MARGARET ANN FERGUSON WHITE
Raleigh
Summary
Registered Nurse with over 25 years of clinical, regulatory, quality assurance, and healthcare program experience. Extensive expertise in Medicaid and Medicare clinical review, medical necessity determinations, utilization management, policy development, provider consultation, and regulatory compliance. Proven ability to conduct complex medical record reviews, evaluate clinical documentation, interpret CMS guidelines, support quality improvement initiatives, and collaborate with Medical Directors and interdisciplinary teams. Recognized for strong analytical skills, evidence-based decision-making, and expertise in healthcare policy and quality assurance.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Vaccine Coordinator/Case Manager
Alliance Medical Ministry
Raleigh
08.2022 - Current
- Maintained VFC program status by training new hires, managing vaccine inventory, and ensuring proper storage and handling to uphold program integrity
- Administered vaccines while educating patients on procedures and potential side effects, enhancing patient understanding and comfort during vaccination.
- Enrolled practice providers and patients in vaccine patient assistant programs
- Work with providers and clinical staff in a team setting to ensure processes, protocols and procedures are followed in providing direct patient care
- Entered the administration of the vaccines into EPIC and NCIR provider portal
- Reported and submitted paperwork for patients with communicable diseases to local health department, ensuring compliance with public health regulations
- Staff education coordinator of lunch and learn topics for the practice
COVID-19 Operations Nurse
Wake County Health Department
02.2021 - 05.2021
- Prepared and administered vaccines
- Educated patients on vaccine information, ensuring understanding of benefits and potential side effects
- Documented vaccine administration in CMS provider portal, maintaining accurate patient records
- Issued immunization cards to clients, providing essential documentation for vaccination records
- Disposed of sharps and bio-hazard materials according to safety protocols.
Agency Staff Nurse
Quality Staffing
10.2019 - 01.2020
- Staffed Wake County Health Department flu shot clinic, providing vaccinations to community members during Fall 2019.
Graduate Student Instructor
Wake Technical Community College
08.2019 - 12.2019
- Delivered engaging instruction in NURS 211, Health Care Concepts, fostering student understanding and application of key health care principles.
- Developed lesson plans aligned with curriculum objectives and learning outcomes.
- Facilitated classroom discussions to enhance student engagement and understanding.
- Assisted in grading assignments and providing constructive feedback to students.
Nurse Clinician
NC Correctional Institute for Women
06.2017 - 06.2018
- Reviewed and revised nursing policies and procedures to ensure compliance and improve patient care standards.
- Facilitated over twelve hours of continuing education for medical and mental health staff to support ongoing professional development.
- Coordinated comprehensive educational program for orienting new employees (MD, PA, NP, RN, LPN, NAI, NAII) to enhance onboarding experience.
- Established short- and long-range goals for the department to meet the institution’s needs.
- Provided training for Health Electronic Records and Medication Aide Instructors.
- Managed data entry in the institution’s Learning Management System (LMS).
- Conducted mass tuberculosis screenings for inmates in correctional facilities.
DMA Nurse Consultant II
Division of Medical Assistance
Raleigh
08.2007 - 05.2017
- Functioned as a clinical subject matter expert (SME) for Medicaid and Medicare coverage policies, delivering consultation and guidance to providers, state agencies, and healthcare professionals.
- Conducted comprehensive medical record reviews and clinical assessments to determine medical necessity, appropriateness of care, and compliance with Medicaid and Medicare regulations.
- Reviewed, interpreted, and implemented CMS, Medicare, and Medicaid policies, regulations, and clinical guidelines impacting healthcare coverage and reimbursement.
- Evaluated clinical documentation and service requests for adults and children, including EPSDT reviews, prior authorization requests, claim denials, and appeal determinations.
- Performed quality assurance reviews of clinical determinations, provider claim appeals and non-covered service requests to ensure regulatory compliance and consistency of review decisions.
- Collaborated with Medical Directors and cross-functional teams to support evidence-based decision-making and ensure adherence to federal and state regulatory requirements.
- Identified quality improvement opportunities and enhanced processes through policy analysis, clinical review findings, and program evaluation.
- Prepared clinical recommendations regarding appeals and coverage determinations for Medical Director review and final disposition.
- Testified in mediation and contested case hearings, providing expert clinical analysis and support for coverage determinations and appeals decisions.
- Coordinated with provider services, reimbursement, eligibility, and program integrity teams to apply policies and quality standards across Medicaid programs.
Nurse Educator, Nurse Manager, Staff Nurse
Dorothea Dix Hospital
05.2000 - 08.2007
Nurse Supervisor, Lead and Staff Nurse
NC Carolina Correctional Institute for Women
10.1996 - 02.1999
Public Health Nurse
Wake County Health Department
03.1995 - 08.1995
Temporary Poole Nurse
NC State University Student Health Center
11.1994 - 03.1995
Charge and Staff Nurse
Durham Veterans Hospital
07.1990 - 08.1994
Education
Graduate Certificate - Nursing Education
University of North Carolina
Charlotte, NCMaster of Science - Nursing
University of North Carolina
Chapel Hill, NCBachelor of Science - Nursing
North Carolina Central University
Durham, NCSkills
Quality Improvement
Team Collaboration
Utilization Management
Medical Record Review
Medically Necessary Determinations
Medicare & Medicaid Regulations
Appeals and Grievances
Clinical Policy Interpretation
Provider Relations
Provider Education & Training
CPT and ICD-10 Coding
Claim Review and Adjudication
Medical Director Collaboration
Written & Verbal Communication
Microsoft Office Suite
EPIC Electronic Health Record
Affiliations
- Rho Phi Chapter of Chi Eta Phi Sorority Incorporated, Chaplain, 2019-2022
- Gamma Iota Chapter of Sigma Theta Tau International
- American Nurse Association
- Allegra Award for Perseverance & Endurance in Nursing
Certification
- Registered Nurse-North Carolina-Multistate (compact), 01/01/90-Current
- Primary Care Nurse Certificate, 01/01/20
- TB Train-the-Trainer, 01/01/19
- American Heart Association BLS Instructor, 03/01/04-Current
Languages
English
Professional
French
Elementary
Timeline
Vaccine Coordinator/Case Manager
Alliance Medical Ministry
08.2022 - Current
COVID-19 Operations Nurse
Wake County Health Department
02.2021 - 05.2021
Agency Staff Nurse
Quality Staffing
10.2019 - 01.2020
Graduate Student Instructor
Wake Technical Community College
08.2019 - 12.2019
Nurse Clinician
NC Correctional Institute for Women
06.2017 - 06.2018
DMA Nurse Consultant II
Division of Medical Assistance
08.2007 - 05.2017
Nurse Educator, Nurse Manager, Staff Nurse
Dorothea Dix Hospital
05.2000 - 08.2007
Nurse Supervisor, Lead and Staff Nurse
NC Carolina Correctional Institute for Women
10.1996 - 02.1999
Public Health Nurse
Wake County Health Department
03.1995 - 08.1995
Temporary Poole Nurse
NC State University Student Health Center
11.1994 - 03.1995
Charge and Staff Nurse
Durham Veterans Hospital
07.1990 - 08.1994
Graduate Certificate - Nursing Education
University of North Carolina
Master of Science - Nursing
University of North Carolina
Bachelor of Science - Nursing
North Carolina Central University