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Sarah Lauer
5/17/2015
8331 Hayes Street, Midvale, UT 84047
801-910-6462
sarahlauer@hotmail.com
O B J E C T I V E S
To obtain a position that utilizes my nursing experience and
informatics education.
E D U C A T I O N
U n i versity o f U t ah
May, 2015
MSN – Nursing Informatics
J a me stown C o llege
May, 2004
BSN
E X P E R I E N C E
Medical Case Consultant | S e dgw ic k
February, 2012 - present
 Communicate with multiple stakeholders to expedite
delivery of medical treatment and facilitate timely return to
work for injured employees
 Perform utilization review for requested treatment based
on state-specific jurisdictional guidelines to ensure
medical necessity of proposed medical care. This includes
review of various codes used to document diagnoses and
proposed care (ICD, CPT, HCPC, etc.)
 Ensure accurate documentation of file to capture
appropriate cost savings and provide realistic cost
projections for care
Sarah Lauer
Page 2
Medical Operations Manager | S e dgwick
September, 2010 – February, 2012
 Development and implementation of client-specific programs
(early intervention model, complex pharmacy review, light
touch TCM)
 Conduct and attend meetings to communicate managed care
results to client/stakeholders and develop action plans to
ensure achievement of quarterly/annual goals
 Analysis and interpretation of data to identify client trends
and develop business rules based on results
 Coordination with team members/units to optimize
workflows involving various specialty areas to prevent
duplication, facilitate timely assignments, and ensure
appropriate use of team resources for claims administration
Clinical Supervisor | S e dgwick
August, 2008 – September, 2010
 Development of telephonic case managers and utilization
review nurses to achieve client goals related to managed care
services (medical cost containment, reduction of network
leakage, timely return to work) through education, coaching,
and fostering accountability
 Facilitate learning for managed care teams, claims examiners,
and claims supervisors by identifying needs, developing
training materials, and delivering user-specific education
 Participation in quality improvement through the use of
monthly audits and education to help nurses achieve team
and individual goals
Telephonic Case Manger | S e dgwick
August, 2007 – August, 2008
Sarah Lauer
Page 3
 Develop and maintain rapport with workers’ comp patients to
facilitate effective communication regarding medical history,
treatment, and progress toward return to work
 Reduction of employer costs related to medical care and
disability payments by coordinating appropriate care within
guideline recommendations, expediting return to work, and
channeling of treatment to appropriate vendors/networks
 Application of treatment guidelines to ensure appropriate
treatment is provided to injured workers
Circulating Nurse – Operating Room | U n iver sity o f U t ah
H o s pital
May, 2004 – August, 2007
 Preparation of the operative suite including procurement of
equipment/supplies
 Facilitate communication with patients and their families
prior to and during surgical procedures and with other
hospital units prior to transfer
 Maintain a safe environment for patients and OR staff during
surgical cases, involving proper set up and use of surgical
equipment/supplies, proper patient positioning, and
coordination of timely transfer of care with appropriate staff
R E F E R E N C E S
Noelle Wegener, National Quality Manager, Sedgwick CMS
513-483-5189
Andrea Buhl, VP Clinically Integrated Medical Programs, Sedgwick
901-415-7998
Sarah Lauer
Page 4
Amy Holgate, Informatics Nurse, University of Utah
608-345-4218

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Resume201505171026

  • 1. Sarah Lauer 5/17/2015 8331 Hayes Street, Midvale, UT 84047 801-910-6462 sarahlauer@hotmail.com O B J E C T I V E S To obtain a position that utilizes my nursing experience and informatics education. E D U C A T I O N U n i versity o f U t ah May, 2015 MSN – Nursing Informatics J a me stown C o llege May, 2004 BSN E X P E R I E N C E Medical Case Consultant | S e dgw ic k February, 2012 - present  Communicate with multiple stakeholders to expedite delivery of medical treatment and facilitate timely return to work for injured employees  Perform utilization review for requested treatment based on state-specific jurisdictional guidelines to ensure medical necessity of proposed medical care. This includes review of various codes used to document diagnoses and proposed care (ICD, CPT, HCPC, etc.)  Ensure accurate documentation of file to capture appropriate cost savings and provide realistic cost projections for care
  • 2. Sarah Lauer Page 2 Medical Operations Manager | S e dgwick September, 2010 – February, 2012  Development and implementation of client-specific programs (early intervention model, complex pharmacy review, light touch TCM)  Conduct and attend meetings to communicate managed care results to client/stakeholders and develop action plans to ensure achievement of quarterly/annual goals  Analysis and interpretation of data to identify client trends and develop business rules based on results  Coordination with team members/units to optimize workflows involving various specialty areas to prevent duplication, facilitate timely assignments, and ensure appropriate use of team resources for claims administration Clinical Supervisor | S e dgwick August, 2008 – September, 2010  Development of telephonic case managers and utilization review nurses to achieve client goals related to managed care services (medical cost containment, reduction of network leakage, timely return to work) through education, coaching, and fostering accountability  Facilitate learning for managed care teams, claims examiners, and claims supervisors by identifying needs, developing training materials, and delivering user-specific education  Participation in quality improvement through the use of monthly audits and education to help nurses achieve team and individual goals Telephonic Case Manger | S e dgwick August, 2007 – August, 2008
  • 3. Sarah Lauer Page 3  Develop and maintain rapport with workers’ comp patients to facilitate effective communication regarding medical history, treatment, and progress toward return to work  Reduction of employer costs related to medical care and disability payments by coordinating appropriate care within guideline recommendations, expediting return to work, and channeling of treatment to appropriate vendors/networks  Application of treatment guidelines to ensure appropriate treatment is provided to injured workers Circulating Nurse – Operating Room | U n iver sity o f U t ah H o s pital May, 2004 – August, 2007  Preparation of the operative suite including procurement of equipment/supplies  Facilitate communication with patients and their families prior to and during surgical procedures and with other hospital units prior to transfer  Maintain a safe environment for patients and OR staff during surgical cases, involving proper set up and use of surgical equipment/supplies, proper patient positioning, and coordination of timely transfer of care with appropriate staff R E F E R E N C E S Noelle Wegener, National Quality Manager, Sedgwick CMS 513-483-5189 Andrea Buhl, VP Clinically Integrated Medical Programs, Sedgwick 901-415-7998
  • 4. Sarah Lauer Page 4 Amy Holgate, Informatics Nurse, University of Utah 608-345-4218