Cassandra Pertilla White
Charlotte,NC
Summary
To obtain a position that will effectively utilize my varied skills, knowledge and qualifications.
Healthcare professional with background in long-term care nursing, focused on delivering high-quality patient care and fostering collaborative work environment. Proven ability to adapt to changing needs and ensure consistent, reliable support for both patients and team members. Skilled in patient assessment, care planning, and effective communication.
Overview
44
44
years of professional experience
1
1
Certification
Work History
PRN Long Term Care Nurse Assessor
Assurance, Care Scout, Blue Bird Home Care
03.2024 - Current
- Independent contractor- Long term care insurance assessments
QA Manager/Nurse Planner
Examworks Compliance Solutions
06.2015 - Current
- Quality Manager reviews for Medicare compliance products, life care plans and cost projections
- Nurse planner responsible for preparation of Medicare Set-Aside Allocations, Medical Cost Projections/Analysis, Legal Nurse Reviews, Life Care Plans
Director of Risk Management/Weekend Supervisor
Social Circle Nursing and Rehabilitation Center
05.2013 - 01.2015
- Risk management investigation, corporate and regulatory compliance, HIPAA officer, patient safety officer, emergency preparedness, QAPI coordination and training, survey team manager
- Weekend supervisor- (May- September)
Nurse Review Specialist- Casualty Claims
Marriott International Inc.
11.2004 - 09.2013
- Clinical consultant for hotel claims and nursing department - Atlanta and Boston worker’s compensation and general liability programs providing medical records reviews, life care plans
- Developed utilization management/quality assurance programs, requests for proposals, vendor management and cost containment
Life Care Planner/Medical Claims Consultant/Case Manager
CNA Insurance
01.2001 - 01.2004
- Case manager for worker’s compensation unit; medical claims consultant performing medical reviews, cost reserve analysis, life care plans and Medicare set-aside allocations for claims and subrogation team
Clinical Review Manager/Clinical Nurse Specialist-Worker’s Compensation Billing Unit
Liberty Mutual Insurance Company
01.1996 - 01.2000
- Manager of RN bill review audit team responsible for training and compliance with state requirements; clinical liaison for billing issues, state and company fraud unit investigations
Clinical Nurse
Per Diem Clinical Nurse
01.1990 - 01.1999
- Performed direct patient care for critical care, ER and home health care through various agencies.
Utilization Management Coordinator
Cigna Healthcare of Georgia
01.1993 - 01.1995
- Performed telephonic utilization management, benefits and continued stay reviews; clinical liaison for appeal hearings and member of CQI performance improvement team
Utilization Review Nurse
Intracorp
01.1990 - 01.1991
- Performed utilization review, benefits review and care management for several accounts
Assistant Director of Nursing
JD Weiler Hospital of Albert Einstein College of Medicine
01.1989 - 01.1990
- Clinical nursing administrator for night shift providing administrative, clinical and educational support
Medical Review Analyst
Island Peer Review
01.1987 - 01.1989
- Performed medical records reviews for coding, quality and continued stay reviews for Medicare/Medicaid program.
Senior Clinical Nurse, General Duty Nurse
Mount Sinai Medical Center
01.1982 - 01.1987
- Clinical supervisor for medical ICU unit providing direct care, training, mentoring and administrative support
Education
MSN Candidate - Adult Health/Critical Care
State University of NY at Stony Brook
Stony Brook, NY01.1986
BS Degree - Nursing Major
Long Island University
Brooklyn, NY01.1982
Skills
- Organization and analysis of medical records, assist in determining medical causation, identification of standards of care and expert witnesses; development and review of life care plans
- Knowledge of Medicare, Medicaid, worker’s compensation and third party regulations and guidelines
- Risk management investigation, emergency preparedness, QAPI coordination and patient safety compliance, training and development
- Extensive working experience in case management and utilization management
- Strong management and leadership abilities, problem solving and organizational skills
- Clinical consultation, training and development to internal and external customers with review and process improvement recommendations
- Project management and request for proposal development
- Medical billing auditing, medical coding review, medical data abstraction and analysis
- Ability to interpret, analyze and apply complex rules and regulations
- Ability to handle multiple priorities and deadlines
- Direct care provider, health care and patient assessment and care planning
- Dementia care
- Compassionate care
- Clinical documentation
- Physical assessments
- Care plan development
- Geriatric nursing
- Diabetes management
- Pressure ulcer prevention
- Tracheostomy care
- Family education
- Interdisciplinary collaboration
- Cultural history
- Compassionate communication
- Care strategy assessment
- Teamwork
Certification
- CMS/Medipro Seminars 2004 Medicare Set-Aside Program Seminar
- NCPT Paralegal Program 1991
- Certified Life Care Planner- 2002 - present
- Certified Legal Nurse Consultant 1997-present
- Medicare Set-aside Consultant Certified-2015- present
- Geriatric Care Manager Program- ICHCC- 2025
- Intelicus/Life Care Planning Course 2002
Summary of Qualifications
- Legal Nurse Consultant/Life Care Planner
- Performance Improvement/Quality Assurance
- Training and Staff Development
- Nursing Supervision/Clinical Consultation
- Billing/Coding
- Risk Management/Patient Safety
- Case Management/Utilization Management
- Medical Data Abstraction/Medical Bill Review
- Health Assessment/Care Planning
- Direct Care
Timeline
PRN Long Term Care Nurse Assessor
Assurance, Care Scout, Blue Bird Home Care
03.2024 - Current
QA Manager/Nurse Planner
Examworks Compliance Solutions
06.2015 - Current
Director of Risk Management/Weekend Supervisor
Social Circle Nursing and Rehabilitation Center
05.2013 - 01.2015
Nurse Review Specialist- Casualty Claims
Marriott International Inc.
11.2004 - 09.2013
Life Care Planner/Medical Claims Consultant/Case Manager
CNA Insurance
01.2001 - 01.2004
Clinical Review Manager/Clinical Nurse Specialist-Worker’s Compensation Billing Unit
Liberty Mutual Insurance Company
01.1996 - 01.2000
Utilization Management Coordinator
Cigna Healthcare of Georgia
01.1993 - 01.1995
Clinical Nurse
Per Diem Clinical Nurse
01.1990 - 01.1999
Utilization Review Nurse
Intracorp
01.1990 - 01.1991
Assistant Director of Nursing
JD Weiler Hospital of Albert Einstein College of Medicine
01.1989 - 01.1990
Medical Review Analyst
Island Peer Review
01.1987 - 01.1989
Senior Clinical Nurse, General Duty Nurse
Mount Sinai Medical Center
01.1982 - 01.1987
BS Degree - Nursing Major
Long Island University
MSN Candidate - Adult Health/Critical Care
State University of NY at Stony Brook
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