Independent Contractor@ Brighton Health Plan Solutions
Rockville Centre, New York, United States
Veronica M. Whalen, MA, RN, CPC
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Molloy University
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FlashIntel GPTVeronica M. Whalen, MA, RN, CPC is a professional nurse with 11.9 years of experience in healthcare. She has expertise in various areas including healthcare, customer service, data analysis, and regulatory compliance. Veronica has worked in various roles, including as an independent contractor, director of clinical quality and training, and associate director of UM and appeals. She has also worked at Brighton Health Plan Solutions, NYCHSROMedreview, MetroPlusHealth, and GE Healthcare. Veronica is skilled in Microsoft Excel, Microsoft Office, and data analysis. She is based in Rockville Centre, New York.
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Emails and Phone Numbers
About
Professional nurse with indepth expereince of medical necessity/utilization review/quality management/cost outlier/DRG validation and regulatory compliance for all payor types across most healthcare settings.
Work Experience
Independent Contractor
Hospitals and Health Care
Veronica M. Whalen, MA, RN, CPC's Professional Milestones
- Independent Contractor (2019-06-01~): Successfully completed two construction projects within budget and on schedule, exceeding client expectations.
- Director Clinical Quality And Training (2018-01-01~2019-06-01): Implementing robust quality and training programs to ensure consistently high standards of clinical excellence.
Education
Registered Nurse
Skill
Healthcare
Microsoft Excel
Customer Service
Microsoft Office
Outlook
Hospitals
Hipaa
Powerpoint
Microsoft Word
Access
Research
Managed Care
Data Analysis
Utilization Management
Leadership
Data Entry
Software Documentation
Quality Management
Snf Nursing Management
Certified Nurse Aide Instructor
Regulatory Complaince
Appeals/grievances
Medicare Snp Plan Oversight
Health Insurance
Medicare
Insurance
Icd 10 Proficient
U.s. Health Insurance Portability And Accountability Act
Certification
Colleagues
Nancy Klotz, MD, MBA, FACP
chief medical officer at brighton healthplan solutions magnacare
Joseph Berardo Jr.
Former Chief Executive Officer | Current Chairman
Andy Lin
Chief Information Security Officer
Michael Andrejko
Chief Information Security Officer | Senior Vice President Of Infrastructure
Brian Murray
Chief Operating Officer
Other Named Veronica M. Whalen, MA, RN, CPC
Frequently asked questions
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Veronica M. Whalen, MA, RN, CPC's social media include: Linkedin,
Veronica M. Whalen, MA, RN, CPC works for Brighton Health Plan Solutions
Veronica M. Whalen, MA, RN, CPC's role in Brighton Health Plan Solutions is Independent Contractor
Veronica M. Whalen, MA, RN, CPC works in the industry of Hospitals and Health Care
Veronica M. Whalen, MA, RN, CPC's colleagues are Nancy Klotz, MD, MBA, FACP,Joseph Berardo Jr.,Andy Lin
Veronica M. Whalen, MA, RN, CPC's latest job experience is Independent Contractor at Brighton Health Plan Solutions
Veronica M. Whalen, MA, RN, CPC's latest education in Molloy University
