A registered nurse since 2005, Sandy received her RN and BSN degrees along with a degree in marketing. Sandy has also been a paralegal and business analyst in both Iowa and North Carolina. Currently the Vice President Home Health Regulatory and Clinical Affairs for the Association for Home & Hospice Care of North Carolina and the South Carolina Home Care & Hospice Association, Sandy has most recently worked for CGS Administrators, a Medicare Audit Contractor for CMS (similar to Palmetto GBA – both co-owned by Cererian) as a Senior Provider Education Consultant where she educated home health and hospice providers on Medicare home health and hospice clinical regulations, PDGM, TPE, and performed reviews of medical charts, including information provided by the hospice providers, and their staff and physicians using criteria set by Medicare standards and clinical guidelines. Sandy has been a Medical Reviewer with both Medical Review and Appeals before her educator position. She has presented at both national and state conferences for both hospice and home health for many years.

Prior to CGS, Sandy was a Clinical Supervisor, an RN case manager, and served in many capacities at various hospice & home health agencies in Iowa.