Sandra Whiting Email and Phone Number
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Experienced Registered Nurse with a demonstrated history of working in the insurance industry. Skilled in Case Management, Advanced Cardiac Life Support (ACLS), Management, Critical Care Nursing, and Healthcare. Strong healthcare services professional with a Associate’s Degree focused in Registered Nursing/Registered Nurse from Highline College.
Advize Health
View- Website:
- advizehealth.com
- Employees:
- 14
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Independent Rn Contractor Clinical ValidationAdvize Health Mar 2019 - PresentTampa/St. Petersburg, Florida AreaClinical validation for DRG claims and reimbursement. Completed DRG clinical validation review using AHA and CMS - ICD-10 guidelines. Proficient with DRG clinical validation audits for Sepsis, Encephalopathy, Malnutrition, Acute Respiratory Failure and Acute Congestive Heart failure. Responsible to write a detailed review of the clinical validation findings and send report to physicians for final determination of the diagnosis.
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Nurse Auditor/Utilization Management RnRegence Blueshield Feb 2004 - Sep 2018Tacoma, WaResponsible for utilization management reviews preauthorizing and post reviews. Authorations for surgeries, DME, Rehabilitation stays, inpatient rehab, SNF, inpatient hospital. Basic case management while member was in rehabilitation. Special audits done, Readmission criteria/reviews, DRG reviews and training for reimbursement. Training on HAC claims, worked for short period of time. Large implantable device claims. Worked with both Medicare and commercial claims so have expansive experience… Show more Responsible for utilization management reviews preauthorizing and post reviews. Authorations for surgeries, DME, Rehabilitation stays, inpatient rehab, SNF, inpatient hospital. Basic case management while member was in rehabilitation. Special audits done, Readmission criteria/reviews, DRG reviews and training for reimbursement. Training on HAC claims, worked for short period of time. Large implantable device claims. Worked with both Medicare and commercial claims so have expansive experience with CMS guidelines, commercial guidelines. Have remote experience with appeals. Show less -
Critical Care Registered NurseVirgina Mason Medical Center Feb 2001 - Feb 2004Greater Seattle AreaWorked in interventional radiology where we took care of patient before during and after produres, including all types of ct, mri, angiograms/angioplasty, biopsy, emboliizations, ect.
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Critical Care Registered NurseSwedish Medical Center Jun 1998 - Feb 2001Greater Seattle AreaWas known as Providence at that time, is now Swedish cherry hill, Worked in MICU
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Clinical Case ManagerIntermin Health Care Mar 1995 - Jun 1998Greater Seattle Areahome health
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Assistant Director Of NursingCommunity Care Centers Mar 1993 - Dec 1994
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Critical Care Registered NurseUniversity Of Washington Nov 1986 - Mar 1993Greater Seattle AreaFast paced unit, charge Nurse, preceptor for new staff. Cardiac transplants, liver transplants, kidney transplant, med/surg, neuro-surg, you name it we saw it -
Critical Care Registered NurseVa Health Care Systems Jun 1985 - Nov 1986Greater Seattle AreaSICU Critical Care Nurse -
LpnRiverton Memorial Hospital May 1982 - Jun 1985Greater Seattle Areaworked in the Special care unit or icu
Sandra Whiting Skills
Sandra Whiting Education Details
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Registered Nursing/Registered Nurse
Frequently Asked Questions about Sandra Whiting
What company does Sandra Whiting work for?
Sandra Whiting works for Advize Health
What is Sandra Whiting's role at the current company?
Sandra Whiting's current role is Independent RN contractor Clinical validation at Advize Health.
What is Sandra Whiting's email address?
Sandra Whiting's email address is sa****@****nce.com
What is Sandra Whiting's direct phone number?
Sandra Whiting's direct phone number is +120634*****
What schools did Sandra Whiting attend?
Sandra Whiting attended Highline College.
What skills is Sandra Whiting known for?
Sandra Whiting has skills like Nursing, Bls, Healthcare, Medical/surgical, Inpatient, Critical Care, Acls, Hospitals, Nursing Management, Training, Utilization Management, Medical Surgical.
Who are Sandra Whiting's colleagues?
Sandra Whiting's colleagues are Robert Mooney, Matt Kochanski, Stefanie Lawrence, Clara Montgomery, Gabriel Solares, Ccsfp, Nicole Bell, Jamie R..
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