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