Who We Are And Why We Care
Michigan Based Health Consultants
The Karring Group is more than just a team – we are your dedicated partners in compassionate and expert medical & catastrophic case management. Our unwavering commitment is rooted in providing personalized care and steadfast support to our clients and their families.
We understand the unique challenges they encounter and approach each situation with empathy & expertise. Our genuine desire to make a meaningful impact in people’s lives drives us to guide them through challenging times.
At The Karring Group, we believe in delivering the highest quality of care to every individual, ensuring they receive the attention and support they truly deserve.
Welcome to The Karring Group; Medical Care Made For You
Welcome to The Karring Group, where we specialize in providing personalized medical care tailored to your needs. Our team is dedicated to ensuring that you receive the highest quality of care, delivered with compassion and expertise. From comprehensive case management to coordinating with healthcare providers, we are here to support you every step of the way.
At The Karring Group, we understand that medical care is not one-size-fits-all. That’s why we take a personalized approach to ensure that your care is tailored to your individual needs. Our team of dedicated professionals is committed to providing you with the highest level of care, making sure that your health and well-being are our top priorities.
Meet Our CEO
Karri Dotstry
RN, BSN, CCM, CNLC, CCN
Karri Dotstry’s journey is a dynamic blend of nursing expertise, entrepreneurial success, and a deep commitment to exceptional care. Starting as a Floor Nurse on a Medical Floor and in the Intensive Care Unit, Karri’s career evolved to include roles as an Infectious Disease Nurse and a Nurse Educator. A pivotal shift led her to become a hospital sales representative, where she not only learned the intricacies of running a small business but also excelled, earning two National All-star awards.
Driven by her profound knowledge of nursing, business, and case management, Karri took the leap to start her own company, giving rise to “The Karring Group,” a proud woman-owned business established in 2013. Since its inception, Karri and her wonderful daughter have been working side by side, delivering exceptional service to their clients. The mother-daughter duo has successfully woven their nursing expertise and business acumen into a woman-owned company that prioritizes exceptional care.
On a personal level, Karri is a passionate volleyball competitor and a fitness enthusiast. Her life is guided by the mottos: “Know that everything happens for a reason” & “Your path will take you where you are supposed to be.” These principles underscore Karri Dotstry’s resilience, adaptability, and unwavering belief in the journey life unfolds.
Meet Our Team
Breann Dotstry
BSW, COO, Case Manager
Breann Dotstry, BSW Case Manager and COO of The Karring Group, is a dynamic professional with a journey that weaves together her diverse experiences and unwavering dedication. Born on an Air Force base in Washington State, she soon found her home in Michigan, where she has spent most of her life, except for her college years in North Carolina.
Learn More About Breann
Breann’s academic journey led her to North Carolina A&T State University on a volleyball scholarship. After three impactful years, she returned home to Michigan and completed her bachelor’s degree at Oakland University, where she double-majored in Social Work and Journalism.
Soon after graduation, a pivotal call from her mother, Karri, changed the course of her career. Together, they embarked on an entrepreneurial adventure, founding The Karring Group. From that moment, they hit the ground running and never looked back.
Breann is a proud mother to two daughters: 14-year-old Cydnee and 1-year-old Kinslee. They call Royal Oak home, and their household is enriched by the presence of beloved huskies, Mollee and Loso, as well as the newest addition to their furry family, Chandler. Breann’s joy extends beyond her professional life—she enjoys playing with her girls, and watching Cydnee excel in volleyball and coaching.
When she’s not shaping the future of case management, Breann finds joy in good TV series, audiobooks, and cherished family vacations. Her career path may have taken an unexpected turn into case management, but it’s a role she wholeheartedly embraces. Building deep relationships with her clients, offering them comfort and stability during vulnerable times, and witnessing their remarkable progress back to their normal selves bring her a sense of fulfillment that words can’t fully capture. She genuinely loves what she does and the mission of their company, embodying a commitment to making a meaningful difference in the lives of those they serve.
Kimberly Kryzaniwskyj
Executive Director
Kimberly Kryzaniwskyj, the Executive Director of The Karring Group, has a heartfelt connection to healthcare that defines her professional journey. Born, raised, and currently residing in Macomb County, MI, Kimberly’s path to healthcare began early when a family member faced a cancer diagnosis. Providing care during this challenging time ignited a profound passion within her, one that she knew would shape her life’s mission.
Learn More About Kimberly
After high school, Kimberly joined the Red Cross and trained to become a certified nursing assistant. She dedicated several years to in-home care, offering crucial support to those in need. Later, she paused her career to raise her 4 children.
Kimberly’s professional journey continued as she became a Patient Care Technician, earning certifications in Phlebotomy, Dialysis, EKG, and Mental Health. Her expertise shone on a Medical-Surgical floor before she joined The Karring Group team.
Beyond her professional life, Kimberly finds immense joy in being a mother and wife to her four children and husband, Mark. Family moments are cherished through travel, camping, hiking, and fishing.
Kimberly’s dedication to providing the best possible care to clients and their families is unwavering. She plays a pivotal role in helping clients navigate their path to recovery, embodying a commitment to excellence that defines The Karring Group’s mission.
Sheri Sample
Finance Director
Sheri Sample, the Director of Finance at The Karring Group, has a history that intertwines with the company’s foundation. Her journey began in 2014 when she met Karri while Karri was her friend’s Nursing Case Manager. In May 2015, Karri reached out to Sheri about starting her own company and needing a coordinator. With over 25 years of experience in the fields of Accounting, Tax Preparation, and Finance, Sheri was the perfect fit for the role.
Learn More About Sheri
In her current capacity, Sheri handles all invoicing and collections, ensuring the company remains compliant with its insurances. She takes pride in working for a compassionate company like The Karring Group, which prioritizes assisting individuals on their journey to recovery. The company’s dedication to its clients deeply resonates with Sheri, and she feels fortunate to be part of this mission.
Sheri and her husband Tim have been happily married since 1993 and share the joys of parenthood with three wonderful children: Elijah, Justin, who is married to Kenzie, and Sophia. Their family has also grown with the addition of two grandsons, Greyson and Tatum, and a granddaughter, Everly, Justin and Kenzie’s children.
In their leisure time, Sheri and Tim often find themselves cheering for their daughter as she participates in barrel racing with her horse, Bonds McDreamy, at various arenas across Michigan and Ohio. When not at a barrel race, they enjoy relaxing at home around a bonfire, spending time at the beach, kayaking, or delighting in precious moments with their grandbabies.
Ebony Daniels
Assistant Finance Director
Ebony Daniels-Jenkins, the Assistant Finance Director at The Karring Group, brings a deep-rooted passion for healthcare to her role. She is driven by the belief that the quality of life should never diminish because assistance is required. Ebony’s career has been marked by various roles in the healthcare industry, including as a certified medical assistant and Dialysis Technician.
Learn More About Ebony
Her journey with The Karring Group began in October of 2017, and she enthusiastically declares her love for her job. Ebony is deeply appreciative of the company’s unwavering dedication to providing exceptional care to their clients.
In her personal life, Ebony shares her world with a wonderful husband, whom she married in August 2015, two beautiful children with whom she cherishes spending time, and a furry companion named Blaze. She finds solace in gardening and treasures moments filled with good laughs shared with family and friends.
Tracie Giacona
Director of Intakes
Tracie Giacona, the Director of Intakes at The Karring Group, plays a pivotal role as the clients’ initial point of contact, helping kickstart their journey towards recovery. With over a decade of experience in the medical field, Tracie possesses a wealth of knowledge and expertise in healthcare. Her extensive background includes working in Hospice, where she developed deep compassion and understanding for clients facing life-changing events.
Learn More About Tracie
Leveraging her knowledge and experience, Tracie excels in connecting with clients and addressing their concerns and questions about their care.
Originally raised in South Florida, Tracie relocated to Michigan with her family, where she completed her education and embarked on her medical career. She shares her life with a loving husband, two vibrant, healthy boys, and a daughter named Stella Rose, who bring boundless joy and energy to her life. Amidst soccer games, field trips, and family outings, Tracie finds joy in scrapbooking and capturing cherished moments through photography. She eagerly looks forward to the future, eager to create lasting memories with her loved ones.
Denise Jacques
RN, Nurse Case Manager
Denise Jacques, RN, brings a wealth of experience and a compassionate heart to her role as a Nurse Case Manager at The Karring Group. Her journey in healthcare began with a registered nursing degree from Delta College, complemented by a B.A. in business from Northwood University. Denise’s career path led her through various roles, including nine years as a Critical Care Nurse/Manager at Saginaw General Hospital.
Learn More About Denise
She later transitioned to Abbott Laboratories’ Hospital Division, where she spent 32 years excelling as an account manager, selling hospital equipment and injectable drugs. Through mergers and acquisitions, she continued her remarkable career journey, eventually finding her passion as a case manager with The Karring Group since mid-2016. Denise finds fulfillment in leveraging her medical background to interact with clients and support their needs.
Outside of work, Denise leads an active lifestyle, indulging her passion for skiing every weekend for pleasure. While no longer a member of the National Ski Patrol, she continues to enjoy hitting the slopes and relishing the thrill of the downhill runs. She also cherishes time spent boating and enjoying summer activities at Torch and 8 Points Lakes with her husband, children, their spouses, and their six beloved grandchildren. Their Saginaw, MI, home is filled with love, laughter, and cherished family moments, reflecting Denise’s dedication to both her professional and personal life.
Kathryn Froberger
RN, BSN, Nurse Case Manager
Kathryn Froberger, RN, BSN, Certified Case Manager, brings a wealth of expertise to her role as a Nurse Case Manager at The Karring Group. Her educational journey began at Western Michigan University, where she earned a Bachelor of Science degree in Exercise Science. However, as Kathryn navigated through different professional roles, she felt a calling to further her education in nursing.
Learn More About Kathryn
With determination, she returned to school and graduated Cum Laude from Oakland University with a Bachelor of Science in Nursing.
Throughout her career, Kathryn has gained valuable experience in various healthcare settings. She honed her skills at St. John Hospital’s main campus, specializing in the orthopedic/neurosurgical unit, where she developed a profound understanding of the orthopedic field. Additionally, Kathryn served as a case manager for a home care company, providing compassionate in-home care to patients to enhance their well-being.
Now, as part of The Karring Group, Kathryn is enthusiastic about leveraging her expertise to support individuals on their journey to recovery. Her dedication to patient care and commitment to excellence make her a valuable asset to the team, and she looks forward to making a positive difference in the lives of those she serves.
Shannon Zalewski
LPN, Nurse Case Manager
Shannon Zalewski, LPN, Nurse Case Manager, brings over 20 years of invaluable experience to The Karring Group. Her dedication is evident as she attends initial evaluations with new clients, guiding them through the process of accessing case management services. Shannon’s responsibilities also include developing detailed reports and accompanying patients to appointments, ensuring they receive comprehensive care.
Learn More About Shannon
Originally from Ohio, Shannon made Michigan her home in July 2017. Despite her busy schedule, she prioritizes her two daughters’ sports and school activities, actively supporting and engaging in their endeavors. Shannon, her husband, and her daughters enjoy fishing, collecting rocks from their Great Lakes visits, and hiking together.
In her leisure time, Shannon finds solace in outdoor activities like gardening, reading in the hammock, and long walks. She also has a passion for travel, especially when it involves attending concerts and exploring new destinations. Shannon’s vibrant spirit, dedication to her family, and commitment to providing exceptional care make her an invaluable asset to The Karring Group team.
Tina Padula
COTA, BS, Case Manager
Tina Padula, COTA, BS, Nurse Case Manager brings a wealth of experience and a deep-rooted passion for healthcare to her role at The Karring Group. Born & raised in the Detroit metropolitan area, Tina embarked on her journey in occupational therapy by earning her certified occupational therapist assistant degree from Schoolcraft College. Furthering her education, she obtained a BS in healthcare management from Bellevue University.
Learn More About Tina
Throughout her career, Tina has honed her skills and expertise by working in various healthcare settings, including Skilled Nursing Facilities, Hospitals, Schools, and Traumatic Brain Injury clinics. Despite the challenges, her dedication to her work has only strengthened over the years.
As a Case Manager, Tina is committed to advocating for the well-being of our clients and providing the highest quality of care to facilitate the recovery process. Beyond her professional endeavors, Tina finds joy in spending time with her family, embracing outdoor activities like jogging and boating, and nurturing her passion for continuous learning. Her unwavering dedication, compassionate nature, and lifelong commitment to serving others make her an invaluable member of The Karring Group team.
Brooke Klawitter
Physical Therapist Assistant
Brooke Klawitter brings over 18 years of experience as a Physical Therapist Assistant to her role with The Karring Group. Specializing in Traumatic Brain Injury and Spinal Cord Injuries related to auto accidents for over 7 years, Brooke is deeply committed to assisting clients through their recovery journey, aiming to restore them to their prior level of functioning as swiftly as possible.
Learn More About Brooke
As a Case Manager, Brooke collaborates closely with primary Case Managers and Case Coordinators, facilitating therapy appointments, coordinating durable medical equipment orders, attending therapy and orthotic/prosthetic appointments, and ensuring clients’ homes are prepared for their return. She finds immense fulfillment in being part of The Karring Group’s motivated, dedicated, and compassionate team.
Outside of work, Brooke treasures spending quality time with her family and embarking on new adventures. Whether it’s exploring new places or enjoying outdoor activities like snowboarding in the winter and visiting Michigan’s lakes in the warmer months, Brooke embraces life’s experiences with enthusiasm and zest. Her dedication to her profession and her adventurous spirit make her a valuable asset to The Karring Group team.
Dorothy Steen
Invoice & Editing Specialist
Dorothy Steen embodies an unwavering enthusiasm for personal growth and education, with a diverse range of interests spanning the medical field, psychology, and the legal world. Her journey through these fields began when she graduated from Dorsey Business School in 1999, marking the start of her career as a Medical Assistant. Eager to expand her horizons, Dorothy pursued further education at Baker College.
Learn More About Dorothy
After earning an Associate Degree in Criminal Justice, Dorothy continued her work in the medical field. Dorothy has also embarked on a new educational endeavor, delving into the world of Psychology at Baker College, with a focus on adolescent behavior analysis, deepening her understanding of human behavior.
Dorothy’s passion extends beyond her academic pursuits. She holds a deep connection to her spirituality and cherishes her family. In 2019, she married her soulmate, James, and together, they are proud parents to four beautiful daughters and a son, with the joy of three perfect grandchildren gracing their lives.
In her precious spare moments, Dorothy has ventured into entrepreneurship with her own small business, “DS Creations.” Her creative spirit finds expression in crafting custom pieces, including jewelry for women, men, and children, painted drinking glasses, corsages, and boutonnieres. Beyond her creative pursuits, Dorothy relishes spending quality time with friends and family, further enriching her life with cherished moments.
Theresa Sanders
Lead Internal Coordinator
Teresa Sanders, a native of Detroit, MI, embarked on her educational journey at DPS Systems, culminating in her graduation in 1999. Her commitment to learning led her to Davenport University, where she achieved her BS in Business in 2020. Theresa’s career in healthcare began at Henry Ford Health in 2015, where she diligently served until 2022. In 2022, she joined The Karring Group.
Learn More About Teresa
Teresa brought her extensive knowledge and skills from the Gynecology Oncology Department to The Karring Group. She holds the role of an Executive Assistant and is rapidly evolving into the Lead Internal Coordinator.
Beyond her professional endeavors, Ms. Sanders is a dedicated mother of four. She has a profound love for her hometown, Detroit, and comes from a large, close-knit family. Theresa’s creative spirit finds expression in crafting beauty products, reflecting her passion for creativity.
Her aspiration at The Karring Group is to continually expand her knowledge and contribute to the growth of the business and its dynamic team.
Odessa Hayes
Administrative Assistant
Odessa Hayes, hails from the vibrant Eastside of Detroit. Her educational journey began in Detroit Public Schools, culminating in her graduation from Finney High School. She furthered her education by attending Wayne Community College for two years, laying the foundation for her remarkable journey. In her twenties, Odessa embraced motherhood, a significant turning point that ignited her determination to make a difference.
Learn More About Odessa
She embarked on a career in the medical field, driven by her innate passion for helping others and always accompanied by a warm smile. Patients, caregivers, and guardians alike hold her in high regard, knowing that when she says, “How can I help?” she truly means it! Odessa, wholeheartedly commits herself to addressing any concerns, tirelessly working until she brings a smile to your face. Her dedication, work ethic, and loyalty are unwavering.
With over 25 years of experience in the medical field, Odessa’s commitment to her work is a testament to her character. Beyond her professional life, she finds solace and joy in spending spare moments with family, including her two grandchildren. She also relishes the soothing presence of water, the sounds of her favorite music, and the thrill of travel, rounding out her diverse interests and passions.
Ian Conway
Administrative Assistant
Ian Conway, an Administrative Assistant at The Karring Group, brings a unique blend of experience and passion to his role. Born and raised in Lakeview, Michigan, he currently calls Ferndale, Michigan, his home. Ian earned his Bachelor’s of Science in Psychology from Central Michigan University in 2015, marking the beginning of his journey in the field. Now post-undergrad, Ian’s career path led him to work with children with Autism.
Learn More About Ian
Ian is now an Applied Behavioral Analysis Therapist, followed by a role as a Case Manager for children with developmental disabilities.
In his free time, Ian finds fulfillment in two main areas: family and creativity. He devotes his time to playing with his two children and taking care of his dogs. Family adventures often involve camping trips to explore national parks, where his children collect Junior Ranger badges for each National Park and National Monument they visit.
Beyond his family adventures, Ian’s creative side shines through. He enjoys playing the guitar and crafting hip-hop beats. He’s also an enthusiast of exercise and video games, rounding out his diverse set of interests and talents.
Pam Russell
LPN, ASN, Case Manager
Pam Russell holds an Associate’s Degree in Nursing with a Minor in Psychology from Wayne County Community College. As a Case manager, 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.
Learn More About Pam
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, Angela, her two Shih Tzus, Lexi and Logan, and a close-knit circle of friends.
Her interests span a wide spectrum, including 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.

