She has worked in the home health and hospice nursing fields the majority of her nursing career. Decker has been a Medical Reviewer with both Medical Review and Appeals at CGS before her current educator position. She has presented at both national and state conferences for both hospice and home health. Decker has received her RN and BSN degrees, along with degrees in marketing and business management, and has also been a paralegal and business analyst in both Iowa and North Carolina.