small business and was very successful in this role, winning 2 National All-star trips. She then, by chance, learned about Auto Case Management and went to work per-diem for a case management company. She quickly learned she loved this line of nursing. After a few years with her knowledge of nursing, business and case management she decided to start her own company, which is now called “The Karring Group”. 

Karri has a wonderful daughter who helped her start her company and they have been working together since its inception in 2013, to provide exceptional service to their clients. Karri also enjoys playing volleyball competitively, working out and considers herself an "outdoorswoman".  


Karri’s mottos in life are, "Know that everything happens for a reason" and "Your path will take to where you are supposed to be." 

Meet the CEO

Meet the Team

Breann Speights

Breann Speights, BSW Case Manager is the COO of The Karring Group. Breann was born in Washington State on the Air Force base, where her father, a Detroit Native was stationed. Shortly after her birth the three of them packed up moving to Michigan, where Breann has been living all her life aside from her college years that were spent in North Carolina. Breann attended North Carolina A&T State University on a volleyball scholarship. After three years Breann returned home and finished her bachelor’s degree at Oakland University double majoring in Social Work and Journalism.


Shortly, after graduation Breann received a call from her mother, (Karri) saying, “let’s start our own company” and from that moment on they hit the ground running and never looked back. Breann wed her long-term boyfriend Eddie in Aug of 2019 and together they parent his 8-year-old daughter, Cydnee. They live in Royal Oak with their two huskies. Breann loves shopping, shoes, and handbags bring her tons of joy, vacationing and spending time with her family. Breann says, “Coming out of college I would have never guessed that case management would be the career path for me, but I know I couldn’t picture doing anything else. Developing relationships with my clients and offering them the comfort and stability they so desperately need during such a vulnerable time, helping them recover and watching them progressing and returning to their normal selves really offers a feeling that cannot be explained. I truly love what I do and what our company is about.”

BSW, COO, Case Manager

Kimberly Kryzaniwskyj

Kimberly Kryzaniwskyj is Executive Director of The Karring Group. She was born, raised and currently resides in Macomb County, MI. Kimberly was introduced to health care at a young age when a family member was diagnosed with cancer. Providing them care revealed an amazing passion to her and knew that helping others would play a tremendous role in her life. After graduating from high school, she joined the Red Cross and trained to become a certified nursing assistant. She worked in-home care for several years before taking some time off to raise her three children, Kayla, Jay and Rosalie. Kimberly is also a patient care technician, certified in phlebotomy, dialysis, EKG and mental health, using her experience and knowledge on a medical-surgical floor before joining the team at The Karring Group. 


Kimberly’s greatest passion in life is her children, if she could use one word to describe herself it would be “Mom”. She loves traveling and having outdoor adventures with her family such as camping, hiking and fishing.  Other leisure activities she enjoys writing poetry and playing guitar. Kimberly is dedicated to giving our clients and their family the best care possible, helping to clear the path for our clients on their road to recovery.

Executive Director

Sherri Shepherd.png
Sheri Sample

Sheri Sample is the Director of Finance of The Karring Group. She met Karri in 2014 while Karri was Nurse Case Managing a friend. She joined our little family in May of 2015 after Karri reached out about starting her own company and needed a coordinator. Sheri has over 25 years of experience in the fields of Accounting, Tax Preparation and Finance. She is now responsible for all invoicing and collections as well as making sure we are compliant with our insurances. She enjoys working for such a giving company, helping individuals in their recovery journey. The Karring Group truly CARES about our clients, and she feels fortunate to be a part of helping all our clients.


Sheri and her husband Tim have been married since 1993 and have three beautiful children, Elijah, Justin, with his wife Kenzie and Sophia. They also have two Grandsons, Greyson, and Tatum with a granddaughter on the way September 2023. On her off time, they like to spend it with friends usually watching their daughter barrel race her horse, Bonds McDreamy at different arenas around Michigan and Ohio. When not at a barrel race, they are usually relaxing at home around a bon fire, at the beach, kayaking or playing with the grandbabies.

Finance Director

Ebony Daniels

Ebony Daniels is the Assistant Finance Director with the Karring Group. Healthcare has always been her passion, helping and assuring others that the quality of life isn't diminished because assistance is required. She's held a variety of roles within the healthcare industry, including medical assistant and Dialysis Technician, in which she is certified. Ebony has been with the Karring Group since October of 2017 and if you ask her, she LOVES her job and how dedicated we are about the care that we provide. 


Ebony has a wonderful husband whom she married in August 2015, two beautiful children who she loves spending time with and a dog named Blue. She enjoys gardening and good laughs with family and friends. 

Assistant Finance Director

Tracie Giacona.png
Tracie Giacona

Tracie Giacona is the Director of Intakes of The Karring Group. She is the clients’ initial contact, and helps jump start a plan of care for their road to recovery. Tracie has been in the medical field for over ten years and has a lot of experience in health care. Working in Hospice for so many years has given Tracie the compassion and understanding for clients who have been faced with these life changing events. With her knowledge and experience she is able to connect with the client and assist them with any concerns and questions about their care.


Tracie was raised in South Florida and moved to Michigan with her family where she finished school and started her career in the medical field. Tracie has a loving husband and they have two beautiful healthy boys that keep her extremely busy. Between soccer games, field trips, and family outings she loves to scrapbook and take pictures. Tracie is looking forward to the future and creating memories with loved ones.

Intakes Director

Denise Jacques.png
Denise Jacques

Denise Jacques, RN is a Nurse Case Manager with The Karring Group. She received her registered nursing degree from Delta College and a B.A. in business from Northwood University. She was a Critical Care Nurse/Manager for nine years at Saginaw General Hospital. She then spent much of her career working for Abbott Laboratories, Hospital Division, as an account manager selling hospital equipment and injectable drugs. The division then became known as Hospira, Inc., and in 2016 it was obtained by Pfizer. In total, she worked for 32 years in hospital sales. Since mid-2016, she has been working as a case manager for The Karring Group. She enjoys this opportunity to interact with clients and support their needs while using her medical background.


Denise is an avid skier and member of the National Ski Patrol, spending time on the slopes at Schuss Mountain. She also enjoys boating and summer activities at Torch and 8 Points Lakes. She and her husband are blessed to have a son and daughter, their spouses and six grandchildren. They reside in Saginaw, MI.

RN, Nurse Case Manager

Kathryn Froberger.png
Kathryn Froberger

Kathryn Froberger, RN, BSN, Certified Case Manager is a Nurse Case Manager with The Karring Group.  She graduated from Western Michigan University with a Bachelor of Science degree in Exercise Science.  While working throughout the years in different roles, Kathryn realized she wanted to further her education and returned to school to pursue her nursing degree.  Kathryn graduated Cum Laude from Oakland University with a Bachelor of Science in Nursing.


Kathryn has worked on St. John Hospital's main campus in the orthopedic/neurosurgical unit, having a vast understanding of the orthopedic world.  Kathryn previously worked as a case manager for a home care company, providing in-home care to patients to improve their health.  Kathryn is excited to be part of The Karring Group and is looking forward to providing assistance for those back on the road to recovery.

RN, Nurse Case Manager

DeSharra McKinley.png
DeSharra McKinley

DeSharra McKinley BSN, RN is a Nurse Case Manager with The Karring Group. She graduated with a Bachelor’s degree in Nursing from Eastern Michigan University in 2009. During the three years she worked as an Adult Intensive Care Registered Nurse she realized her passion to provide care to children. DeSharra accepted a Registered Nurse position at the University of Michigan in the Pediatric Intensive Care Unit in 2012. There she served on many organized groups to help give Nursing a voice, and to assist with studies to better Nursing practice for patients. She is a member of American Critical Care Nursing.


DeSharra spends her leisure time with her daughter, shopping, traveling, and being involved in church organizations.

RN, BSN, Nurse Case Manager

Shannon Grimm.png
Shannon Zalewski

Shannon Zalewski, LPN, is a Nurse Case Manager with The Karring Group. Shannon, with over 20 years’ experience attends initial evaluations with new clients who are in need of case management services, also having the responsibility of developing reports attending patient appointments.  


Shannon moved to Michigan from Ohio in July 2017 and is kept busy with her two daughters’ sports and school activities, while planning for her wedding in October 2019. Shannon enjoys outdoor activities such as gardening, fishing and taking long walks and traveling, especially for concerts.

LPN, Nurse Case Manager

Tina Padula

Tina Padula, COTA, BS, is a Case Manager with The Karring Group. She was born and raised in the Detroit metropolitan area. Tina received her certified occupational therapist assistant degree from Schoolcraft College and a BS in healthcare management from Bellevue University. She has worked as a COTA in various settings such as skilled nursing facilities, hospitals, schools, and traumatic brain injury clinics. After years in the healthcare industry, her love of the work has only grown.  


She is passionate about being an advocate for our clients and providing the best quality of care for improving the recovery process. Tina enjoys spending time with her family, jogging, boating, and being a lifelong learner.

COTA, BS, Case Manager

Brooke Klawitter.png
Brooke Klawitter

Brooke Klawitter is the Physical Therapist Assistant with The Karring Group. She has been a PTA for over 18 years with over 7 years of experience working directly with Traumatic Brain Injury and Spinal Cord injuries related to auto accidents. As a Case Manager, her passion is to help assist our clients through their recovery to return to their prior level of functioning as quickly as possible. Her role with The Karring Group is working closely with the primary Case Managers and Case Coordinators to coordinate therapy appointments, ordering durable medical equipment, attending therapy and orthotic/prosthetic appointments and preparing our clients home to be accessible for a speedy return home. The Karring Group has a motivated, dedicated, compassionate team that she enjoys being able to be a part of. 


On Brooke’s free time, she enjoys spending time with her family, exploring new places, and trying new adventures. Brooke keeps herself busy in the winter snowboarding with her family and friends, and in the warmer months going to Michigans many lakes! 

Physical Therapist Assistant

Dorothy Steen

Dorothy Steen has an enthusiasm for personal growth and education. With interests in the medical field, psychology and the legal world. She decided to tackle the medical field first graduating from, Dorsey Business School in 1999, Dorothy began her career at a Medical Assistant Specialist. Next, Dorothy decided to furthered her education at Baker College by obtaining an associate degree in Criminal Justice. Currently Dorothy, who continues working in the medical field, has decided to finally embark on her journey through the world of Psychology. Dorothy is currently enrolled at the Kaplan University studying psychology, with a focus in adolescent behavior analysis.


Dorothy is also very passionate about her spirituality and family. Married in 2019, to her soulmate, James, they have 4 beautiful daughters and a son, along with 3 perfect grandchildren. In the little spare time she has, Dorothy has also started her own small business, “DS Creations”. With her creative side yearning to escape, Dorothy began making a variety of custom pieces. These pieces include jewelry, for women, men and children, painted drinking glasses, corsages and boutonnieres. She also enjoys spending time with friends and family.

Report Editing & Invoice Specialist

Teresa Sanders

Theresa Sanders is a Detroit, MI native who attended the DPS Systems graduating in 1999 and attended Davenport University obtaining her BS in Business in 2020. She worked in healthcare at Henry Ford Health from 2015- 2022, she joined The Karring Group in 2022 bring her knowledge and skill from the Gynecology Oncology Department as an executive assistant to The Karring Group, where she is developing quickly as lead internal coordinator. 


Ms. Sanders is a mother of 4, loves Detroit, comes from a large family and loves to create beauty products. Ms. Sanders goal at The Karring Group is to gain more knowledge and growth with the business and team.

Lead Internal Coordinator

Odessa Hayes

Odessa Hayes was born on Eastside of Detroit, where she currently resigns.  She attended Detroit Public Schools and graduated from Finney High School she attended Wayne Community College for 2yrs. From there her journey of began. In her early 20’s she became a mom and decided to do more and went into the medical field.  Once she reached her 30’s she became mom to her second daughter and a wife to her soul mate whom proceeded her in death.  


Odessa, has worked in medical field for over 25yrs. Her passion she has for helping other just come naturally with a smile.  The patients, caregivers, guardians, just loves her she stands by these words How, can I help and when I say she mean that she does.  She gives her all with no complaints to help in anything you have a problem with and don’t give up till she has put that smile on your face.  She hard working and loyal to her commitments.  Odessa, loves spending her spare time with family and her 2 grand kids, going by the water listening to her music and traveling.

Administrative Assistant

Ian Conway

Ian Conway is an Administrative Assistant with The Karring Group. He was born and raised in Lakeview Michigan, and currently lives in Ferndale Michigan. He received his Bachelor’s of Science in Psychology from Central Michigan University in 2015. Most of his experience post-undergrad has been working with children with autism as an Applied Behavioral Analysis therapist, then as a case manager for children with developmental disabilities.

During his free time Ian is either playing with his two children or taking care of his dogs. He and his family love to go on camping trips to see the national parks, and his children are collecting their Junior Ranger badges for each National Park and National Monument they visit. When he’s not spending time with his family, he likes to play guitar and make hip-hop beats, as well as exercise and play video games.

Administrative Assistant

Pam Russell

Pam Russell holds an Associate's Degree in Nursing with a Minor in Psychology from Wayne County Community College. She brings diverse experience in Med-Surg, Oncology, Long Term Care, CENA Training Instruction, and Home Care, with a particular passion for Emergency Room care. Pam also served as a Director of Nursing in Assisted Living and played pivotal roles in home care and clinical coordination under the Auto No-Fault Law.


In 2012, Pam co-founded Angela Home Care, where she served as the Chief Operating Officer and Managing Partner until its closure in 2021 due to changes in the Auto No-Fault Law. She is an active member of Soroptimist International of Greater Macomb (SIGM), focusing on empowering women and combating human trafficking. Pam is a Michigan Notary Public, an ordained Minister, and cherishes her daughter, her two fur babies, Lexi, and Logan, and a close-knit circle of friends. Her interests span cooking, baking, hockey, travel, concerts, theatre, and bonfires. Pam is not just a skilled nurse but also a passionate advocate for women's empowerment, making her a valuable asset to The Karring Group.

LPN, ASN, Nurse Case Manager

Joi Fuller

Joi Fuller is a dedicated and compassionate Licensed Practical Nurse (LPN) with an impressive seven-year track record in the healthcare field. Her extensive experience spans across a diverse range of healthcare settings, including hospitals, long-term care facilities, rehabilitation centers, and clinics. This varied experience has allowed her to refine her expertise in patient assessments, medication administration, treatment planning, and leadership within the healthcare sector.


Beyond her professional accomplishments, Joi is a devoted mother to five children and a proud grandmother to four grandsons.


In her free time, Joi finds joy in various activities, including traveling to new destinations, indulging in shopping adventures, attending exciting concerts, and tending to her garden. This multifaceted approach to life showcases her vibrant and diverse interests, making her a well-rounded individual both in and out of the healthcare setting.

LPN, Nurse Case Manager

bottom of page