OUR TEAM
Meet the Consultants
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JENNIFER NAPIER, Practice Director
BSN, RN, RAC-CT, RAC-CTA, QCP
Jennifer Napier is a Registered Nurse who has devoted her career to the long-term-care industry. She has a passion for sharing her valuable expertise to customers, clinicians and peers specific to post-acute care, reimbursement, and SNF regulations in order to help others grow and thrive in the industry.
With over 17 years of experience, Jennifer’s expertise includes CMS quality initiatives, regulatory compliance, MDS coding, billing and reimbursement accuracy, Restorative Nursing, QAPI, 5-star rating improvement, facility leadership and operational development, clinical program development, managing audits and appeals, and previously served in the role of Regional Director of Clinical Reimbursement. Jennifer currently holds multiple certifications from AAPACN including RAC-CT, RAC-CTA, and QCP (QAPI Certified Professional).
As the Practice Director with Engage Consulting, Jennifer works closely with each partner to uncover new opportunities and obstacles and bring strategy, insights, and resources to help partners achieve a new level of excellence.
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Teresa Remy, Director of Regulatory and Clinical Consulting
MHA, LNHA, BSN, RN, CDP, SMQT, QCP, IPCO
Teresa Remy brings over 35 years of healthcare experience to her role as Director of Regulatory and Clinical Consulting at Engage Consulting. Her broad expertise spans the full continuum of care—including acute care, sub-acute, skilled nursing, assisted living, home health, hospice and palliative care, and private duty services.
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A Licensed Nursing Home Administrator and Registered Nurse, Teresa is also a former Healthcare Facilities Surveyor, bringing a unique and in-depth understanding of regulatory compliance, quality assurance, and operational excellence. Her track record includes leading organizations to achieve perfect surveys, 5-Star Ratings, National Quality Awards, and U.S. News & World Report Best Nursing Home designations. She is particularly known for her success with survey turnaround and multi-center system improvements.
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Teresa serves on the Ohio Board of Nursing, reflecting her commitment to advancing quality care and strong leadership in healthcare.
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ELIZABETH KIMMEY, Director of Clinical Consulting
RN, RAC-CT
Elizabeth Kimmey brings over 20 years of long-term healthcare experience and offers a range of skill sets in RAI processes and clinical reimbursement. Her experience includes performing and overseeing reimbursement for Medicaid and Medicare A skilled services in the long-term care setting. She has her RAC-CT through AAPACN and was an active participant in a Nursing Facility Focus Group with the RAND Corporation in Washington, D.C., where she collaborated on a panel with healthcare workers from around the U.S. for the Development and Maintenance of Post-Acute Care Cross Setting Standardized Patient Assessment Data. Her passion to work in health care started at an early age and continues to evolve with the ever-changing medical field. As a Clinical Reimbursement Consultant, she works in collaboration with your team at a personal level and serve as an extension to your operation.
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MELISSA EDWARDS, Clinical Reimbursement Consultant
RN
Melissa Edwards has been a Registered Nurse for the past 30 years, with the last 28 of those dedicated to long term care. She has a wide range of experience in the post-acute care setting including Director of Nursing Services, Assistant Director of Nursing Services, and for the past 13 years focusing on her passion, clinical excellence with MDS, Quality Measures, CMS Quality Initiatives, and clinical reimbursement for Medicare A and Medicaid residents.
As a Clinical Reimbursement Consultant, Melissa works with your team to share knowledge in a collaborative way with a focus on the end result of improved clinical and financial outcomes for your organization.
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KIMBERLY BUTCHER, Clinical Reimbursement Consultant
RN, DNS-CT
Kimberly Butcher is a Registered Nurse dedicated to the long-term care industry. For the past 25 years, she has developed a deep understanding of clinical processes and the challenges providers face in an ever-evolving industry. She started her career as an STNA and has served in several roles including Charge Nurse, MDS Coordinator, Director of Nursing Services, and Regional Clinical Director. Kimberly has her DNS-CT through AAPACN, completed Infection Preventionist Training through CDC, and was an active participant in Project Echo with Ohio Health Care Association as a Nursing Facility Panelist.
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As a Clinical Consultant, Kimberly is committed to helping organizations navigate the complexities of healthcare in the long-term care industry while maintaining the highest standards of resident care.
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MELISSA KELLER, Clinical Reimbursement Consultant
RN, RAC-CT
Melissa is the Clinical Reimbursement Consultant for Engage Consulting, with over 20 years of nursing experience, including 12 years in long-term care. She began her career in acute care, building a strong clinical foundation, and later specialized in managing Medicaid and Medicare Part A reimbursement systems. Her expertise in navigating complex healthcare regulations ensures compliance and maximizes operational efficiency for the clients she serves.
A certified Resident Assessment Coordinator (RAC-CT) through the American Association of Post-Acute Care Nursing (AAPACN), Melissa excels in Minimum Data Set (MDS) assessments and documentation accuracy. Her dedication to excellence and deep understanding of reimbursement systems plays a critical role in helping clients achieve financial success while delivering high-quality care to their residents.
KRISTEN WALDEN, Clinical Reimbursement Consultant
MSN, RN, RAC-CT

Kristen Walden has been a registered nurse for 27 years. She began her career in acute care with the focus for the last 25 years in long-term care. She has excelled in various roles in long-term care including Charge Nurse, MDS Coordinator, Director of Nursing Services, multi-facility Regional Reimbursement Specialist and Clinical Nurse Consultant and national Clinical Reimbursement Consultant. As a Clinical Reimbursement Consultant with RAC-CT through AAPACN, Kristen works with your team to share knowledge and tips to enhance quality and financial outcomes for your organization.​
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JOSH COX, Project Manager, MDS Nurse
LPN, RAC-CT
Joshua Cox is a seasoned Licensed Nurse with more than a decade of dedicated service in the long-term care and post-acute care continuum. Beginning his career as a nursing assistant, Josh’s drive for excellence propelled him through progressive leadership roles including Assistant Director of Nursing Services and Infection Control Nurse. Over the past six years, he has honed his expertise in his true professional passion: the Minimum Data Set (MDS), clinical reimbursement, federal regulatory compliance, and CMS Quality Initiatives.
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Recognized for his extensive knowledge of the MDS 3.0 RAI process, Quality Measures, PDPM methodology, and Medicare/Medicaid reimbursement systems, Josh brings a depth of insight that supports both clinical integrity and financial accuracy. His expertise includes assessment accuracy, care planning best practices, and optimization of reimbursement within federal and state regulations, ensuring facilities achieve high-quality outcomes while maintaining compliance and operational efficiency.
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In his role as Project Manager, Josh partners with facilities to enhance electronic health record (EHR) systems and streamline clinical workflows. He is also an educator in the world of MDS, providing in-depth training that equips new MDS nurses and their teams with the knowledge and confidence to code accurately, document effectively, and meet evolving CMS requirements. Known for his collaborative and practical teaching style, Josh continues to work directly with facilities on MDS assessment completion and care plan development, ensuring real-world application of best practices.
Meet the Team

Martha Shaker
President
MA, CCC(SLP)
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Kendra Nicastro
Director of Marketing &
Brand Strategy
MBA
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Dave Johnson
Regional Employment Manager

Kim Saylor
Vice President of Business Development; MBA, OTR/L
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Parker Bayer
Director of Data Analytics

Erin Szenderski
Regional Employment Manager
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Mark Whitman
Chief Financial Officer
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Ellen Stouffer
Director of Human Resources

Chris Woodard
Information Technology Manager​
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Julie Moore
Compliance Officer
OTR/L, CMC, CMCO
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Sherry Stump
Accounting & Payroll Manager

Logan Hadding
Marketing Specialist
