I’m Heather Cotto, a registered nurse with over a decade of diverse healthcare experience, spanning critical care, correctional health, compliance, and strategic leadership. My consulting practice is rooted in a commitment to precision, discretion, and elevated service for legal professionals navigating medically complex cases.

My journey began in the intensity of the ICU, where I spent four years managing critically ill patients and mastering the intricacies of acute care. This experience laid the groundwork for seven transformative years in correctional health, where I evolved into a leader and compliance expert. In that role, I supervised multidisciplinary teams, developed policies, and served as a nurse consultant in high-stakes litigation, working closely with attorneys and executive leadership to uphold regulatory standards and safeguard patient care within some of the most challenging environments.

Today, I serve as Director of Operations at a multi-site medical practice, where I oversee clinical performance, operational strategy, and patient experience across several locations. This role reflects the natural synergy between my clinical background and executive acumen—a duality that now informs every consulting engagement I take on.

At LexRN PLC, I offer more than expertise; I deliver insight designed to support attorneys with clarity, sophistication, and impact. Your case deserves more than a review. It deserves an ally who understands the nuance, sees the full picture, and provides guidance that elevates the entire strategy